LDLs carry the most cholesterol and are the most closely correlated with CHD. HDLs reduce the risk from CHD by transporting cholesterol from the tissues to the liver, where it is metabolized and excreted. LDL is an even more specific indicator of CHD risk than total cholesterol. High HDLs reduce the chance of CHD even if total cholesterol is on the higher side.

You can reduce LDL and increase HDLs by making a few dietary changes:

• Reduce saturated fat in your diet
• Exercise regularly
• Maintain optimal weight

Ways to reduce saturated fat:

• Trim the fat off meat
• Broil, grill, bake, or stew meats
• Limit fried foods
• Use butter substitutes with plant sterols such as Smart Balance
• Limit eggs to 4 or less per week or use egg beaters or egg whites as replacements

Your doctor will normally refer you to a dietitian to go over a healthy diet for you. When diet is not enough, medications are prescribed by the doctor. As with anything, there are side effects so focus on staying true to your diet modifications.

Lastly, genetics also play a role in cholesterol. You may be on the higher side even when you eat relatively well. Remember, high cholesterol is not a disease in and of itself, it's just a contributor to a major disease. My grandma has high cholesterol but eats right and exercises. Her blood pressure is low and she is at the optimal weight and will be turning 90 this year. Don't get discouraged if you eat well and your cholesterol is still on the higher side. As long as you are healthy otherwise, chances are you will lead a long life.

The below chart will give you a great idea of how to interpret your own cholesterol scores. As always, if you have any questions feel free to contact me.