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Cholesterol Management

Cholesterol Management

Cholesterol Management - What is it for

Cholesterol Management

Cholesterol is a fat-like substance that is either produced by the body or derived from food. It is necessary for the body to function normally and is used to build cell membranes, however, only a small amount of cholesterol in the blood is required to meet the body’s needs. 

Cholesterol is carried through one’s bloodstream by special proteins called lipoproteins, which can be divided into two categories. The two types of lipoproteins are: 

1) Low-density lipoprotein (LDL): LDL, or ‘bad’ cholesterol, will increase the build-up of fats in the arteries, and may cause the arteries to be clogged. 

2) High-density lipoprotein (HDL):  HDL, or ‘good’ cholesterol, removes cholesterol from the cells before they are deposited as plaque in the arteries, thus preventing the build-up of fats in the arteries.  

The goal of good cholesterol management is to keep your total cholesterol level as low as possible, because any excess cholesterol in the blood may be deposited in the arteries, including the heart’s coronary arteries. This build-up causes the arteries to harden and narrow (atherosclerosis), thus reducing blood flow to the heart. If insufficient blood and oxygen are delivered to the heart, one may experience chest pain. If the blood supply to a portion of the heart is completely cut off by a blockage, a heart attack may occur.

Cholesterol Management - Symptoms

Cholesterol Management - How to prevent?

Cholesterol Management - Causes and Risk Factors

There are several common causes and risk factors which can increase your cholesterol levels. These risk factors can be split into two categories: modifiable and non-modifiable risk factors.

Modifiable risk factors for high cholesterol levels include:

  • Physical inactivity: A lack of exercise lowers high-density lipoprotein (HDL; ‘good’) cholesterol levels, which means less low-density lipoprotein (LDL; ‘bad’) cholesterol is removed from the arteries. It also causes one to gain weight, which can lead to high cholesterol.
  • Obesity: Obesity is associated with lower HDL cholesterol levels, higher LDL cholesterol levels and higher triglyceride levels, which can lead to greater build-up of plaque in the arteries. 
  • Diet: Eating foods high in saturated fat or trans fat can lead to unhealthy cholesterol levels. 
  • Alcohol: Drinking too much alcohol raises total cholesterol level. 
  • Smoking: Smoking can result in coronary atherosclerosis or an accumulation of fatty deposits in the heart's artery wall. It may also may lower HDL levels.
  • Diabetes: Diabetes lowers HDL cholesterol levels and raises LDL cholesterol levels. Maintaining a healthy weight, a balanced diet and a regular exercise routine can help regulate one’s blood glucose level, preventing the progression of diabetes mellitus. 


Non-modifiable risk factors for high cholesterol levels include:

  • Other medical conditions: Certain health problems can increase cholesterol levels. Please speak to your doctor about your risk of high cholesterol and how you can best manage it. 
  • Family History: Individuals with a family history of high cholesterol have a higher risk of developing high cholesterol. As such, they should have their cholesterol levels checked more often.  
  • Age: High cholesterol can be more common in those above the age of 40. As we age, the body gradually loses its ability to remove LDL cholesterol, which leads to higher cholesterol levels. 

Since high cholesterol has no symptoms, those who are above the age of 40 or have greater risks of developing high cholesterol should check their cholesterol levels regularly to reduce their susceptibility to 
coronary artery disease.

Cholesterol Management - Diagnosis

Cholesterol Management - Treatments

Cholesterol Management - Preparing for surgery

Cholesterol Management - Post-surgery care

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