Lowering cholesterol levels requires a comprehensive approach that includes both lifestyle changes and, in some cases, medication.
Lifestyle Changes
1.Heart-Healthy Diet.
Diet plays a key role in cholesterol control. Doctors recommend eliminating trans fats and limiting saturated fat intake. It is also important to monitor calorie intake to avoid weight gain. The emphasis is on a varied and nutritious diet—fruits, vegetables, whole grains, and lean proteins.2.Maintaining a Healthy Weight.
Excess weight is one factor that increases LDL (bad cholesterol) and lowers HDL (good cholesterol). This is especially relevant for people with metabolic syndrome—a set of conditions that increase the risk of cardiovascular disease.3.Physical Activity.
Regular exercise helps lower triglycerides and LDL, while simultaneously raising HDL. The appropriate level of activity should be discussed with your doctor, especially if you have not exercised before.4.Stress Reduction
. Constant psycho-emotional stress can negatively affect cholesterol balance, increasing LDL and lowering HDL. Stress management methods—from meditation to walks—can be helpful.5.Quitting Smoking.
By quitting smoking, you can increase your HDL levels, which helps remove LDL from the body. This is one of the most effective steps toward improving cardiovascular health.6.Quality Sleep.
7 to 9 hours of sleep each night also affects cholesterol levels. Lack of sleep can contribute to its increase.
Medication Therapy
When lifestyle changes are not enough, doctors may prescribe cholesterol-lowering medications. There are different types of such medications, each with its own mechanism of action and possible side effects. It is important to choose the right medication in consultation with your doctor. However, even when taking medication, it is important to continue to follow a healthy lifestyle—diet, physical activity, and avoiding bad habits remain important.
Additional Treatments
1.Lipoprotein Apheresis
. Some patients with hereditary hypercholesterolemia (FH) may require an apheresis procedure. Using special equipment, LDL is removed from the blood, after which the rest of the blood is returned to the body.2.Dietary Supplements
. Many supplements are available on the market that promise to lower cholesterol. However, not all of them have proven their effectiveness. Here's what the research base shows:•Plant stanols and sterols, especially when taken with food, can lower cholesterol levels.
•Soy products may have a slight positive effect. However, soy products are more effective than supplements.
•Whole flaxseed and flax lignans help lower cholesterol, but flaxseed oil does not.
•Garlic supplements may slightly lower cholesterol, but their effect is significantly weaker than that of medications.