In general: Total cholesterol levels should be lower than 5.5 mmol/L in adults with no other risk factors for CVD. LDL cholesterol levels should be less than 2 mmol/L if you have CVD risk factors or pre-existing CVD or diabetes. HDL cholesterol levels should be kept higher and at a minimum of 1.5 mmol/L.
If your risk is very low, you probably won't need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L ). If your risk is very high — for example, you've had a heart attack in the past — a statin may be helpful even if you don't have high cholesterol.
Total cholesterol levels should be lower than 5.5 mmol/L, if you have no other risk factors. If you have cardiovascular risk factors such as high blood pressure, pre-existing cardiovascular (heart) disease or diabetes, or you smoke, the aim for LDL cholesterol levels would be less than 2 mmol/L.
Top 5 lifestyle changes to improve your cholesterol
To reduce your cholesterol, try to cut down on fatty food, especially food that contains a type of fat called saturated fat. You can still have foods that contain a healthier type of fat called unsaturated fat. Check labels on food to see what type of fat it has in it.
The worst foods for high cholesterol, given their high saturated fat content, include: Red meat, like beef, pork, and lamb, as well as processed meats like sausage. Full-fat dairy, like cream, whole milk, and butter. Baked goods and sweets.
7 natural alternatives to statins that claim to lower cholesterol
Levels of LDL (bad) cholesterol exceeding 190 milligrams per deciliter typically call for a statin prescription. But depending on how high your cholesterol climbs, your doctor may be open to you trying to lower it using lifestyle changes. The most effective interventions involve diet and exercise.
High cholesterol often has no symptoms, but when it causes problems, warning signs include chest pain, shortness of breath, numbness or coldness in limbs, unexplained fatigue, dizziness, headaches, leg pain/cramps, yellowish skin deposits (xanthomas), a grey ring around the iris (corneal arcus), and slow-healing sores/ulcers on feet, indicating poor circulation. These signs often point to related conditions like Peripheral Artery Disease (PAD) or heart issues from plaque buildup, but the only sure way to know is a blood test.
Can exercise lower cholesterol? Yes, it can. Being active helps your body move the bad cholesterol (also known as non-HDL cholesterol) to your liver where it can be removed out of your system. You do not have to join a gym or go on long runs if you do not enjoy it, just start by moving more every day.
Cooking to Lower Cholesterol
Stress. Stress doesn't directly raise your cholesterol but it can lead to unhealthy ways of coping which can raise your cholesterol and your risk of heart disease. For example, you might want to eat unhealthy food such as pizza and takeaways, drink more alcohol or smoke. Stress can affect your health in other ways too.
In the UK, the average total cholesterol level is 5.7mmol/l. High cholesterol levels are considered: too high: between 5 and 6.4mmol/l. very high: between 6.5 and 7.8mmol/l.
Limit your cholesterol intake to less than 200 mg per day. Limit egg yolks to 2–3 a week. Choose egg white and egg substitutes — they don't have cholesterol. Avoid organ meats like liver and gizzards and fatty cuts of red meat (beef, pork, and lamb).
Oatmeal, oat bran and high-fiber foods
Oatmeal has soluble fiber, which reduces your low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol. Soluble fiber is also found in such foods as kidney beans, Brussels sprouts, apples and pears.
The worst foods for cholesterol are those high in saturated fats and trans fats, primarily fatty red/processed meats, full-fat dairy, fried foods, and many commercially baked goods (cakes, pastries, cookies) and sweets, as they raise "bad" LDL cholesterol. Tropical oils (coconut, palm) and ultra-processed foods are also significant contributors, so focus on limiting these for better heart health.
Moderation Is Key
In studies examining coffee's impact on cholesterol, people who experienced increased cholesterol levels were those who drank about five cups or more each day. So, moderation can also be important.
Low-density lipoprotein (LDL) is the "bad cholesterol" in terms of its potential for harming the heart and brain. It is a major contributor to arterial plaque development. Levels of LDL cholesterol higher than 130 milligrams per deciliter (mg/dL) are linked to an increased risk for ischemic stroke.
Key takeaways:
It can take a few weeks to several months to lower cholesterol levels with appropriate treatment. Treatments to lower cholesterol include diet and lifestyle changes, exercise, and medications.
Numbness and tingling: Yes. Narrowed arteries caused by high cholesterol can restrict blood flow to the arms, legs, hands, or feet, leading to these sensations. Joint pain: Indirectly. High cholesterol contributes to inflammation, which may worsen existing joint discomfort, especially in patients with arthritis.