How Can I Lower My Cholesterol
If the lifestyle changes alone do not lower your cholesterol enough, you may also need to take medicines. There are several types of cholesterol-lowering drugs available, including statins. If you take medicines to lower your cholesterol, you still should continue with the lifestyle changes.
Some people with familial hypercholesterolemia may receive a treatment called lipoprotein apheresis. This treatment uses a filtering machine to remove LDL cholesterol from the blood. Then the machine returns the rest of the blood back to the person.
NIH: National Heart, Lung, and Blood Institute
What Is The Difference Between Good Cholesterol And Bad Cholesterol
Good cholesterol is known as high-density lipoprotein . It removes cholesterol from the bloodstream. Low-density lipoprotein is the bad cholesterol.
If your total cholesterol level is high because of a high LDL level, you may be at higher risk of heart disease or stroke. But, if your total cholesterol level is high only because of a high HDL level, youre probably not at higher risk.
Triglycerides are another type of fat in your blood. When you eat more calories than your body can use, it turns the extra calories into triglycerides.
Changing your lifestyle can improve your cholesterol levels, lower LDL and triglycerides, and raise HDL.
Your ideal cholesterol level will depend on your risk for heart disease.
- Total cholesterol level less than 200 is best, but it depends on your HDL and LDL levels.
- LDL cholesterol levels less than 130 is best, but this depends on your risk for heart disease.
- HDL cholesterol levels 60 or higher reduces your risk for heart disease.
- Triglycerides less than 150 milligrams per deciliter is best.
Myth: I Dont Need Statins Or Other Medicines For My Cholesterol I Can Manage My Cholesterol With Diet And Exercise
Fact: Although many people can achieve good cholesterol levels by making healthy food choices and getting enough physical activity, some people may also need medicines called statins to lower their cholesterol levels. Guidelinesexternal icon also suggest that other medicines in addition to statins may be needed to help control cholesterol.2
People who may need statins or other medicines to manage cholesterol levels include the following:
- People with familial hypercholesterolemia or people with very high levels of bad cholesterol. FH is a genetic condition that causes very high LDL cholesterol levels beginning at a young age. If left untreated, cholesterol levels will continue to get worse. This greatly raises the risk for heart disease, heart attack, and stroke at a young age.
- People with cardiovascular disease . People with CVD may already have narrowed arteries because of too much plaque. Medicines that lower cholesterol may help reduce the risk for heart attack or stroke.
- People with diabetes.Type 2 diabetes lowers HDL or good cholesterol levels and raises bad cholesterol levels. This combination raises your risk of heart disease and stroke.
Other groups of people may also need medicines to manage their cholesterol, including people who have a high risk for CVD. Always talk to your health care provider about the best ways to manage your cholesterol.
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Triglycerides In Your Blood
In addition to cholesterol, your blood also contains a type of fat called triglycerides, which are stored in your bodys fat deposits. Hormones release triglycerides to make energy between meals.
When you eat, your body converts any extra energy it doesnt need right away into triglycerides.
Like cholesterol, your body needs triglycerides to work properly. However, there is evidence to suggest that some people with high triglycerides are at increased risk of heart disease and stroke.
If you regularly eat more energy than you need, you may have high triglycerides .
Does Stress Cause High Cholesterol
While stress is not a primary cause of high cholesterol, it may still have an effect on cholesterol levels. A study published in May 2017 in the journal Medicine found that in people who experienced stress due to work or personal conflict, higher stress was a risk factor for high cholesterol. And when you are feeling stressed and pressed for time, you may be less likely to follow heart-healthy lifestyle measures, such as eating a nutritious diet and getting exercise. The 2017 study found that regular physical exercise had a strong protective effect against cholesterol.
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Who Is Most At Risk For Fh
Familial hypercholesterolemia can affect anyone whose family carries the genetic mutation. However, its found more frequently in those who are of French Canadian, Ashkenazi Jewish, Lebanese or Afrikaner descent. The biggest problem with FH is that more than 90% of people who have it havent been diagnosed, which means you should pay careful attention to your family history,
Seth Martin, M.D., M.H.S., associate professor of medicine at the Johns Hopkins University School of Medicine and director of the Advanced Lipid Disorders Center.
If people in your family have had heart attacks, needed stents or had bypass surgery earlier in life before age 55 in men and before 65 in women those are signals that theres something causing your family to be at higher risk for heart disease, he explains. It could be familial hypercholesterolemia.
What Is Dangerously High Cholesterol
You may be diagnosed with borderline-high or high cholesterol if your blood test results show:
- Total cholesterol higher than 200 milligrams per deciliter
- LDL cholesterol higher than 100 mg/dL
- Triglycerides over 150 mg/dL
- HDL cholesterol lower than 40 mg/dL
But what do these numbers really mean for your health?
While having high cholesterol isnt something youll notice day to day, it does mean youre at risk for or may already have heart disease, the leading cause of death for both women and men in the United States.
Want to know more? Here are answers to 11 frequently asked questions about high cholesterol.
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What Can Raise My Risk Of High Cholesterol
A variety of things can raise your risk for high cholesterol:
- Age. Your cholesterol levels tend to rise as you get older. Even though it is less common, younger people, including children and teens, can also have high cholesterol.
- Heredity. High blood cholesterol can run in families.
- Weight. Being overweight or having obesity raises your cholesterol level.
- Race. Certain races may have an increased risk of high cholesterol. For example, African Americans typically have higher HDL and LDL cholesterol levels than whites.
Can High Cholesterol Cause A Stroke
Yes, if you have high cholesterol, youre at risk of stroke due to the excess cholesterol circulating in your blood, according to the AHA.
LDL builds up in your arteries, where it slows or blocks the flow of oxygen- and nutrient-rich blood to your body, including your brain. As arteries narrow and stiffen, blood clots may form a blockage, which can cause a stroke if it travels to the brain.
Stroke is the fifth leading cause of death in the United States and one of the main causes of disability, according to the American Stroke Association. But it can be mostly preventable keeping your cholesterol levels down is one way to cut your risk.
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How Do I Know If My Cholesterol Is Too High
There are no symptoms that can warn you when your cholesterol level is high. You can have high cholesterol and never know it. A lipid panel blood test is the only way to determine whether or not you have high cholesterol.
It is generally recommended that men and women over 20 years of age should have their cholesterol levels checked every 5 years. However, if your test results are outside of the recommended range, you should check them more often. Other factors related to your health, your family medical history and your lifestyle will also affect how often you should have your cholesterol levels checked. As always, talk to your doctor about the frequency that is best for you.
How To Lower Ldl Cholesterol
Lifestyle and diet changes are the main ways to prevent or lower high LDL. A trial of eating a low-fat diet, regular aerobic activity, maintaining a healthy weight, and smaller waist circumference is an appropriate first step. It is best to set a timeline to achieve your goals with your doctor. In some cases, if those lifestyle changes are not enough, your physician may suggest a cholesterol lowering medication, such as a statin. If you are considering over-the-counter herbal or ayurvedic medications for cholesterol, please discuss those with your physician first as well.
Rarely, very high LDL is genetic and passed down in families. This is called familial hypercholesterolemia and is caused by a genetic mutation that decreases the livers ability to clear excess cholesterol. This condition can lead to very high LDL levels, and heart attack or stroke at a young age in multiple generations. Those individuals may require special medical treatment for prevention and treatment of atherosclerotic cardiovascular disease.
Remember, knowledge is the first step. If you dont know your cholesterol levels, get tested. That will give you and your physician a starting point for lifestyle changes and medications if needed. In the meantime, adopt a heart-healthy lifestyle, and do it with friends and family no matter their ages. Theres no time like the present to prevent heart disease.
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Ldl Cholesterol Or Bad Cholesterol
Low-density lipoprotein is often called bad cholesterol. It carries cholesterol to your arteries. If your levels of LDL cholesterol are too high, it can build up on the walls of your arteries.
The buildup is also known as cholesterol plaque. This plaque can narrow your arteries, limit your blood flow, and raise your risk of blood clots. If a blood clot blocks an artery in your heart or brain, it can cause a heart attack or stroke.
According to the
Myth: I Cant Do Anything To Change My Cholesterol Levels
Fact: You can do many things to improve your cholesterol levels and keep them in a healthy range!
- Get tested at least every 5 years .1,2 Learn more about cholesterol screenings.
- Make healthy food choices. Limit foods high in saturated fats. Choose foods naturally high in fiber and unsaturated fats. Learn more about healthy diets and nutrition at CDCs nutrition, physical activity, and obesity website.
- Be active every day. The Physical Activity Guidelines for Americans recommends that adults get 150 to 300 minutes of moderate physical activity each week. Learn more about physical activity basics and tips.
- Dont smoke or use tobacco products. Smoking damages your blood vessels, speeds up the hardening of the arteries, and greatly increases your risk for heart disease. If you dont smoke, dont start. If you do smoke, quitting will lower your risk for heart disease. Learn more about tobacco use and ways to quit at CDCs smoking and tobacco use website.
- Talk with your health care provider about ways to manage your cholesterol if any medicines are given to you to manage your cholesterol, take them as they are prescribed. Learn more about medicines to lower cholesterol.
- Know your family history. If your parents or other immediate family members have high cholesterol, you probably should be tested more often. You could have a condition called familial hypercholesterolemia .
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You Experience Leg Pain While Exercising
If you experience a burning pain or feel like your legs are tired or heavy it may indicate poor blood flow to your legs, which could be related to high cholesterol. Pain may impact one or both legs, as well as any part of the leg from the calf to your buttocks. Most of the time the pain subsides with rest but then reoccurs when you do the same level of activity again, such as walking two blocks.
More About The Symptoms Of Cholesterol
The liver is responsible for producing most of the cholesterol in your body, though you can also absorb it from foods that contain cholesterol. The problem is that, even though many organs need it, too much cholesterol causes irreparable damage. In fact, high cholesterol is a potential killer.
The most worrisome thing is that many are unaware that they have it in high quantities since it isnt usually manifested by blunt symptoms.
Consequently, it can lead to the development of more serious health problems, such as arteriosclerosis, hypertension, and kidney failure. Because of this, its very important to identify any signs that could help detect any problems early on.
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Diagnosis Of High Cholesterol
In most cases, your doctor will find your high cholesterol through routine screening. A lipid panel usually measures total cholesterol, LDL cholesterol, and HDL cholesterol.
Your doctor may order other tests to help decide whether medicines are needed to lower your risk of heart and blood vessel diseases. These may include a coronary calcium scan, which uses computed tomography to detect calcium deposits in the arteries of your heart, and blood tests for levels of C-reactive protein and lipoprotein-a.
The American Heart Association recommends routine cholesterol screening for all adults after age 20, but your doctor may order lipid tests more often based on your individual and family risk.
Your doctor will ask about your eating habits, physical activity, family history, medicines you are taking, and risk factors for heart or blood vessel diseases. During your physical exam, your doctor will check for signs of very high blood cholesterol, such as xanthomas, or signs of other health conditions that can cause high blood cholesterol.
Here Are 7 Clear Signs That Your Cholesterol Is Too High
High cholesterol levels can be particularly dangerous as it greatly increases the risk of heart diseases, such as a stroke. Too much cholesterol leads to an excessive buildup of plaque, which means itll start narrowing or even blocking your arteries. A blood clot is often the cause of a heart attack or a stroke.
Additionally, an excessive amount of cholesterol can also lead to stiff arteries, preventing them from widening to increase the blood flow in your body.
In other words, the consequences of having high cholesterol are pretty severe. Only a doctor can reliably determine whether or not you have too much cholesterol with a blood test, but there are good indications and signs out there that could warn you of too much cholesterol in the body.
Lets take a look.
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What Causes High Cholesterol
Your liver produces cholesterol, but you also get cholesterol from food. Eating too many foods that are high in fat can increase your cholesterol level.
Being overweight and inactive also causes high cholesterol. If you are overweight, you most likely have a higher level of triglycerides. If you never exercise and arent active in general, it can lower your HDL .
You family history also affects your cholesterol level. Research has shown that high cholesterol tends to run in families. If you have an immediate family member who has it, you could have it, too.
Smoking also causes high cholesterol. It lowers your HDL .
When To See A Doctor
If you notice a gradual change in your vision, its important to tell your eye doctor. An eye exam can help them pinpoint what is causing your eyesight to change.
Some of the eye conditions that are related to high cholesterol, including xanthelasma and arcus senilis, do not typically cause vision changes.
If you experience a sudden loss in vision or you are seeing floaters for the first time, make an urgent appointment with your eye doctor. If your eye doctor is not available, go to the emergency room.
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What Happens If You Have High Cholesterol
What does high cholesterol mean?
High cholesterol means there is too much cholesterol in your blood. This can clog up your arteries the large blood vessels that carry blood around your body. Over time, this can lead to serious problems.
How does cholesterol clog up your arteries?
Excess cholesterol can be laid down in the walls of your arteries. Fatty areas known as plaques can form, and these become harder with time, making the arteries stiffer and narrower. This process is called atherosclerosis.
When the arteries become narrower, its harder for blood to flow through them. This puts a strain on your heart because it has to work harder to pump blood around your body. Eventually, the heart can become weak and cant work as well as it should.
Blood clots can form over the fatty, hardened parts of the arteries. The blood clots can block the artery completely, cutting off the blood flow. Bits of the blood clots can break away and become lodged in an artery or vein in another part of the body, which can cause a heart attack or stroke.
Cholesterol And Healthy Eating
What we eat has an impact on our cholesterol levels and can help reduce our risk of disease. Try to eat a wide variety of foods from each of the five food groups. Not only does this help to maintain a healthy and interesting diet, but it provides essential nutrients to the body.
The Heart Foundation recommends:
- Plenty of vegetables, fruits and wholegrains.
- A variety of healthy protein sources , legumes , nuts and seeds. Smaller amounts of eggs and lean poultry can also be included in a heart healthy diet. If choosing red meat, make sure it is lean and limit to 1-3 times a week.
- Unflavoured milk, yoghurt and cheese. Those with high blood cholesterol should choose reduced fat varieties.
- Healthy fat choices nuts, seeds, avocados, olives and their oils for cooking
- Herbs and spices to flavour foods, instead of adding salt.
Also, be mindful on how much you are eating and whether you are filling up on unhealthy foods. Portion sizes have increased over time and many of us are eating more than we need which can lead to obesity and increase our risk of cardiovascular disease.
Ideally, a healthy plate would include servings of ¼ protein, ¼ carbohydrates and ½ vegetables.
Serving size can vary depending on age, gender and specific nutrition needs.
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