Synthetic progesterone is not associated with HALP, although oral estrogen not opposed by synthetic progesterone can lead to elevated HDL-C levels. Sustained excessive consumption of alcohol is one cause of HALP; when this is identified as the secondary cause, assess the patient for other consequences of this behavior. Other causes of HALP include treatment with statins, niacin (> 1 g/day), the antiseizure medication phenytoin, or fibrates (eg, bezafibrate, clofibrate, fenofibrate, gemfibrozil). A history of high-impact and sustained exercise may also cause HALP. Primary factors include familial syndromes, some of which may be associated with decreased atherogenic risk.
Learn more about causes of HALP.
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Cite this: Romesh Khardori. Fast Five Quiz: Lipids Management: High HDL Cholesterol Levels (Hyperalphalipoproteinemia) - Medscape - Dec 03, 2020.