
High cholesterol usually has no signs or symptoms, so a blood test is important for measuring levels.
Cholesterol helps make hormones, vitamin D, and substances that aid digestion; the body makes all it needs.
Excess cholesterol can combine with other substances to form plaque, which may narrow or block coronary arteries.
LDL and VLDL contribute to plaque buildup; HDL carries cholesterol back to the liver for removal.
Saturated fat can raise LDL; little physical activity and smoking can lower HDL, while smoking also raises LDL.
MedlinePlus recommends first testing between ages 9 and 11, with later timing depending on age and individual risk factors.
Heart-healthy eating, weight management, and regular physical activity can help lower cholesterol; medicines may also be needed.
Read the MedlinePlus cholesterol guide for more information about cholesterol testing, factors that affect levels, and management options.