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My cholesterol levels are very high. Do I need treatment or medicines, and what lifestyle changes may help lower it safely?

Asked by Female, 34 · 19 days ago

Very high cholesterol can increase the risk of heart disease, stroke, fatty liver, and blockage in blood vessels, especially if it remains uncontrolled for a long time. Diabetes, obesity, smoking, stress, thyroid imbalance, poor diet, lack of exercise, and family history can all contribute to rising cholesterol levels. Whether medicines are needed depends on the cholesterol values, age, blood pressure, diabetes status, heart risk, and family history. Many people with very high cholesterol benefit from cholesterol-lowering medicines along with lifestyle changes. Reducing fried food, processed food, bakery items, sugary drinks, red meat, smoking, and alcohol may help improve cholesterol levels gradually. Regular walking, weight control, proper sleep, stress management, and eating more fruits, vegetables, fibre-rich foods, nuts, and omega-3-rich foods may also support better heart health. Chest pain, breathlessness, very high triglycerides, fatty liver, or a strong family history of heart disease may suggest a higher cardiovascular risk and may need proper monitoring and treatment planning.
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Other Related topics like...

  1. Specialist to Consult

    • Recommend seeing a cardiologist or lipidologist for very high cholesterol.
  2. Recommended Tests

    • Key tests include a lipid panel, LDL particle size, and possibly genetic testing.
  3. Symptoms

    • Very high cholesterol is often asymptomatic but may cause xanthomas or chest pain.
  4. Lifestyle Changes

    • Include diet, exercise, weight management, and smoking cessation.
  5. Medications

    • Treatment options include statins, ezetimibe, PCSK9 inhibitors, and fibrates.

Answered 19 days ago

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