Very High BP in front of doctor but normal at home

Great news Thierry! Except that I don't quite know why you need to see a psychotherapist for "white coat syndrome". It's not really an illness - unless of course it's just one manifestation of general anxiety, in which case CBT might indeed be helpful.

I'm very impressed by your specialist too. Some other countries could do with a medical system like yours, where doctors take the time to reason things through without reaching for the prescription pad!

It all depends how high your triglyceride levels are. Also, since you seem to have access to a very good medical system, I assume your cholesterol was broken out into HDL and LDL. Try dividing your total cholesterol by the number for HDL. If it comes out to less than 3.5 you should be OK, even with slightly raised triglycerides. In continental European countries (at least in French-speaking areas) the cholesterol ratio is considered the best predictor of cardiovascular problems, though this view isn't generally held in English-speaking countries. The rationale for this is that HDL molecules are the "good guys" which act as a kind of vacuum cleaner, sucking up the LDL, which is the one that causes plaque in the arteries.

A lot of this depends on how old you are too, and I don't think you've ever told us this. Everyone's BP tends to start climbing a bit in middle age, as does the cholesterol ratio. However, if this is already starting in, say, your 20s, the inevitable rise starting from a higher base level could be more serious.

Cut out sugar and spice and all things nice, well actually the sugar will do the trick, just trying to lighten things that is the reason for high triglycerides, I was cutting out fat so had jelly babies, mine went from about 1.4 to 5.8 shot all my numbers to pot LOL Dr said highest she had seen, they were down to Normal about a month later, thousands have WCS so welcome to the club

Very true, Alexandria. The doctors, mainly influenced by the sugar lobby, told us for nearly 30 years that fat was the problem. I never believed them. Don't know why - just a gut instinct. Now we know it's sugar that's the culprit. Carbs come into it too, as starch is broken down into sugar (as is alcohol!) but it's the refined carbs and sugar that do the most damage.

Lilly. I am male 42 years old. The cholesterol you are talking about are they in mmol/L? Because this is how my results are. 

Doesn't matter about the units. The total choleserol/HDL ratio will come out the same whatever. If it's under 3.5 you're OK.

I have used a cholesterol ratio available in Internet and put my numbers. According to it, my HDL cholesterol/triglycerides ratio is borderline. 

While my HDL/LDL ratio is desirable according to the automatic calculator and my blood test shows also good level of glycemia.  

Hi again, I cannot see why you are worried about your cholesterol, if your numbers where high your Dr would be offering you meds, being as he isn't then I suggest you forget it till he does, don't go looking for illness because trust me it will find you soon enough

You are right Alexandria. I should not worry as my doctor does not see any problem with my blood test results. I just hope that illness shall come as late as possible in my life.

U have two choices, spend your years left worrying and looking for health issues that probably don't exist or you can spend your life living it and enjoying it, if you get ill then cross those bridges when you get there, don't go building them yourself.

Life is precious, live it

I totally agree with Alexandria. There are some markers that absolutely need to be addressed. Lumps or unexplained bleeding are among them. These don't automatically mean there is something seriously wrong, but need to be investigated. Ditto consistently raised blood sugar levels. However, there's a balance between blood lipids, sugar levels and BP that the better doctors - like your specialist - can interpret intelligently. You need to listen to your specialist.

If health anxiety is a serious problem for you, you need to address it, preferably via CBT. Medication for anxiety brings its own problems. Long-term health anxiety is known to have a weakening effect on the immune system - and I think we all know where that can lead.

Try and put all this behind you or if you can't, seek psychological help. Otherwise, just get on with enjoying your life, as Alexandria says. I've always adopted this approach, and am still at least as healthy as my contemporaries at age 73. 

Thanks for these advices Lilly.  I think you are convincing me since you are 31 years older than me. Be blessed all of you.