What Should I Do About High Cholesterol If My Cardiovascular Risk Is Low?

Key Information

  • Your cholesterol is a little higher than recommended, but your overall risk of heart attack or stroke is still low.
  • Medication is not needed at present; the focus is on lifestyle changes.
  • Aim to improve your diet, be active for about 30 minutes five times a week, and reduce other cardiovascular risks such as smoking and excess alcohol.
  • Your blood test will be checked again next year.

What Changes Can Help Lower Cholesterol?

  • Swap foods high in saturated fat and sugar for options such as lean meat, oily fish, nuts, seeds and olive oil.
  • Eat more fibre-rich foods such as oats, beans, lentils, vegetables and fruit.
  • Aim for about 30 minutes of activity that makes you warmer and breathe a little faster, five times a week. A brisk walk is suitable.
  • If you drink alcohol, cutting back can help. If you smoke, stopping is especially important for your heart and general health.

Do I Need Medication?

No medication is needed at present because your overall cardiovascular risk remains low.

What Happens Next?

  • Work on small, sustainable lifestyle changes.
  • Your cholesterol blood test will be repeated next year.
  • Contact the practice if you have further questions or would like support, including help to stop smoking.

Further Information

For more information, please use the link below.

Read more about lowering cholesterol

Last reviewed: 2 September 2026
Next review due: 2 September 2029