Cholesterol total looks similar to September, so clearly the changes you have made since June have helped somewhat, but to me would suggest that it's possible you've reached the limit of the improvement you can get with those dietary changes alone. High density (HDL) level is low, which that's the one that they would prefer to be higher.
One of your liver function tests is slightly out of range, the others are within range. I don't know whether that might be linked to the cholesterol being higher than preferred - given the liver's role in cholesterol regulation then it's possible. As you have also found via Google that one can be linked to elsewhere in the body too, but my Google results suggested that a further more complicated and more expensive test might be needed to be definitive about the source of the alkaline phosphatase.
None of them look horrendously far out of range though, so I can understand why you have been advised to see them as routine rather than urgent, and I would suggest trying not to worry until you get to speak to your GP. (I know easier said than done!)
Thank you for taking the time to reply to me, I appreciate it xx
I am not panicking (yet
😉 ) I think because it was worded as a routine 4 week telephone appointment helped me stay calm, just wish I had seen another improvement, but at least its not gone up to 9.2 which is where it was 7 months ago. I have low blood pressure and in healthy weight range, my diet is now really good and I havent smoked since 30th June 2022, so all those factors I hope will help me keep a balance on my emotions. I realise statins are going to be introduced, I guess I was hoping to have had the genetic test to see if it was hereditary before taking that route, as if my diet can be changed to help reduce it alone I would have preferred it, only because I am awful at taking medication, hence my first pregnancy (much loved child but down to forgetting my pill!) Also with a lot of family members including my late mum having alzeimers I have read about statins excelerating this condition and to be honest if I could live with this condition and have a heart attack, it would be preferable to living for years without a clue who anyone in my life is and forgetting all my memories. Sorry that's a bit dramatic, just my mum had statins too and it worries me whether that in some part caused her dementia.
I have always been a head in the sand type of person, in denial I guess, hence over eating, smoking etc, I dont have my smear tests or mamaograms etc, I am stupid but I think its because having witnessed family battling cancer, who did the right things, had the tests but went through gruelling treatment and sadly died, again I think, whats the point. (sorry rambling off the subject here) I guess what I am saying is the diagnosis of diabetes is the first time I have taken my health seriously and was hoping it was in my power to tackle the cholesterol too. But there is no shame in having to use Medication, my own son has an inhaler for asthma, I will follow his lead and grow up a bit, may even book in a mammogram. I have read the elevated enzyme has been linked to breast cancer too so I would like to rule that one out. I wonder if osteoperosis would elevate it too? My mum and sister had this too.
I am looking into having a dexa scan to show bone density and fat distribution, has anyone had one of these privately and were they helpful?