From the Research
High HDL cholesterol is generally considered beneficial and doesn't typically require treatment to lower it, but if HDL levels are extremely high or causing symptoms, the focus should be on addressing underlying causes rather than directly treating the HDL itself. Recommendations for managing high HDL cholesterol include:
- Identifying and treating any underlying conditions such as thyroid disorders, liver disease, or genetic factors 1
- Modifying lifestyle factors:
- Reducing alcohol consumption
- Maintaining a healthy weight
- Engaging in regular physical activity
- Quitting smoking if applicable There are no specific medications designed to lower HDL cholesterol, and management focuses on overall cardiovascular health and addressing any associated health issues 2. If HDL levels are causing concern, regular monitoring and follow-up with a healthcare provider is recommended, and they may order additional tests to assess overall lipid profile and cardiovascular risk 3. The goal is to prioritize morbidity, mortality, and quality of life outcomes, and current evidence suggests that high HDL cholesterol is not typically a direct health concern, but extremely high levels might indicate an underlying problem that needs attention 4, 5.