🫀 Managing Cholesterol: Beyond Statins

By Global Health | Cardiology Insights

When it comes to managing high cholesterol, statins often steal the spotlight — and for good reason. These medications are highly effective at lowering LDL (the "bad" cholesterol) and reducing the risk of heart attacks and strokes.

But what if statins aren't enough, not well-tolerated, or simply not the right fit for every patient?

Let’s explore the growing world of cholesterol management beyond statins — from new medications to lifestyle changes and natural approaches backed by science.

🧬 Understanding Cholesterol Basics

Cholesterol is a waxy, fat-like substance found in every cell of your body. While it's essential for hormone production and cell structure, too much LDL (low-density lipoprotein) can clog arteries, increasing your risk of heart disease.

HDL (high-density lipoprotein), on the other hand, helps remove LDL from the bloodstream — so higher HDL levels are typically a good thing.

💊 Alternatives and Add-Ons to Statins

1. Ezetimibe

This medication works in the intestines to reduce the amount of cholesterol absorbed from food. It’s often used alongside statins or for patients who can’t tolerate high doses.

2. PCSK9 Inhibitors

These injectable drugs (like evolocumab and alirocumab) dramatically lower LDL levels and are especially helpful for people with familial hypercholesterolemia or high cardiovascular risk.

3. Bempedoic Acid

A newer oral medication, bempedoic acid lowers cholesterol by targeting a different enzyme in the liver. It may be used alone or with ezetimibe.

4. Fibrates

Primarily used to lower triglycerides and boost HDL, fibrates can be a useful tool in patients with mixed lipid problems.

5. Omega-3 Fatty Acids

Prescription-strength omega-3 (EPA or EPA+DHA) has shown promise in lowering triglycerides and may reduce cardiovascular risk in select patients.

🥦 Lifestyle Still Matters — A Lot

Even with powerful medications available, lifestyle changes are the foundation of cholesterol management:

• Eat heart-smart: Focus on fiber-rich foods (like oats, legumes, fruits, and vegetables), healthy fats (olive oil, nuts, avocado), and plant sterols.

• Limit saturated and trans fats: Cut down on red meat, full-fat dairy, and processed snacks.

• Move more: Aim for at least 150 minutes of moderate-intensity exercise per week.

• Quit smoking: It lowers HDL and damages blood vessels.

• Maintain a healthy weight: Losing even 5-10% of your body weight can improve cholesterol levels.

  
  

🌿 Natural Supplements: Use with Caution

Supplements like red yeast rice, plant sterols, and soluble fiber can help — but should never replace medical advice or prescribed treatments. Always consult with your healthcare provider before adding supplements, especially if you're already on medication.

🩺 Personalized Cholesterol Care at Global Health

Managing cholesterol isn’t one-size-fits-all. At Global Health, our cardiology and nutrition specialists work together to:

• Assess your full cardiovascular risk

• Identify the right combination of medication and lifestyle strategies

• Monitor your progress with regular follow-ups

• Support you every step of the way — in person or online

📞 Ready to Take Control of Your Cholesterol?

You don’t have to manage your heart health alone. Whether you’re just starting out or exploring options beyond statins, we’re here to help.

👉 Book your cardiology consultation today with Global Health.

📧 Contact us at: globalhealth@myglobalhealth.online

🧠 Knowledge is power — and prevention is key. Let’s build a heart-healthy future together.