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Managing high cholesterol
If your cholesterol levels are still above the target range despite your efforts to live a healthier lifestyle, you may need to take cholesterol-lowering medications for better cholesterol-lowering effects. Before starting treatment with cholesterol-lowering medications, you should have a blood test to check your cholesterol levels and liver health. After starting treatment, your blood cholesterol and liver function will continue to be monitored to assess how well the medication is working for you.5
How can I improve my cholesterol levels?
Cholesterol levels are generally a reflection of lifestyle. The first step to improve your cholesterol levels is through lifestyle modifications, which refers to dietary modification, weight reduction, regular physical activity/exercise, smoking cessation and alcohol restriction.1–3 Healthy lifestyle can lower your low-density lipoprotein (LDL) cholesterol by 20–30%.4
Cholesterol-lowering medications: Options for consideration
If your cholesterol levels are still above the target range despite your efforts to live a healthier lifestyle, you may need to take cholesterol-lowering medications for better cholesterol-lowering effects.
Before starting treatment with cholesterol-lowering medications, you should have a blood test to check your cholesterol levels and liver health. After starting treatment, your blood cholesterol and liver function will continue to be monitored to assess how well the medication is working for you.5
Your doctor may suggest a single or a combination of cholesterol-lowering medications.
How long will I need to take my cholesterol-lowering medication?
Once you start on a cholesterol-lowering medication, you will most likely be on it indefinitely even if your cholesterol levels have decreased. Many people find that once they stop taking cholesterol-lowering drugs, their cholesterol levels go back up.7
Do supplements have a role in managing cholesterol?
In addition to maintaining a healthy lifestyle and taking cholesterol-lowering medications, you might wonder if adding certain cholesterol-lowering supplements to your diet can help reduce your cholesterol levels. It is important to discuss with your doctor first on this, as the long-term value of certain supplements (as listed below) may be controversial8:
Artichoke extract
Barley
Fish oil
Flaxseed
Green tea extract
Oat bran
Plant stanols and stenols
Whey protein
Soy protein
Grapefruit juice
While trying to manage your high cholesterol, take steps to manage other risk factors of heart disease as well. You and your healthcare professional each plays an important role in maintaining and improving your heart health.
References
Ministry of Health Malaysia. Clinical practice guidelines: Management of dyslipidaemia (4th Edition); 2011.
