High Cholesterol

 

Your body needs cholesterol to build healthy cells, but high levels of cholesterol can increase your risk of heart disease. With high cholesterol, you can develop fatty deposits in your blood vessels. Eventually, these deposits grow, making it difficult for enough blood to flow through your arteries. High cholesterol has no symptoms. Treatments include medication, a healthy diet and exercise.

Symptoms
High cholesterol has no symptoms and requires a medical diagnosis. Although it usually has no symptoms, some people may experience: aortic aneurysm, heart attack, peripheral artery disease, or stroke

Alert) Do you Have Cholesterol? Here is Everything You Must Know...

Causes

Cholesterol is carried through your blood, attached to proteins. This combination of proteins and cholesterol is called a lipoprotein. There are different types of cholesterol, based on what the lipoprotein carries. They are:

  • Low-density lipoprotein (LDL). LDL, the “bad” cholesterol, transports cholesterol particles throughout your body. LDL cholesterol builds up in the walls of your arteries, making them hard and narrow.
  • High-density lipoprotein (HDL). HDL, the “good” cholesterol, picks up excess cholesterol and takes it back to your liver.

A lipid profile also typically measures triglycerides, a type of fat in the blood. Having a high triglyceride level also can increase your risk of heart disease.

Factors you can control — such as inactivity, obesity and an unhealthy diet — contribute to harmful cholesterol and triglyceride levels. Factors beyond your control might play a role, too. For example, your genetic makeup might make it more difficult for your body to remove LDL cholesterol from your blood or break it down in the liver.

  • Chronic kidney disease
  • Diabetes

 

  • HIV/AIDS
  • Hypothyroidism
  • Lupus

Cholesterol levels can also be worsened by some types of medications you may be taking for other health problems, such as:

Medical conditions that can cause unhealthy cholesterol levels include:

  • Acne
  • Cancer
  • High blood pressure
  • HIV/AIDS
  • Irregular heart rhythms
  • Organ transplants
Treatment

High cholesterol increases your risk of heart disease and heart attacks. Medications can help improve your cholesterol. But if you’d rather first make lifestyle changes to improve your cholesterol, try these five healthy changes.

If you already take medications, these changes can improve their cholesterol-lowering effect.

1. Eat heart-healthy foods

A few changes in your diet can reduce cholesterol and improve your heart health:

  • Reduce saturated fats. Saturated fats, found primarily in red meat and full-fat dairy products, raise your total cholesterol. Decreasing your consumption of saturated fats can reduce your low-density lipoprotein (LDL) cholesterol — the “bad” cholesterol.
  • Eliminate trans fats. Trans fats, sometimes listed on food labels as “partially hydrogenated vegetable oil,” are often used in margarines and store-bought cookies, crackers and cakes. Trans fats raise overall cholesterol levels. The Food and Drug Administration has banned the use of partially hydrogenated vegetable oils by Jan. 1, 2021.
  • Eat foods rich in omega-3 fatty acids. Omega-3 fatty acids don’t affect LDL cholesterol. But they have other heart-healthy benefits, including reducing blood pressure. Foods with omega-3 fatty acids include salmon, mackerel, herring, walnuts and flaxseeds.
  • Increase soluble fiber. Soluble fiber can reduce the absorption of cholesterol into your bloodstream. Soluble fiber is found in such foods as oatmeal, kidney beans, Brussels sprouts, apples and pears. Prepared with the right ingredients and enjoyed in moderation, smoothies can provide a daily dose of cholesterol-lowering fiber, heart-healthy omega-3 fatty acids, antioxidants, and more. Click here to access an assortment of healthy, green smoothies designed to help increase your fiber intake. For a more in depth diet plan, click here to access a custom built-for-you smoothie diet plan
  • Add whey protein. Whey protein, which is found in dairy products, may account for many of the health benefits attributed to dairy. Studies have shown that whey protein given as a supplement lowers both LDL cholesterol and total cholesterol as well as blood pressure.
 

2. Exercise on most days of the week and increase your physical activity

Exercise can improve cholesterol. Moderate physical activity can help raise high-density lipoprotein (HDL) cholesterol, the “good” cholesterol. With your doctor’s OK, work up to at least 30 minutes of exercise five times a week or vigorous aerobic activity for 20 minutes three times a week.

 

 

Look for ways to incorporate more activity into your daily routine, such as using the stairs instead of taking the elevator or parking farther from your office. Take walks during breaks at work. Try to increase standing activities, such as cooking or doing yardwork.

Adding physical activity, even in short intervals several times a day, can help you begin to lose weight. Consider:

  • Taking a brisk daily walk during your lunch hour
  • Riding your bike to work
  • Playing a favorite sport

To stay motivated, consider finding an exercise buddy or joining an exercise group.

3. Quit smoking

Quitting smoking improves your HDL cholesterol level. The benefits occur quickly:

  • Within 20 minutes of quitting, your blood pressure and heart rate recover from the cigarette-induced spike
  • Within three months of quitting, your blood circulation and lung function begin to improve
  • Within a year of quitting, your risk of heart disease is half that

4. Lose weight

Carrying even a few extra pounds contributes to high cholesterol. Small changes add up. If you drink sugary beverages, switch to tap water. Snack on air-popped popcorn or pretzels — but keep track of the calories. If you crave something sweet, try sherbet or candies with little or no fat, such as jelly beans. One can also make use of over the counter, all natural weight loss supplements including Exipure, Biofit and Java Burn. These supplements work well to assist with weight loss which impacts overall body cholesterol levels.

5. Drink alcohol only in moderation

Moderate use of alcohol has been linked with higher levels of HDL cholesterol — but the benefits aren’t strong enough to recommend alcohol for anyone who doesn’t already drink.

If you drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.

Too much alcohol can lead to serious health problems, including high blood pressure, heart failure and strokes.

 
 
Medication
Drug class Benefits Possible side effects
Statins
Atorvastatin (Lipitor)
Fluvastatin (Lescol XL)
Lovastatin (Altoprev)
Pitavastatin (Livalo)
Pravastatin (Pravachol)
Rosuvastatin (Crestor)
Simvastatin (Zocor)
Decrease LDL and triglycerides; slightly increase HDL Muscle pain, increased blood sugar levels, constipation, nausea, diarrhea, stomach pain, cramps, elevation of liver enzymes
Cholesterol absorption inhibitor
Ezetimibe (Zetia)
Decreases LDL; slightly decreases triglycerides; slightly increases HDL Stomach pain, diarrhea, fatigue, muscle soreness; avoid during pregnancy and lactation
PCSK9 inhibitors
Alirocumab (Praluent)
Evolocumab (Repatha)
Decrease LDL; usually reserved for people who have a genetic condition that causes very high LDL levels or people with heart disease who cannot tolerate statins or other cholesterol lowering drugs Itching, swelling, pain or bruising at injection site
Citrate lyase inhibitors
Bempedoic acid (Nexletol)
Bempedoic acid-ezetimibe (Nexlizet)
Decrease LDL Muscle spasms and joint pain, including acute gout