Cholesterol is a waxy fat-like substance essential for cell membranes, hormone production, and vitamin D synthesis. The story is more nuanced than "high cholesterol is bad."
Types of cholesterol:
- LDL (low-density lipoprotein) — "bad" cholesterol. Carries cholesterol to tissues. High LDL = higher cardiovascular risk.
- HDL (high-density lipoprotein) — "good" cholesterol. Removes cholesterol from arteries. High HDL = protective.
- Triglycerides — blood fats. High levels increase cardiovascular risk.
- VLDL — carries triglycerides. Associated with metabolic syndrome.
Dietary cholesterol vs. blood cholesterol: Dietary cholesterol has less impact on blood cholesterol than saturated and trans fats. The egg controversy has largely been resolved — moderate egg consumption is fine for most people.
What raises LDL: Saturated fat, trans fat, excess calories, genetics (familial hypercholesterolemia).
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