Got high LDL and wondering what to do? You don’t need a medical textbook to start fixing it. Below are the everyday steps and meds that actually work.
First, swap out the usual suspects: cut back on saturated fats found in butter, cheese, and red meat. Replace them with healthy fats like olive oil, avocado, and a handful of nuts. Eat more fibre – think oats, beans, apples, and carrots – because fibre grabs cholesterol in your gut and drags it out of the body.
Exercise isn’t just for weight loss; a brisk walk, jog, or bike ride for 30 minutes most days can raise HDL (the good cholesterol) and lower LDL. Even short bouts of activity, like parking farther away or taking stairs, add up.
Watch your weight, too. Losing just 5‑10% of body weight can drop LDL by up to 10%. And don’t forget to quit smoking and limit alcohol – both raise bad cholesterol.
If diet and exercise don’t bring numbers down, doctors usually start with statins. These pills block the enzyme that makes cholesterol in the liver, cutting LDL by 20‑50% on average. Common choices are atorvastatin, simvastatin, and rosuvastatin. Most people tolerate them well, but a few may get muscle aches; your doctor can adjust the dose or try a different statin.
When statins aren’t enough or cause side effects, add‑on options exist. Ezetimibe blocks cholesterol absorption from food, dropping LDL another 15‑20%.
For high‑risk patients, newer drugs called PCSK9 inhibitors (e.g., alirocumab, evolocumab) are injections that can slash LDL by up to 60%. These are pricey, but insurance often covers them for people with heart disease or familial hypercholesterolemia.
Other meds you might hear about include bile‑acid sequestrants, fibrates, and niacin. They’re less popular now because they’re either less effective or have more side effects.
Supplements like plant sterols, soluble fibre powders, and omega‑3 fish oil can help a bit, but they’re not a replacement for prescription meds when LDL stays high.
Bottom line: start with simple diet and exercise changes, get your cholesterol checked, and talk to your doctor about which medication fits your risk profile. Monitoring your numbers every 3‑6 months lets you see what works and adjust quickly.
Remember, lowering LDL isn’t a one‑time event. Keep up the healthy habits, and you’ll protect your heart for the long run.
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