USF-COM Department of Family Medicine

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What does it mean to me ?

Hypercholesterolemia
is a disease in which your blood levels of cholesterol are too high.  The problem with cholesterol is that it can accumulate along the walls of your blood vessels and form what are called plaques. Over time, these blood vessels can become blocked, either by the plaques themselves or by blood clots that form on top of the plaques.  If the vessel that becomes blocked is in your heart or brain, you can have a BIG problem (Heart Attack or Stroke). The bottom line is: Elevated cholesterol levels have been shown to increase your risk of heart attack, stroke and other problems associated with clogged blood vessels.

The good news is that cholesterol levels in the normal range have been shown to decrease the risk of first and repeat heart attacks.

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What can I do ?

There are two sources of cholesterol, that which you eat in your diet and that which your body makes.  You are able to control the cholesterol you get in your diet; your doctor may have to help you control the cholesterol that your body makes by prescribing a cholesterol-lowering drug for you.  In either case, there are some things you can do to lower your cholesterol and decrease your risk of heart attack or stroke.

1.  Exercise - This will help you lower your "bad"   cholesterol and elevate your "good" cholesterol (yes, there is "good" cholesterol).  Exercise will also help you lose weight and feel better.  In general, you should try to get 30 minutes of aerobic activity three times a week. Brisk walking is a good way to achieve this goal with the least risk of injury.

2.  Eat Healthy - Saturated fat is the dietary ingredient that has the greatest effect on raising cholesterol.  Therefore, a diet that is low in fat, especially saturated fats, is important in managing your cholesterol.  In general, less than 30% of your daily calories should come from fat and less than 10% should be from saturated fats.  In addition, if you are overweight, you should have your doctor counsel you about an appropriate diet that will help you lose weight.

Check out the web sites listed on the middle flap of the pamphlet for more information about high cholesterol, exercising and eating right.

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What can my doctor do ?

As mentioned before, your doctor may have prescribed a cholesterol-lowering agent for you.  The most commonly prescribed class of drugs is the Statins.  Statins inhibit your liver's ability to make cholesterol and therefore decrease the cholesterol in your blood stream where it does its damage.  Examples of statins are Mevacor, Pravachol, Lescol, Zocor and Lipitor.  Another class of drugs are the bile acid binding resins, these drugs bind cholesterol in your gut and keep it in your gut until it eliminated as waste, again preventing cholesterol from getting into your bloodstream.  Examples of these drugs are Colestid and Questran.

If you are on one of these cholesterol lowering agents, take them as directed and see your doctor regularly.  These drugs are very effective in most people but you must still help the drugs do their job by following a low-fat diet and exercising.

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More information on hypercholesterolemia