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High cholesterol: what actually lowers it

High cholesterol is common, usually silent, and an important part of your heart-attack and stroke risk. The reassuring part: there's a lot you can do about it — and a simple blood test is where it starts.

The short version: High cholesterol usually causes no symptoms — a blood test is the only way to know. Eating well, staying active, keeping a healthy weight and not smoking all help, and some people also need medication. What matters most isn't a single number but your overall heart risk, which your GP can assess with a Heart Health Check.

What is cholesterol, and why does it matter?

Cholesterol is a fatty substance your body needs — but too much of the "bad" type (LDL) can build up in your arteries over time, raising your risk of heart attack and stroke. There's also a "good" type (HDL) that helps clear it away. High cholesterol itself doesn't make you feel unwell, which is exactly why it's worth checking rather than waiting for symptoms.

How do I know if mine is high?

A simple blood test measures your cholesterol and related fats. In Australia, adults are generally encouraged to have a Heart Health Check from age 45 (or from 30 for Aboriginal and Torres Strait Islander people), and earlier if you have risk factors such as a family history of heart disease, diabetes, high blood pressure or smoking. Your GP can arrange the test and explain what your results mean for you.

What actually lowers cholesterol

  • Eat for your heart. Less saturated and trans fat; more vegetables, wholegrains, legumes, nuts and oily fish. A dietitian can tailor this to your tastes and culture.
  • Move regularly. Aim for most days — activity nudges your cholesterol and blood pressure in the right direction.
  • Keep a healthy weight, and if you smoke, quitting is one of the most powerful things you can do for your heart.
  • Medication when needed. If your overall risk is high, your GP may recommend a statin or other medicine — these are well-established and effective.
It's not about chasing one perfect number — it's about lowering your overall risk of heart attack and stroke.

It's about your whole heart risk

Cholesterol is one piece of the puzzle. Your GP looks at the whole picture — blood pressure, blood sugar, smoking, weight, family history and age — to estimate your risk and decide what will help most. Two people with the same cholesterol number can need quite different plans, and that's completely normal.

Due for a heart health check?

A simple visit can tell you where you stand. Book with our GPs — online, seven days a week.

Book an appointment

How Sirius Health can help

Our GPs can do your Heart Health Check, explain your results clearly, and work with our dietitians on a plan that fits your life — all under one roof, and in English, Cantonese, Mandarin or Vietnamese.

Sources: healthdirect — High cholesterol; Heart Foundation (Australia).

This article is general information only and was reviewed by the GPs at Sirius Health. It isn't a substitute for personal medical advice — please see your doctor about your own heart health.
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