What medicine should I take for hyperlipidemia?

Written by Tang Zhuo
Endocrinology
Updated on February 13, 2025
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In clinical practice, the basic tests for blood lipids include total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. When hyperlipidemia is diagnosed, the first approach is to implement comprehensive treatment measures, starting with therapeutic lifestyle changes, which are fundamental and primary measures for controlling abnormal blood lipids. Medication should be used when necessary, strictly according to indications, and with careful monitoring of adverse drug reactions. The main categories of lipid-lowering drugs include: first, statins, such as atorvastatin, rosuvastatin, pravastatin, simvastatin, and pitavastatin; second, fibrates, such as fenofibrate and bezafibrate; third, niacin; and fourth, bile acid sequestrants. (The use of these drugs should be under the guidance of a doctor.)

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Written by Li Hui Zhi
Endocrinology
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How to test for hyperlipidemia?

First, we can take a blood test to check our cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein levels. Second, we can also have a carotid ultrasound to look at the condition of the blood vessels, to see if there is high blood lipid levels, if it has affected the blood vessels, if there is arteriosclerosis, and if plaques have formed. If the diagnosis confirms these conditions, it is advised to control the diet and eat lightly. If diet control is insufficient, then it may be necessary to go to the hospital and choose lipid-lowering medication under the advice of a doctor.

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Written by Zhang Yue Mei
Cardiology
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What medicine should I take to lower blood lipids for hyperlipidemia?

Hyperlipidemia is currently a common and frequently occurring disease in clinical practice. Persistent elevation of blood lipids can cause certain damage to the body. Currently, there are many lipid-modifying and lipid-lowering medications used clinically, including statin-based Western medicines, as well as some traditional Chinese patent medicines. Additionally, some herbal teas and herbal decoctions can also be used to achieve the purpose of lowering lipids. The choice of medication should be made under the guidance of a doctor. Apart from using medication, it is also important to pay attention to dietary adjustments, adopting a diet low in fat, salt, and oil, while also increasing physical exercise and reducing weight.

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Written by Luo Juan
Endocrinology
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What fruits to eat for hyperlipidemia?

First, in adjusting the dietary structure for blood lipids, it is generally necessary to increase the intake of high-fiber foods. This is because it can increase the excretion of cholesterol in the intestines, reduce the absorption of cholesterol, and enhance the clearance of low-density lipoprotein, as well as reduce the synthesis of lipoproteins. Therefore, it can lower plasma cholesterol, especially the levels of low-density lipoprotein. Fruits contain abundant plant fibers, so it is advisable to consume a moderate amount of these fresh fruits in the diet. Of course, some cases of hyperlipidemia are related to obesity. Thus, for some high-calorie fruits such as grapes and watermelon, it is advised to limit their consumption. For example, consuming fruits like apples, cherries, and strawberries, which have relatively lower sugar content, might be better. Generally, all fruits can be eaten with hyperlipidemia, but the intake of fruits with high sugar content should be appropriately limited.

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Written by Zhang Yue Mei
Cardiology
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What is good to eat for hyperlipidemia usually?

Patients with hypertension need to routinely use lipid-regulating drugs under the guidance of a doctor. Additionally, dietary adjustments are necessary. It is advisable to minimize consumption of foods high in cholesterol, such as fatty meats, offal, and fried foods. Instead, patients should eat foods rich in vitamins, dietary fiber, and minerals, such as fruits and vegetables, along with foods that are lower in calories and cholesterol, such as soy products, oatmeal, yogurt, sea cucumber, lean beef, lean pork, lean lamb, carrots, onions, cabbage, radishes, and hawthorn.

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Written by Zhang Yue Mei
Cardiology
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Can people with hyperlipidemia eat shrimp?

People with high blood lipids can eat shrimp, but they should eat it in moderation and not in large quantities. Eating shrimp often and in small amounts can supplement the body with high-quality proteins, minerals, and trace elements. Shrimp also contains substances that can enhance the body's immunity, thereby increasing the body's resistance. The diet of people with high blood lipids should primarily consist of low-fat, low-salt, and low-sugar foods. They should avoid fried foods and foods high in fat and cholesterol, eat more vegetables and fruits to prevent an increase in blood lipids, reduce arteriosclerosis, and prevent cardiovascular and cerebrovascular diseases.