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Cholesterol

Cholesterol is a soft, fat-like, waxy substance found primarily in the bloodstream. It's an important part of a healthy body because it's used for producing cell membranes and some hormones, and serves other needed bodily functions. But too much cholesterol in the blood is a major risk for coronary heart disease, which leads to heart attack. It's also a risk factor for stroke.

You get cholesterol in two ways. Your body makes some of it, and the rest comes from cholesterol in animal products that you eat, such as meats, poultry, fish, eggs, butter, cheese and whole milk. Food from plants — like fruits, vegetables and cereals — doesn't have cholesterol. Some foods that don't contain animal products may contain trans fats, which cause your body to make more cholesterol. Foods with saturated fats also cause the body to make more cholesterol.

Cholesterol and other fats can't dissolve in the blood. They have to be transported to and from the cells by special carriers called lipoproteins. There are two kinds that you need to know about. Low-density lipoprotein, or LDL, is known as the "bad" cholesterol. Too much LDL cholesterol can clog your arteries, increasing your risk of heart attack and stroke. High-density lipoprotein, or HDL, is known as the "good" cholesterol. Your body makes HDL cholesterol for your protection. It carries cholesterol away from your arteries. Studies suggest that high levels of HDL cholesterol reduce your risk of heart attack.

The National Cholesterol Education Program classifies total cholesterol levels as follows:

                                  • Less than 200 - desirable,
                                  • Between 200 and 239 - borderline high,
                                  • Over 240 - High.

                                    HDL levels:
                                  • Below 40 – low
                                  • 40 to 60 – mid range
                                  • Above 60 – high

                                    LDL levels:
                                  • Below 100 – optimal
                                  • 100-129 - near optimal/above optimal
                                  • 130-159 - border line high
                                  • 160-189 - high
                                  • 190 or above – very high