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Cardiac & Vascular Health
Question #19439
62 days ago
131

reason of cholesterol - #19439

Aryan

I am trying to wrap my head around the reason of cholesterol issues I've been having. Just last month during a routine check-up, my doctor mentioned my cholesterol levels were higher than normal—like, they were way off the charts. It caught me completely off guard because I've always considered myself pretty healthy! I exercise regularly and try to eat well, but now I'm questioning everything. I even googled the reason of cholesterol, and there’s so much conflicting info out there. Like, does genetics play a role? Both my parents had high cholesterol, but I thought that was just a coincidence. Is it just about diet? I've been eating more avocados and nuts lately, thinking they're good fats, but maybe I’m doing something wrong? It’s stressing me out honestly. The doctor mentioned the reason of cholesterol could be related to my weight too, but I've been steady for years, so that kinda doesn’t add up. I guess what I'm really interested in is what I can do to lower it besides medication and if lifestyle changes are enough. Anyone else dealt with this? What do you think really is the reason of cholesterol issues in younger people?

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Doctors' responses

Cholesterol levels can be influenced by a range of factors, and it’s understandable to have questions and doubts when you feel like you’re doing all the right things. Let’s break it down: yes, genetics can indeed play a significant role in high cholesterol levels, and having parents with high cholesterol increases your own risk. Genes can affect how your body processes cholesterol and this is something you can’t really change, though it’s important to know so you can manage it. Diet is another major factor. While avocados and nuts are sources of healthy fats, consuming them in large quantities can still contribute to overall calorie intake, which might impact cholesterol indirectly if it leads to weight gain or imbalanced diet. The type of fat also matters; saturated fats (found in red meat and full-fat dairy, for example) can raise LDL cholesterol, known as the “bad” cholesterol. Meanwhile, unsaturated fats found in fish, olive oil, and nuts can be beneficial. Alongside diet, regular exercise is great, as it can help lower LDL and increase HDL, the “good” cholesterol. Sometimes though, even with a healthy weight, where fat gets distributed can make a difference; abdominal fat especially poses a greater risk.

Besides medication, lifestyle changes can be effective. Focus on soluble fiber intake (think oats, fruits, beans), which can reduce absorption of cholesterol. Ensure you’re getting enough omega-3 fatty acids; they won’t lower LDL but have heart-health benefits. Limiting sugar and refined carbs is also wise, as these can influence triglyceride levels. Regular physical activity is crucial, aim for at least 150 minutes of moderate aerobic exercise a week. Reducing alcohol and quitting smoking if applicable can further improve your lipid profile. However, while lifestyle changes are powerful, they might not be enough for everyone, especially if genetics have a strong hold. It’s crucial to have a plan together with your healthcare provider that may include medication if lifestyle adjustments aren’t sufficient. Tracking your cholesterol levels regularly can help adjust strategies and see what works best for you as a unique individual.

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