Can I still go on Accutane if I have high cholesterol (23f)?

It's understandable that you're concerned about starting Accutane (isotretinoin) with elevated cholesterol levels. Accutane can indeed affect lipid levels, so it's important to address these concerns with your dermatologist. Here are a few points to consider:

Consult Your Dermatologist: Your dermatologist will evaluate your overall health, including your cholesterol levels, before starting Accutane. They may consider the risk-to-benefit ratio and decide if Accutane is suitable for you.

Lifestyle Modifications: Since you mentioned anxiety and dietary habits as contributing factors, working on managing stress and improving your diet may help manage your cholesterol levels. Consider incorporating more fruits, vegetables, and whole grains into your meals and staying hydrated.

Monitoring: If Accutane is prescribed, your dermatologist will likely monitor your cholesterol levels regularly throughout the treatment. This helps ensure any changes are detected early and managed appropriately.

Alternative Treatments: Discuss with your dermatologist if there are alternative acne treatments that might be effective for you, especially if cholesterol remains a concern.

Mental Health Support: Since your skin condition is affecting your mental well-being, seeking support from a mental health professional could also be beneficial. They can help you with strategies to manage anxiety and improve your quality of life.

Ultimately, your dermatologist will guide you on the best course of action based on your specific circumstances. It's important to communicate openly with them about your concerns and any symptoms you experience.