Etezimibe reduces lipid levels by limiting the absorption of cholesterol in the intestine. There is evidence that these drugs are effective at reducing cholesterol levels, especially when a person uses them with ezetimibe. If a person has already had a cardiovascular event, such as a heart attack, a doctor may recommend using ezetimibe as well as a statin. For those at very high risk, the guidelines also recommend adding a PCSK9 inhibitor.
However, the guidelines also note that PCSK9 inhibitors are expensive, and insurance companies may not cover their cost.
For this reason, this option is likely to be only for those with a very high risk. A person should not stop taking a statin without speaking to a doctor, as they may increase their risk of cardiovascular problems. Randomized, controlled clinical trials have not produced enough evidence to support treatment to a specific target. Guidelines published in consider this calculator and essential tool for assessing cholesterol levels and their risk.
Read this article to find out the…. A cholesterol test is a blood test that can show whether a person needs to take action to reduce their cholesterol levels to lower their risk of….
Doctors advise people to limit their overall cholesterol but maximize levels of high-density lipoprotein HDL cholesterol.
Why is this, and it is…. There are two types of cholesterol. One is harmful, and builds up in the arteries, but the other can actually benefit the body. In this MNT Knowledge…. In this article, learn about the different kinds of cholesterol, what different factors affect cholesterol levels, and when to contact a doctor.
What causes high cholesterol? Medically reviewed by Daniel Murrell, M. What is cholesterol? Causes of high cholesterol. High cholesterol symptoms. Cholesterol in foods. It is important to have what is called a full lipid profile to show the actual levels of each type of fat in your blood: LDL, HDL, triglycerides, and others. Talk with your healthcare provider about when to have this test. People age 40 to 75 who are living with diabetes and whose LDL is at 70 or above may need medication.
Addressing risk factors. Some risk factors that can be changed include lack of exercise and poor eating habits. Cholesterol-lowering medicines. Medicines are used to lower fats in the blood, particularly LDL cholesterol. Statins are a group of medicines that can do this. The two most effective types are atorvastatin and rosuvastatin.
Regarding saturated fat, several studies published in the past few years concluded that there was no association between saturated fat intake and heart disease.
One area that most experts will agree on is that foods high in trans fats should be limited because of their LDL-raising effects. A number of studies have observed an association between increased trans fat intake and an increased risk of cardiovascular disease. It is true that people who are overweight or obese are more likely to have high cholesterol and that a combination of exercise and diet can lower elevated cholesterol levels. However, it is also true that people who are thin can have elevated levels.
People who have very sedentary lifestyles may also be at a higher risk. Finally, there are certain genetic disorders eg, familial hypercholesterolemia that can predispose people to have higher cholesterol levels, regardless of their weight.
It is also important to keep in mind that as people get older, cholesterol levels tend to rise. This is why the American Heart Association recommends that starting at age 20, everyone should get tested for cholesterol and other risk factors about every 4 to 6 years.
Misconception 4: Everyone who takes a statin for high cholesterol treatment experiences muscle pain. I often hear people talking about not wanting to take a statin to treat their high cholesterol levels out of fear of experiencing muscle pain or cramping as possible adverse effects. Additionally, these are often reasons for patients who have already been prescribed a statin to stop taking it. It is true that some people who take a statin may experience muscle pain but certainly not everyone.
Finally, there is some evidence that people who exercise regularly before taking statins are less likely to suffer from muscle pain and cramping. Four Common Cholesterol Misconceptions.
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