what causes high cholesterol - #14764
I am dealing with some health concerns and I could really use some clarity on what causes high cholesterol. A few months ago, I went for my annual check-up and my doctor was super concerned about my cholesterol levels. I mean, I thought I was eating pretty healthy—definitely not perfect, but not terrible either. I have a pretty active lifestyle, jog a few times a week, but I also love my snacks and sometimes those snacks are, um, not the best choices. My doc suggested that a family history could be playing a role too, but I honestly don't know much about my parents’ cholesterol issues. The weird part is, I’m not overweight or anything. That's why I'm stressing about what causes high cholesterol! Is it just about the food? Do genetics have that much impact? What causes high cholesterol when someone looks fit? I heard stress could be a factor too—I'm definitely stressed sometimes, you know, work, bills, life. I guess I’m just wondering if there are other, maybe less obvious, reasons that could be affecting me? Like hormonal changes or something? Would love to hear any insights, especially from those who might've faced similar issues. Thanks in advance!
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Doctors’ responses
High cholesterol is indeed multifaceted and not just about diet alone. Several factors can increase cholesterol levels, even if you perceive your lifestyle as mostly healthy. While your diet is a significant aspect, particularly foods high in saturated fats and trans fats, there are other contributors that can sometimes overshadow dietary habits. Genetics or family history play a considerable role, which seems to be a point of concern here. If your parents or close relatives have a history of high cholesterol or heart disease, you may inherit a predisposition. This can affect cholesterol metabolism even if other lifestyle factors are optimal. Physical activity is crucial as it helps improve your body’s cholesterol levels by increasing high-density lipoprotein (HDL), the “good” cholesterol. But, stress can’t be overlooked either. Although the biochemical link isn’t fully established, stress can contribute to poor lifestyle choices, like poor dietary habits or reduced physical activity, which indirectly influence cholesterol levels. Another often overlooked aspect is certain medical conditions or medications. Hypothyroidism, kidney disease, and certain chronic illnesses can elevate cholesterol levels. Some medications, like steroids and progestins, are known to affect lipid levels as well. You mentioned hormonal changes, which can also have an impact, especially as you age; menopause in women is a noted example. Even though you’re not overweight, it is essential to consider your body composition as some people carry visceral fat, which can affect metabolic functions. Consider setting up an appointment with a healthcare provider to discuss a tailored approach for your situation. A detailed family history, comprehensive blood work, and lifestyle evaluation could provide precise insights and help address the root cause. Adjusting diet by reducing saturated fats, incorporating more whole grains, fruits, vegetables, and omega-3 fatty acids while maintaining your active lifestyle could help. If genetic factors are significant, medication like statins might be necessary, but only if a doctor recommends it. Potential lifestyle adjustments, ongoing monitoring, and regular check-ups are part of managing high cholesterol and preventing related complications.
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