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Here are 12 sneaky causes of persistently high cholesterol.

If you lead a healthy lifestyle but your cholesterol remains stubbornly high, these surprisingly simple reasons could be to blame. Find out how to control high cholesterol.

If you have high cholesterol, you have surely heard about the importance of following lifestyle habits such as healthy eating and exercise. It can help lower low-density lipoprotein (LDL, or “bad”) cholesterol and triglycerides, a form of fat found in the blood, as well as raise high-density lipoprotein (HDL, or “bad”) cholesterol. “Okay”).

The first four steps to lower cholesterol


Regular exercise, defined as 30 minutes of moderate to vigorous activity four to six times a week, can raise HDL levels and lower LDL and triglycerides.


A heart-healthy diet rich in fruits, vegetables, whole grains, beans, and fish can also help control cholesterol.

avoid smoking

Smoking lowers HDL levels

keep a healthy weight

For people who are overweight or obese, losing 5-10% of body weight can improve cholesterol levels.

Although these lifestyle changes are very important to help control high cholesterol, they are not always enough for everyone. Additionally, there may be surprising culprits that undermine your efforts.

12 sneaky causes of high cholesterol

If you’re doing everything you can to lower your cholesterol, but it’s still high, you’re not alone. These are some of the most common reasons.

1. You have a genetic risk of high cholesterol.

If you are someone who leads a relatively healthy lifestyle and your cholesterol level is high, you probably have a genetic component that leads to high cholesterol. Familial hypercholesterolemia is an inherited condition that causes cholesterol to build up in the blood.

2. You are on a fad diet

People with high cholesterol should avoid the ketogenic diet, a high-fat, low-carbohydrate diet that is promoted as a way to lose weight. The most effective diets for lowering cholesterol are plant-based or vegan diets, in which dietary cholesterol intake is decreased. If you still want to include meat in your diet, stick to lean proteins, such as chicken, turkey, and fish.

3. You have hidden fats in your diet

While lowering cholesterol makes sense, it’s not the only aspect of a heart-healthy diet. It’s also important to limit not only saturated fats but also trans fats, which raise LDL levels. Cut down on these unhealthy fats by eating less red meat and processed meat (such as hot dogs), butter, and full-fat dairy products.

4. You hope your diet alone will cure high cholesterol.

A healthy diet is essential, but it may not be enough if you’re genetically predisposed to high cholesterol. With dietary changes, you can expect a 5-10% decrease in the amount of cholesterol they can lower, but results are variable. Exercise is also important.

5. You don’t make your own food

When you eat out, you are not in full control of your diet. Even if you try to make healthy choices, you don’t know how food is cooked or what ingredients are used. Also, portion control can be more difficult. The easiest way to make sure you’re following a heart-healthy diet is to cook your own meals. And make dining out an occasional treat!

6. You’re not doing the right kind of exercise.

While any physical activity is good, aerobic or cardiovascular exercise has been shown to help lower LDL levels and increase HDL levels. Consider walking, biking, swimming, dancing, or other cardio activities that you can do at a moderate intensity.

7. You are taking medications that raise cholesterol levels

Certain medications, including steroids, retinoids, and progestins used to treat other conditions, can raise cholesterol levels. Make sure your doctor knows about all the medicines you are taking. There may be alternative treatments that do not affect your cholesterol.

8. You drink too much alcohol

It is not necessary to stop drinking, but it should be done in moderation. Too much alcohol can raise cholesterol and triglyceride levels and contribute to weight gain. For men, no more than two glasses a day and women, only one.

9. You don’t take your statins as prescribed.

Statins have had a tremendous impact in saving lives. But for them to be effective, they must be taken exactly as prescribed. Make sure you know when to take them and in what dose. Your pharmacist can answer all your questions.

10. Statins are potentially ineffective for you

There is a subset of people who cannot tolerate statins. There is another class of drugs that can also be used to help lower LDL, the PCSK9 inhibitor, but it is generally only recommended for patients at very high risk of heart attack or stroke.

11. You expect results too soon.

If you’ve just made lifestyle changes or started taking medication, it may be too soon to see results. Remember that high cholesterol does not develop overnight and it may take some time to lower it to healthy levels. Keep working with your doctor and follow your treatment plan to get results.

12. You rely on medication without changing your lifestyle

A February 2020 study published in the Journal of the American Heart Association found that people with high cholesterol levels tended to gain more weight and exercise less once they were prescribed statins. Although statins and other cholesterol-lowering medications are effective, they are not intended to be the only way to control high cholesterol. If you need help making lifestyle changes, your doctor can guide and support you.

If you’re doing everything you can to lower your cholesterol, including lifestyle changes, but it’s not enough, talk to your doctor. There are many treatments to help you control high cholesterol and reduce your risk of heart attack and stroke, so you can stay healthy for years to come.

* Presse Santé strives to transmit health knowledge in a language accessible to all. In NO CASE, the information provided can not replace the advice of a health professional.

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