Even though you might feel healthy, you can still have high cholesterol – and a simple test will reveal this. At first, the diagnosis can be daunting, as people with high levels of cholesterol are at an increased risk of certain health problems, including heart disease and stroke. But, fortunately, you can keep your LDL-C or ‘bad cholesterol’ levels under control by making a few simple changes and sticking to them, for life (1).


Cholesterol is produced naturally by your body, giving you just the amount needed to function properly. But it can also be found in some of the foods we eat, such as those high in saturated fats. These include red meat, full-fat dairy, eggs and oils. To keep cholesterol at the recommend level – less than 200 mg/dl (milligrams per deciliter of blood) – you should aim to reduce these foods and include more unsalted nuts, seeds, vegetables and unsaturated fats (2).


As well as thinking about the quality of your food; you also need to think about the quantity. You can find out if you weigh more than is recommended for a person of your size by working out your Body Mass Index (BMI). This is easily done by dividing your weight in kilograms by the square of your height in metres. A healthy body weight is defined as a BMI of less than 25.


It can sometimes be hard to fit exercise into your everyday life, especially if you have a desk job. But even increasing your activity by a small amount can help to keep your cholesterol at an acceptable level. Evidence shows that adults benefit from 30 minutes of daily activity on most days of the week, 60 minutes for children. Think about ways you can introduce more exercise, whether it’s increasing the distance you walk, how often you get to the gym, or extending the length of each activity (3).


It’s no secret that smoking has been linked to all sorts of cardiovascular problems, including heart disease and stroke. When it comes to cholesterol, it’s the same old story. Cigarette smoke raises your levels of ‘bad cholesterol’ and lowers your ‘good cholesterol’, which you need to prevent your arteries from clogging up. Put simply, to avoid stroke, don’t smoke. (4)


Lifestyle changes can go a long way in reducing your cholesterol levels, but you may need extra medication to reach your target. Many people are prescribed statins, which can reduce the risk of heart attack and stroke. But for some, the side effects of these drugs outweigh the benefits, and you may be prescribed an alternative (1).

Sometimes, the LDL-cholesterol stays high and an additional drug is needed, such as an injectable prescription medicine called a PCSK9 inhibitor. This helps the liver clear the LDL from your blood and works together with statins to keep the ‘bad’ cholesterol low (5). Always discuss your treatment with your doctor and find the best plan that works for you.


1. Catapano AL, et al. Eur Heart J. 2016;37:2999-3058.

2. Lloyd-Jones DM, Wang TJ, Leip EP, et al. Lifetime risk for development of atrial fibrillation: the Framingham Heart Study. Circulation. 2004 Aug 31. 110 (9):1042-6.

3. Scottish Executive. Let’s Make Scotland More Active: A Strategy for Physical Activity. Edinburgh; The Executive: 2003. [cited 1 Dec 2006] Available from url: https://www.scotland.gov.uk/Publications/2003/02/16324/17895

4. Sotoda Y, Hirooka S, Orita H & Wakabayashi I. Recent Knowledge of Smoking and Peripheral Arterial Disease in Lower Extremities. Nihon Eiseigaki Zasshi. 2015. 70(3):211-9. 5. Norman E. Lepor, Dean J. Kereiakes. The PCSK9 Inhibitors: A Novel Therapeutic Target Enters Clinical Practice. American Health Drug Benefits 2015 Dec; 8 (9): 483-489.