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Elevated Cholesterol

What is Elevated Cholesterol?
Elevated cholesterol refers to higher-than-normal levels of cholesterol in the blood. Cholesterol is a fatty substance found in the blood, and while it’s essential for the body to function properly, having too much of certain types can increase the risk of heart disease, stroke, and other cardiovascular problems.

What causes Elevated Cholesterol?
Elevated cholesterol can result from a combination of genetic, lifestyle, and health factors. Common causes include:

  • Diet – A diet high in saturated fats, trans fats, and cholesterol can raise cholesterol levels.
  • Lack of physical activity – Not getting enough exercise can lead to higher LDL (bad) cholesterol and lower HDL (good) cholesterol.
  • Obesity – Being overweight can increase levels of LDL cholesterol and decrease HDL cholesterol.
  • Genetics – Some people inherit high cholesterol from their parents, a condition known as familial hypercholesterolemia.
  • Age and gender – Cholesterol levels tend to rise with age. Women typically see a rise in cholesterol after menopause.
  • Other medical conditions – Conditions like diabetes, high blood pressure, or hypothyroidism can contribute to elevated cholesterol.
  • Medications – Certain drugs, such as steroids or diuretics, can raise cholesterol levels.

What are the types of Cholesterol?
There are two main types of cholesterol:

  • Low-Density Lipoprotein (LDL) – Often referred to as “bad” cholesterol. High levels of LDL cholesterol can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke.
  • High-Density Lipoprotein (HDL) – Known as “good” cholesterol. HDL helps remove excess cholesterol from the blood and prevents the buildup of plaque in the arteries.
  • Triglycerides – While not technically cholesterol, high triglyceride levels (another type of fat) can also contribute to heart disease risk when elevated.

What are the symptoms of Elevated Cholesterol?
Elevated cholesterol usually doesn’t cause any symptoms, which is why it’s often called a silent condition. Over time, however, high cholesterol can lead to serious health issues, including:

  • Atherosclerosis – A condition where plaque builds up in the arteries, leading to narrowed or blocked arteries.
  • Heart attack – Due to reduced blood flow to the heart.
  • Stroke – When the arteries leading to the brain become blocked or narrowed.
  • Peripheral artery disease – When arteries in the legs or arms become narrowed, causing pain or difficulty walking.

How is Elevated Cholesterol diagnosed?
Elevated cholesterol is typically diagnosed through a blood test known as a lipid panel. This test measures:

  • Total cholesterol levels
  • LDL cholesterol levels
  • HDL cholesterol levels
  • Triglyceride levels

Doctors recommend having your cholesterol checked at least once every four to six years for adults over 20, but if you have risk factors, you may need more frequent testing.

What are the risks of Elevated Cholesterol?
Having high cholesterol can significantly increase the risk of developing:

  • Heart disease – High LDL cholesterol is the main cause of plaque buildup in the arteries, which can lead to heart attacks.
  • Stroke – Blocked arteries from high cholesterol can restrict blood flow to the brain.
  • Peripheral artery disease (PAD) – Reduced blood flow to the limbs, causing pain, numbness, or infection.
  • High blood pressure – Cholesterol can build up in arteries and make it harder for blood to flow, increasing blood pressure.

How is Elevated Cholesterol treated?
Treatment for elevated cholesterol usually involves a combination of lifestyle changes and medication. Common approaches include:

  • Dietary changes – Reducing intake of saturated fats, trans fats, and cholesterol while increasing the intake of fiber-rich foods like fruits, vegetables, and whole grains.
  • Exercise – Regular physical activity (at least 30 minutes most days of the week) can help raise HDL cholesterol and lower LDL cholesterol.
  • Medications – Statins are the most common medications prescribed to lower LDL cholesterol. Other medications, like bile acid sequestrants, PCSK9 inhibitors, or niacin, may also be prescribed.
  • Weight management – Losing weight can help lower LDL cholesterol and raise HDL cholesterol.
  • Quit smoking and reduce alcohol consumption – These habits can have a positive effect on cholesterol levels.

Can Elevated Cholesterol be prevented?
Yes, lifestyle changes play a crucial role in preventing high cholesterol. The following habits can help reduce the risk:

  • Eat a heart-healthy diet – Focus on foods that are rich in unsaturated fats, such as olive oil, avocados, and fatty fish. Limit processed foods, red meat, and fried foods.
  • Exercise regularly – Aim for at least 150 minutes of moderate-intensity exercise per week.
  • Maintain a healthy weight – Losing even a small amount of weight can help improve cholesterol levels.
  • Avoid smoking – Smoking lowers HDL cholesterol and raises LDL cholesterol.
  • Limit alcohol consumption – Excessive drinking can raise triglyceride levels and contribute to high cholesterol.