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The Top 5 FM Approaches for Managing High Cholesterol

Imagine being told that the secret to a vibrant, heart-disease-free life mainly concerns lowering cholesterol. However, cholesterol levels alone don’t tell the whole story. The truth is far more intricate than you once believed. Functional Medicine (FM) breaks away from tradition, unraveling the tapestry of your unique body to gain a profound understanding of your health.  So if you yearn for effective techniques for managing high cholesterol and seize the reins of your well-being, embarking on a journey to explore the remarkable insights offered by FM is the decisive step to take.


Cholesterol is often portrayed as the primary culprit behind heart disease. Within the confines of conventional medicine, the main focus often lies in suppressing symptoms. So when faced with high cholesterol, the typical response involves prescribing statin drugs to lower it. 

Long-term usage of statins, including well-known ones like Atorvastatin and Lovastatin, is often recommended even after achieving reduced cholesterol levels. While these drugs are generally well-tolerated by most individuals, they can lead to certain side effects. These may manifest as discomfort in muscles and joints, headaches, or bouts of nausea.

It’s important to recognize that cholesterol itself is not inherently bad. In fact, it serves essential body functions, such as:

  • Producing critical hormones, including estrogen
  • Supporting brain function
  • Helping create bile in the liver
  • Absorbing fat-soluble vitamins

When cholesterol levels drop too low, it may affect these crucial functions. Low cholesterol can also impact the integrity and fluidity of cell membranes, potentially leading to cellular dysfunction. Additionally, studies have indicated a potential link between very low cholesterol and increased risk of certain health conditions, including hemorrhagic stroke, heart failure, and even mortality.

Adopting a more holistic approach can address multiple risk factors simultaneously. Hence, seeking guidance from a skilled functional medicine practitioner is paramount. Their personalized approach tailored to your individual health profile can be transformative.

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In functional medicine, we believe in taking a holistic approach that goes beyond conventional methods. Let’s dive right in and explore 5 innovative techniques that can revolutionize your approach to managing high cholesterol and improve your well-being:


Rather than merely tackling surface-level symptoms, FM addresses the underlying factors to provide personalized interventions that address the root causes. Here are 6 primary contributors to high cholesterol, providing you with valuable insights to take control of your cholesterol health: 

Metabolic dysfunction

When your metabolism is dysfunctional, it can affect how your body produces, utilizes, and clears cholesterol. This can result in imbalances, such as elevated levels of low-density lipoprotein (LDL) cholesterol, often referred to as “bad” cholesterol. 

Chronic or latent infections

An ongoing infection like H. pylori can lead to increased production of inflammatory molecules, affecting your liver’s ability to regulate cholesterol levels properly. Additionally, infections can alter the function of cells involved in cholesterol metabolism, leading to imbalances. 

Gut dysbiosis permeability

When your gut microbiome is imbalanced, it can affect the breakdown and absorption of dietary fats, including cholesterol. Also, a compromised gut lining can leak toxins and undigested particles into your bloodstream, triggering an inflammatory response that can impact cholesterol regulation. 

Poor thyroid function

When your thyroid is underactive, it can slow down your metabolism, causing a decrease in the breakdown and clearance of cholesterol. An underactive thyroid can also reduce the production of enzymes involved in cholesterol metabolism, leading to higher cholesterol levels. 


Environmental toxins, especially heavy metals, and mold, can contribute to high cholesterol by interfering with various biological processes in your body. These toxins can also trigger oxidative stress and inflammation, further impacting cholesterol regulation. 


Certain genetic variations can affect cholesterol production, metabolism, and clearance, leading to imbalances. But fear not –- FM emphasizes that understanding your genetic profile allows personalized interventions to manage cholesterol effectively. 

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Specialty labs in FM provide testing options that go beyond standard cholesterol panels. This allows for a more comprehensive evaluation of your cholesterol profile and the underlying factors contributing to imbalances. These include:

Advanced Lipid Panel

An advanced lipid panel is a specialized blood test that measures your total cholesterol, LDL (bad) cholesterol, and HDL (good) cholesterol. It also provides insights into your triglyceride levels and various lipoproteins subclasses and identifies specific lipid abnormalities. 

Apo B Test

Apo B is a protein that helps transport cholesterol in the bloodstream. Measuring Apo B levels can provide a more accurate assessment of cholesterol-related risks than traditional cholesterol testing. Higher levels of Apo B are associated with an increased risk of heart disease, making it an important marker to evaluate in assessing your cholesterol profile.

Cholesterol Balance Test 

The Cholesterol Balance Test examines the HDL cholesterol ratio to LDL cholesterol. This test helps determine if your cholesterol balance is within the optimal range. A favorable balance is crucial for maintaining cardiovascular health, as it indicates effective cholesterol metabolism and reduced risk of plaque formation.

Lp(a) Test 

Lp(a) is a specific type of lipoprotein that has been linked to an increased risk of cardiovascular disease. Testing Lp(a) levels can provide valuable information about your genetic predisposition to high cholesterol and cardiovascular risk, allowing for targeted interventions to mitigate potential complications.

Oxidized LDL 

Oxidized LDL refers to low-density lipoprotein (LDL) particles that have undergone a chemical reaction called oxidation. This process makes the LDL particles more harmful and prone to contributing to the development of atherosclerosis (hardening of the arteries). While oxidized LDL itself is not used to treat high cholesterol, its measurement can provide valuable information about cardiovascular risk. 

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The right supplements can help in treating high cholesterol by providing additional support to your body’s natural mechanisms for cholesterol regulation. Some examples are:

  • Omega-3 fatty acids
  • Fiber
  • Green tea extract
  • Berberine
  • Red yeast rice
  • Niacin
  • Bergamot extract
  • Artichoke leaf extract

It’s important to note that natural supplements should be used under the guidance of a qualified practitioner and in conjunction with other lifestyle modifications for optimal cholesterol management.


A personalized diet plan crafted by an FM practitioner takes into account your specific needs and focuses on optimizing nutrition to manage cholesterol levels. This may involve reducing the consumption of saturated and trans fats found in processed foods, fried foods, and high-fat dairy products. Instead, the diet plan may require increasing fiber intake through whole grains, fruits, and vegetables.

In addition, a diet plan may consider other factors such as food sensitivities, allergies, and individual preferences. It may also include specific recommendations for portion sizes, meal timings, and cooking methods to support optimal cholesterol management and overall well-being.


Addressing modifiable factors that can contribute to elevated cholesterol levels and cardiovascular risk is also essential. Regular physical activity is a crucial component, as it helps increase good cholesterol levels. Engaging in activities such as walking or jogging for at least 30 minutes a day can positively impact cholesterol management. 

Prioritizing sufficient and quality sleep, aiming for around 7-9 hours per night, can also support cholesterol management efforts.  Incorporating good sleep hygiene practices, such as maintaining a consistent sleep schedule and creating a conducive sleep environment, can contribute to better sleep quality and enhance the benefits of lifestyle interventions for high cholesterol.

The Bottom Line

When managing high cholesterol levels, it’s crucial to seek an all-inclusive approach that goes beyond simply reducing cholesterol numbers. Consult a functional medicine practitioner who can provide further insights by conducting specialized tests and developing a tailored plan that addresses your specific needs. You deserve comprehensive care! Reach out now, and together we can make a difference.