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Listen to your heart: Learn about heart disease. Grundy SM, et al. Journal of the American College of Cardiology. Thanassoulis G, et al.
A long-term benefit approach vs standard risk-based approaches for statin eligibility in primary prevention. JAMA Cardiology. Statin intolerance. Mayo Clinic; Lopez-Jimenez F expert opinion. Mayo Clinic. See also After a flood, are food and medicines safe to use?
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The body needs bile acids and makes them by breaking down LDL cholesterol. Niacin, or nicotinic acid Niacin is a B vitamin that can improve all lipoprotein levels.
Nicotinic acid raises high-density lipoprotein HDL cholesterol levels while lowering total cholesterol, LDL cholesterol, and triglyceride levels. Fibrates Fibrates mainly lower triglycerides. These medicines are primarily used in people who have familial hypercholesterolemia , a genetic condition that causes very high levels of LDL cholesterol. Who Needs Cholesterol-lowering Medicine Your treatment plan for high cholesterol will depend on your current cholesterol levels and your risk of heart disease and stroke.
Nonprescription immediate-release forms of niacin usually have the most side effects, especially at higher doses. Niacin is used cautiously in diabetic patients because it can raise blood sugar levels. Niacin comes in prescription form and as a dietary supplement. Dietary supplement niacin must not be used as a substitute for prescription niacin because of potentially serious side effects.
Dietary supplement niacin is not regulated by the Food and Drug Administration and may contain widely variable amounts of niacin — from none to much more than the label states.
The amount of niacin may even vary from lot to lot of the same dietary supplement brand. Consult your doctor before starting any niacin therapy. These are derived from fish oils that are chemically changed and purified. Commonly referred to as omega-3 fish oils or omega-3 fatty acids, are used in large doses to lower high blood triglyceride levels. They help decrease triglyceride secretion and clear triglycerides. The amount of marine-derived omega-3 PUFAs needed to significantly lower triglyceride 2 to 4 g is hard to get from a daily diet alone, so supplementing with capsules may be needed.
These can include increased bleeding, hemorrhagic stroke and reduced blood sugar control in diabetics. Negative interactions with other medications, herbal preparations and nutritional supplements are also possible. People with allergies to fish, shellfish or both may have a severe adverse reaction to using these supplements.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff. About Cholesterol. Causes of High Cholesterol. Prevention and Treatment of High Cholesterol.
Cholesterol Tools and Resources. Cholesterol Podcasts. Do you have questions about cholesterol? We have answers. Our FREE cholesterol guide will help you understand and manage your cholesterol, so you can take action and live healthy!
Help to control your cholesterol levels For some people, lifestyle changes, such as a healthier diet and more exercise, may prevent or treat unhealthy cholesterol levels.
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