How is hyperlipidemia treated?

Nov 06, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

Hyperlipidemia requires comprehensive management through dietary adjustments, regular exercise, weight control, routine monitoring, and medication. Most patients can achieve controlled lipid levels and reduce the risk of cardiovascular diseases with proper intervention. If blood lipids remain elevated or symptoms such as chest tightness and dizziness occur, prompt medical attention is recommended. Reduce consumption of high-fat, high-cholesterol foods such as animal offal and fried foods.

High cholesterol must be managed through a comprehensive approach including dietary adjustments, regular exercise, weight management, routine monitoring, and medication. Most patients can control their blood lipid levels and reduce the risk of cardiovascular diseases with proper intervention. If lipid levels continue to rise or are accompanied by symptoms such as chest tightness or dizziness, prompt medical attention is recommended.

1. Dietary Adjustment: Reduce intake of high-fat, high-cholesterol foods such as animal organs and fried foods. Increase consumption of oats, vegetables, fish, and other foods rich in dietary fiber and unsaturated fatty acids. Control daily fat intake and avoid alcohol to reduce lipid production at its source.

2. Regular Exercise: Perform at least 150 minutes per week of moderate-intensity aerobic activity, such as brisk walking, jogging, or swimming. Incorporate appropriate strength training when possible to promote fat metabolism, help lower triglycerides, increase high-density lipoprotein (HDL), and improve overall lipid profiles.

3. Weight Management: Overweight or obese individuals should achieve weight loss through balanced diet and physical activity, maintaining body mass index (BMI) within a healthy range. Reducing body fat accumulation helps decrease the liver’s capacity to produce cholesterol and supports lipid regulation.

4. Regular Monitoring: Check the four major blood lipid indicators every 3–6 months. Adjust treatment plans based on changes in test results, while also monitoring liver and kidney function to detect potential drug side effects and ensure safe and effective therapy.

5. Medication: If lifestyle interventions fail to achieve target lipid levels after 3–6 months, lipid-lowering medications such as statins or fibrates should be taken under medical supervision. Follow prescribed dosages strictly and do not discontinue or adjust medication independently to avoid adverse effects.

In daily life, maintain a regular sleep schedule, avoid staying up late to reduce metabolic strain, minimize mental stress, keep emotions stable, and develop consistent eating habits with fixed meal times and portion sizes to support long-term lipid stability.

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How to use medication for high blood lipids

For hyperlipidemia, medications such as atorvastatin calcium tablets, fenofibrate capsules, ezetimibe tablets, evolocumab injection, and niacin extended-release tablets may be selected under medical guidance. A thorough assessment of physical condition is required before taking any medication; self-purchasing and use are not recommended. If lipid levels remain uncontrolled after lifestyle interventions or if adverse drug reactions occur, prompt medical consultation is advised. Atorvastatin calcium tablets: belong to the statin class of drugs.

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Can patients with high blood lipids consume protein powder?

Hyperlipidemia usually refers to hyperlipidosis. Whether patients with hyperlipidemia can consume protein powder depends on individual circumstances. Patients who lack sufficient protein intake and need nutritional supplementation may consume it in moderation, whereas those with abnormal kidney function or excessive protein intake should avoid it. In daily life, a balanced diet is essential, with priority given to obtaining protein from natural food sources such as lean meat, fish, shrimp, and eggs.

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What should people with high blood lipids pay attention to in their diet?

People with high blood lipid levels should include more whole grains, high-quality protein, vegetables, fruits, and healthy fats in their diet. A well-balanced diet can help reduce blood lipid production and support the regulation of lipid levels. If lipid levels remain uncontrolled after dietary adjustments or if physical discomfort occurs, prompt medical consultation is recommended. Whole grains: such as oats, brown rice, quinoa, etc.

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Can gallbladder polyps cause high cholesterol?

In general, whether gallbladder polyps cause elevated cholesterol levels depends on the type of polyp and the individual patient's metabolic status. If symptoms such as abdominal pain or indigestion occur, it is recommended to seek medical attention promptly for professional evaluation, including ultrasound and blood tests. Regular ultrasound monitoring of polyp size changes and periodic lipid profile testing are necessary in daily management.