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Hypercholesterolemia: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Hypercholesterolemia is a condition of really high blood cholesterol levels. Cholesterol is a fatty, waxy substance manufactured by the liver and found naturally in the body. Cholesterol has a number of functions and is often converted to hormones. The body produces sufficient amounts of cholesterol and you only need a very small portion of cholesterol from the outside in order to keep you healthy and fit. This additional cholesterol source comes from dietary cholesterol in form of meat, dairy products, eggs (egg yolk particularly), meat, fish and poultry. These food items are really high in saturated fats and Trans fats. So consuming these items in excess can trigger the body or more specifically the liver to produce an overabundance of cholesterol. This can in most cases lead to hypercholesterolemia.

Aside from hormones cholesterol is also needed by the body for the functioning of cell membranes and production of substances which is in turn required for fat digestion. A surging cholesterol level can heighten the chances of a coronary artery disease. The excess cholesterol levels in the bloodstream lead to the formation of fat deposits in the coronary artery walls. The rising cholesterol levels narrow and at the same time harden the walls of the artery. This condition is known as atherosclerosis.

With the passage of time the arteries can get blocked thereby cutting off the supply of oxygen-rich blood to the heart. This contributes to the risk of heart attack, stroke and angina. Other conditions where the fat deposits get stored in the tissues and tendons of the body are known as familial hypercholesterolemia. Hypercholesterolemia occurs due to unhealthy eating habits and unhealthy lifestyle with almost next to zero physical activities.

How is the treatment done?

Hypercholesterolemia shows very little symptoms and only way it can be detected is by getting a blood cholesterol level check done. This is referred to as a lipid profile. This comprises of an overall test of the LDL cholesterol, HDL cholesterol, total cholesterol and triglyceride levels. A cholesterol level that is 200 mg/dl is considered to be high. People who are diagnosed with hypercholesterolemia will be initially recommended by the doctor to make necessary changes to their diet and also advised to take part in physical activity on an everyday basis. It is advised that the saturated fat consumption for men should be about 30 grams everyday in case of men and for about 20 grams everyday in case of women.

If the cholesterol level continues to hover near the high range then the patient will be prescribed a set of medications. These include bile-acid binding resins, statins, and cholesterol absorption inhibitors.

The liver makes use of cholesterol in order to produce bile acids is required for the process of digestion. Therefore, the bile acid-binding resins bind to the bile acids. These leads the liver get access to excess cholesterol so that it can still manufacture the acid. This has a lowering effect of the blood cholesterol levels. Statins act as a barrier to a substance that is needed by the liver in order for cholesterol synthesis. In the small intestine the cholesterol is absorbed from food sources within the bloodstream. Cholesterol absorption inhibitors help to lower the cholesterol level in the bloodstream.

Who is eligible for the treatment? (When is the treatment done?)

All those suffering from high cholesterol levels are eligible to hypercholesterolemia treatment.

Who is not eligible for the treatment?

People who are allergic to any of the ingredients contained within the medications mentioned above are not eligible to go for this treatment. Also women and people, who are aged 65 years and older, stand at a greater risk of developing certain adverse effects from taking statins. Also, people who suffer from kidney or liver disorder are more vulnerable to suffer from side effects of statins.

Are there any side effects?

Patients taking statins are most likely to experience side effects such as muscle pain, muscle damage, nausea, diarrhoea, constipation, liver damage, type 2 diabetes and neurological side effects. Bile acid binding resins can cause side effects such as flatulence, bloating, diarrhoea and constipation. Patients who have been prescribed to take cholesterol absorption inhibitors are likely to experience side effects such as fatigue, muscle soreness and stomach pain.

What are the post-treatment guidelines?

The post-treatment guidelines for hypercholesterolemia includes lifestyle changes that should comprise of a diet that is low in saturated fat, managing their weight in case the patient is overweight or obese and taking the medications prescribed by the doctor on time. Also, regular exercise is highly recommended in order to keep cholesterol levels on the low side.

How long does it take to recover?

On an average it takes about three weeks to lower cholesterol in adults and about two weeks in children. If someone is put on the Pritikin Program of diet it will take about three weeks reduce the cholesterol levels.

What is the price of the treatment in India?

A monthly course of statins would cost you about Rupees 250 in India. A strip of 10mg of Ezedoc tablets which fall under the category of cholesterol absorption inhibitors would cost around 110 rupees.

Are the results of the treatment permanent?

The results of the treatment can be permanent in so far as the post-treatment guidelines which include lifestyle changes, exercising regularly and taking the medications on time, are strictly adhered to.

What are the alternatives to the treatment?

The alternative of a medical treatment for Hypercholesterolemia would be adopting some natural remedies such as making dietary changes that include foods rich in soluble fibres such as fruits, vegetables; olive oil; omega 3-fats; herbs; garlic. By eating the right foods and avoiding food that are high in saturated fats one can easily maintain their cholesterol levels.

type diabetes
Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Medium Time For Recovery: Medium Price Range:

Rs. 100- Rs. 500

Popular Health Tips

Cholesterol And Lipid Profile - All You Should Know!

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Cholesterol And Lipid Profile - All You Should Know!


Cholesterol is a building block of animals. We have only one type of cholesterol, just as we have one type of water. Animals can walk, swim or fly because their cells have cholesterol. Plants have cellulose instead of cholesterol. It makes them immobile. Everything of every animal, including hair, nails, bone, blood, eggs, meat, skin, wing, milk, etc. always contains cholesterol; and everything obtained from plants is always ‘zero cholesterol’.

Most of our cholesterol is manufactured by our cells. We can get some from food. Our livers can easily excrete excess in bile. Food cholesterol does not raise the blood levels just as buying shirts does not lead to wearing two together.


Cholesterol does not dissolve in water, so it is called a lipid or fat. Triglyceride is another important lipid. Oil, ghee and meat-fat are mostly triglycerides. Body uses them as fuel. Triglycerides from food enter blood directly as chylomicrons. Other foods go first to liver, and are converted to triglycerides for circulation.


Since lipids are insoluble in blood, they are transported with proteins as ‘lipo-proteins’. We have LDL, HDL, and chylomicrons. All lipoproteins contain a mixture of various proteins, fats, and other insoluble substances.

LDL and HDL are made in the liver. Fresh LDL and HDL keep entering the blood, and old lipoproteins are continuously removed. Lipoproteins trap all insoluble dirt, including broken cells and bacterial toxins, and keep our blood vessels clean and healthy. LDL and HDL work together, like mop and bucket. The liver has Kuppfer cells for safely disposing of the toxins they collect and bring.

Our blood has more toxins during illnesses, and more lipoproteins get consumed; blood levels, therefore, drop in every illness. High levels, therefore, predict good health and longer lifespan, but there are exceptions to this rule. Sometimes, there is accumulation of old toxin-filled lipoproteins in blood. Egs: In familial hypercholesterolemia clearance of old LDL by liver is slow. Similarly, alcohol slows removal of HDL; torcetrapib prevents HDL-LDL cooperation. In such situations, high levels of LDL or HDL increase blockages.

Statin medicines help by clearing old LDL from blood, but most lipid medicines just change the blood report without improving health.

Cholesterol and Blockages

Food cholesterol has virtually nothing to do with blockages. Blockages occur because of modern lifestyle. Unlike pre-modern hunter-gatherers who fed on forest foods, we eat a high glucose agricultural diet. Thankfully, our liver does not allow too much glucose into the blood, otherwise, our blood glucose would shoot up to over one thousand after every meal! The liver converts sugars into triglycerides and circulates them as VLDL.

Modern diets keep the liver busy manufacturing triglycerides from glucose; this predisposes us to diabetes and fatty liver. Fasting triglycerides should be less than 150. Higher values suggest that the diet contains too much glucose or alcohol.

Glucose damages artery endothelium, and also changes our LDL to small dense LDL. The cholesterol inside blockages comes from harmful, small dense LDL.

Lipid Profile

Lipid Profiles ‘tests’ are quite popular, but not very helpful. Lipid Profiles have poor predictive value.

The lipids we measure are mostly from liver, not food. Cholesterol, triglycerides and HDL are measured. All the other numbers are usually arithmetic. E.g.: VLDL is triglycerides divided by 5. Additional measurements like apo A, B, Lp(a) etc. do not help much.

Cholesterol levels below 300 are normal. Levels persistently above 300 (or LDL levels above 220) suggest familial hypercholesterolemia. Much lower levels of cholesterol and LDL are presently advocated. The dangerous cholesterol levels have been changed from 350 to 270, 250, 220, 200, 170, 150 etc.; and safe level of LDL is being continuously reduced. These recommendations are motivated. In 1945, a heart disease scare was started in the USA. Large research programs were rolled out to ‘find the cause’ of the ‘number 1 killer’, and they promoted the cholesterol theory the whole world now believes.

High Triglycerides and low HDL is called atherogenic dyslipidemia (blockage causing lipid abnormality). Focus on these for protecting health. They usually stay perfect with a diet low in sugar, starch and alcohol.


Cholesterol is present in animal bodies for the same reason that wood is present in plants. LDL and HDL are two types of blood cleaning lipoproteins; they are not two types of cholesterol. Both these are good and essential for health. High triglycerides and low HDL are the commonest abnormalities in people prone to heart attacks. These improve with low glucose/fructose diet or exercise. Cholesterol found in blockages is not food cholesterol, it is small dense LDL. Blockages are caused by glucose-rich diets.

2071 people found this helpful

Dealing with Cholesterol Disorders

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)
Endocrinologist, Hyderabad
Dealing with Cholesterol Disorders

Most may not be aware of the fact that the human body requires cholesterol for normal functioning. Though normal levels of cholesterol are essential for proper functioning, any fluctuations in these levels can lead to disorders like hyperlipidemia and hypolipidemia.

Cholesterol, a soft, fat-like substance helps in building new cells and secreting hormones. While 80% of the cholesterol is produced by the liver, 20% is obtained from the food you eat. The cholesterol sticks to a protein called the lipoprotein and along with it travels through the bloodstream. Among these lipoproteins, HDL (High-Density Lipoprotein) is good for the body, and the other four namely LDL (Low-Density Lipoprotein), VLDL (Very Low-Density Lipoprotein), and Triglycerides are bad for your body.

While high blood cholesterol can lead to complications such as heart attack or stroke, low blood cholesterol would indicate the presence of an underlying condition and in either case, proper treatment and management are essential.

Managing high cholesterol

  1. Diet and exercise: The first line of treatment begins with an active lifestyle and a healthy diet. Choosing healthier fats, avoiding trans fats, limiting dietary cholesterol, including whole grains, vegetables, and fruits, and limiting alcohol consumption along with adequate exercise should reduce the levels without medication.
  2. Medication: If the cholesterol levels do not reduce despite m lifestyle changes, the physician will prescribe a combination of medications, considering several factors such as the individual’s age, present health condition, and the side effects of the medication. The common drugs used to reduce high cholesterol are statins, bile-acid-binding resins, cholesterol absorption inhibitors, and injectable medications.
  3. Managing low cholesterol: In the case of being diagnosed with low cholesterol, the treatment focus would be handling the underlying condition. 

Irrespective of the type of cholesterol disorder, it is essential to follow the doctor’s advice in both cases to avoid the risk associated and lead a healthy life.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4414 people found this helpful

Xanthelasma (Cholesterol Deposits Around Your Eyes) - How It's Treated and Removed?

Diploma In Skin Aesthetics, BHMS, Certificate Course in Skin & Vinereal Disease
Dermatologist, Pune
Xanthelasma (Cholesterol Deposits Around Your Eyes) - How It's Treated and Removed?

Cholesterol pockets or Xanthelasma are yellow patches of cholesterol that form in the inner portion of the eyelids. These patches are not harmful; however, they can be a source of cosmetic concern. This condition can be indicative of an underlying heart disease.

Who are the most vulnerable to this disease?

Xanthelasma is a very rare condition that only affects people who have high blood cholesterol levels. However, this condition has been seen to develop even if one’s cholesterol levels are found to be normal. Usually, people in their middle age are the most susceptible to this condition. Xanthelasma affects women more as compared to men.


High blood cholesterol level is the primary cause for this disorder. One might be prone to this disorder if the percentage of bad cholesterol (LDL) in the body is on the higher side. Another liver disorder known as ‘biliary cirrhosis’, is also known to increase blood cholesterol levels. Generally, Asians are the most vulnerable to this disease.

Derma Treatments for Xanthelasma-

As these patches do not disappear on their own, they need to be given medical attention. Usually, it’s the cosmetic concern that urges one to go for the treatment. The various treatment options for this disorder are:

  1. Surgical removal of the cholesterol pockets.

  2. These pockets can also be removed with a laser.

  3. Certain medications such as trichloroacetic acid can be used to dissolve these patches.

  4. Cryosurgery, a procedure whereby the cholesterol pockets are exposed to freezing temperatures, is also another treatment option.

  5. Electrodessication is a surgical procedure to get rid of the cholesterol pockets.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3285 people found this helpful

Tips To Help You Lower Your Cholesterol!

DM Cardiology
Cardiologist, Delhi
Tips To Help You Lower Your Cholesterol!

Low density lipoprotein or LDL is the bad cholesterol that adds to plaque development alongside triglycerides, which is another lipid. High density lipoprotein or HDL is the good cholesterol that diminishes plaque development. Plaque can hinder the blood supply to the heart, brain, legs or kidneys, leading to heart attacks, stroke or even death. To lower the cholesterol for a younger heart, you may follow the below steps:

  1. Reduced fats: Do without greasy meats such as bologna, salami, pepperoni and wieners; and greasy red meats such as ribs and prime cuts of hamburger, pork, veal or sheep. Likewise, you must abstain from skip skin on chicken or turkey. Stay away from full-fat dairy items including whole grain, cheese, cream, cream cheese and spread. These food items contain saturated fat and cholesterol. Both are connected with higher blood cholesterol and plaque development.
  2. Intake fiber: In particular, get used to food items which are high in dissolvable fiber. In the gut, dissolvable fiber can provide bulk to the bile and easily expel it from the body. Search for dissolvable fiber in oats, oat wheat, ground flaxseed, psyllium, grain, leafy vegetables, in addition to some whole grain oats.
  3. Go veggie: Pick no less than one meatless meal for every week. Substitute animal protein (meat, poultry, eggs, cheddar) for plant-based protein such as beans, lentils, tofu or quinoa. Consume these plant-based proteins with a plate of mixed greens, soup, panfry, or a burrito.
  4. Be aware of carbs: Following a low-carb eating routine can help you get in shape and decrease cardiovascular hazards. Pick high fiber sugars like oats, whole grain, starches, beans, lentils, and organic products, which will give you the energy you require, apart from keeping you feeling full.
  5. Lose some weight: In case you are overweight or stout, shed the additional pounds. Weight reduction brings down the LDL levels. Reducing even 10 to 20 pounds can have a positive effect.
  6. Move more: Do an hour and a half of cardiovascular exercise every day for an ideal heart wellbeing and weight reduction. Cardiovascular exercise implies any action that uses muscles in an efficient way and builds the heart rate. Strolling, cycling, paddling and swimming can be helpful. In case you discover an hour and a half overwhelming, begin with 30 minutes and work your way up a little at once. For a few people, 45 minutes to an hour of cardiovascular practice is sufficient.
  7. Pick the correct rhythm: Go for a direct level of work out. You will know you have achieved it when you can bear on a discussion when you work out, yet cannot sing. High intensity workout is better at raising HDL levels. However, it additionally expands your danger of wounds, making it difficult to keep working out.If you wish to discuss about any specific problem, you can consult a Cardiologist.
4147 people found this helpful

Cholesterol - Lifestyle Habits That Help Control it!

MBBS, MD - Medicine, DM - Cardiology, Fellowship In Interventional Cardiology, Interventional Cardiology & Cardiac Electrophysiology
Cardiologist, Delhi
Cholesterol - Lifestyle Habits That Help Control it!

Cholesterol is one of those terminologies that need a clear and fresh understanding, right from scratch. It is nothing but obvious and common for you to primarily know about the ill effects of cholesterol and what it does to your body; from increasing the risks of cardio-vascular diseases to adding to your waistline. However, it is time we all got a fresh perspective on what cholesterol is.

So, to start off, what is actually cholesterol?
It is waxy substance produced by the liver which plays an important role in the proper functioning of the cells, digestive process and synthesis of Vitamin D in the body. As cholesterol is a fat based substance that does not dissolve in blood, it is transported, throughout the body, by a protein called the ‘lipoprotein’. The lipoproteins that carry cholesterol are of two types: Low-Density

Lipoprotein (LDL) and High Density Lipoprotein (HDL)

Why is LDL ‘bad’?
LDL is known as ‘bad’ cholesterol as it is responsible for plaque formation that reduces flexibility of the arteries and tends to clog them.

Why is HDL ‘good’?
HDL is known as the ‘good’ cholesterol because it gets rid of excessive LDL from the arteries and transports them to the liver where they can be broken down. Too much of bad cholesterol in the body can lead to clogged arteries that may result in stroke or a heart attack. Now that you know that too much LDL cholesterol is bad for you, you need to keep it under control while raising the good cholesterol (HDL) levels.

In order to do that, you need to make certain modifications in your lifestyle.

Some of them can be:

  1. Eat foods that are good for the heart: Avoid eating saturated fats and trans-fats as they raise LDL levels in the body. Instead, choose foods that are rich in the heart healthy monounsaturated fats such as almonds and olive oil. Also, include foods that are rich in Omega-3 fatty acids such as fish oil; these fatty acids increase HDL levels in the blood.
  2. Exercise regularly: Exercise not only helps you to lose calories but also increases the good cholesterol levels in the body. Aim for 20-30 minutes of cardiovascular exercises in the form of brisk walking, running or cycling to keep your heart muscles healthy.
  3. Stop smokingSmoking can cause the blood vessels to narrow down, thus increasing blood pressure, owing to the constriction of the blood vessels. Quit smoking right away and your ticker will thank you for it. Remember to limit alcohol consumption as well.
  4. Maintain optimal weight levels: It’s time to get rid of all the excess fat from the body, especially the visceral fat (abdominal fat). Obesity increases the risk of heart diseases and also has a negative effect on the cholesterol levels. If you wish to discuss about any specific problem, you can consult a cardiologist.
2087 people found this helpful

Popular Questions & Answers

My triglyceride level is above 1000 and Dr. Pr prescribed stanlip 145 and aztor 40. I am a di abetic to. Can I consume alcohol when consuming this medicine.

M.D.PSYCHIATRY, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
Psychiatrist, Jaipur
Dear Suresh You can take alcohol while taking medicines but try to limit the alcohol consumption as less as possible because alcohol will worsen your triglycerides and diabetes
1 person found this helpful

I am male 35. Serum cholesterol 209 and ldl cholesterol 151. Doctor advised to take rosuvas 10 mg for 1 months. But I am scaring to take 3 months for this tablet any side affects in this tablet. Please reply sir.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
You can avoid medicine. It is useful after heart attack, not before heart attack. Cholesterol level below 300 is healthy. Avoid further cholesterol tests, they are popular but not helpful.
4 people found this helpful

I am 50 years old male and have been taking statin rozavel 10 for 2 years regularly. I have normal cholesterol levels now in all parameters. Should I take rozavel 5 mg regularly or use rozavel 10 on alternate days or completely stop medication.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
this medicine is for protecting heart after a heart attack, although can be taken before heart attack if hsCRP is high and diet is modern, grains and sugar based, high glucose diet. Suggest improve diet, talk to healthy 90 year olds, learn their lifestyle. Other methods of prevention are based on faith, not on science

Hello doctor, Greetings My mother is 65 years old and suffering from Cholesterol and sugar. What should she eat in food and what to avoid in the same?

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
diabetes and heart disease are modern diseases. Reduce sugar jaggery and alcohol. Traditional health foods like nuts eggs butter are the scientific options. Most sources of information are not reliable

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About High Cholesterol
Causes of High Cholesterol and its Home remedies

Good morning. Mera naam hai Dr. Amol Bamane. Main M.D Ayurved hu aur humara Rasyog Ayurveda naam se clinic hai. Aaj main aapko high cholesterol ke baare mein information dena wala hu. High cholesterol ke causes aur uske home remedies mein main aapko aaj batane wala hu. High cholesterol mainly aapko 30% jo aap diet lete hai toh usme se aapko cholesterol milta hai aur usme se high cholesterol ke through aapko various heart related issues ho sakta hai, heart attack, heart related cholesterol ke wajah se heart blockage toh ye issues saamne aate hai, isliye main aapko home remedies bhi batane wala hu.

Aur cholesterol level jo aapke 30% jo diet hai, aar aap diet ache tarah se follow karte hai toh aap 30% cholesterol reduce kar sakte hai by using home remedies jo aapke high cholesterol to reduce kar sakte hai. Use causes hai over weight, pastries, cakes, butter, meat, fish, eggs, smoking, drinking, and stress is also one of the causes of high cholesterol. First home remedies jo main aapko batane wala hu wo hai ke aap 1 spoon coriander seeds lijiye, usse crush kijiye aur water mein daal dijiye. Fir usse boil kijiye aur usse chaan kar thanda hone ke baad din mein 3 baar pijiye. Isse aapka cholesterol level kam karne mein bahut hi helpful hai. Dusra remedy high cholesterol ke liye hai ki wo watermelon seeds ka hai. Aap watermelon seeds ko dry kijiye, usse roast kijiye, aur iske baad mein aap usko store karke rakhiye. Everyday aap 1 teaspoon watermelon seeds ko crush karke 1 glass paani mein ubaaliye. Ubalne ke baad usse thanda kijiye, baad mein chaan kar, din mein 1 bar ye process kijiye aur ek glass ye pijiye aur iska aapko bahut acha results milega. Teesra jo home remedy hai high cholesterol ke liye hai ye sabse badhiya hai ye sabse asardaar saabit hua hai jo basil leaves and margosa leaves ka hai. Aap 10-15 basil leaves lijiye aur 10-15 margosa leaves lijiye, usse aap early morning before breakfast crush kijiye aur ek glas paani mein mix kijiye fir usko chaan ke morning mein before breakfast lijiye. Ye sirf din mein ek baar hi kijiye par 1 month ke liye kijiye aur isse aapko bahut hi acha effective results high cholesterol ke liye milega. Jo bhi maine home remedies bataya hai ye 1-2 months follow kijiye aur isse aapko bahut hi acha results milega.

High cholesterol ke liye jo tips hai wo LDL cholesterol jo hai wo good cholesterol hai aur jo HDL cholesterol hai wo bad cholesterol hai. Iske liye tips ye hai ke din mein 1 litre paani peejiye aur diet control kijiye. Yahi sabse best tareeka hai aapka cholesterol ko normal rakhne ke liye aur iske through aapki life healthy rakh sakte hai. Uske alawa medicine toh ek factor hai hi par ye home remedies use kijiye agar usse bhi aapko itna acha result nahi mil raha hai toh aap hume consult kar sakte hai ya humare website pe jaa sakte hai aur hume connect kar sakte hai aur humare website ka address hai

Aapko cholesterol ke baare mein aur adhik jankaari ke liye, aap mujhe pe bhi sampark kar sakte hai aur consult bhi kar sakte hai.
Having issues? Consult a doctor for medical advice