11 doctors weighed in:
How to reduce LDL without statins?
11 doctors weighed in

Dr. Douglas Fronzaglia
Internal Medicine - Geriatrics
4 doctors agree
In brief: Diet and weight loss
Most people have elevated LDL cholesterol (bad cholesterol) due to overeating, underexercising and being overweight.
Reducing your calorie intake to less than 2000 calories/day and introducing more fruits and vegatables into your diet will lead to weight loss and a subsequent correction of you cholesterol panel. Adding exercise wil also help to increase your good cholesterol.

In brief: Diet and weight loss
Most people have elevated LDL cholesterol (bad cholesterol) due to overeating, underexercising and being overweight.
Reducing your calorie intake to less than 2000 calories/day and introducing more fruits and vegatables into your diet will lead to weight loss and a subsequent correction of you cholesterol panel. Adding exercise wil also help to increase your good cholesterol.
Dr. Douglas Fronzaglia
Dr. Douglas Fronzaglia
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1 comment
Dr. Bernard Seif
Also, you can take Red Yeast Rice capsules. It is a natural statin and theoretically possible to get side effects but I've only seen them in one or two of the dozens of folks I have on RYR. It's in Chinese food so you've probably eaten it. RYR reduces LDL and thus the overall statin total.
Dr. Dean Giannone
Internal Medicine
3 doctors agree
In brief: Follow the following
Exercise most days of the week (aerobic work), eat fruits and vegetables liberally, limit saturated fats, increase fish and fish oil intake, have fiber with each meal, keep your weight in check, don't smoke at all or drink excessively (one or two drinks weekly).
The lower the better on LDL and the higher the better on HDL. You have to eat, just keep it healthy and you'll be fine.

In brief: Follow the following
Exercise most days of the week (aerobic work), eat fruits and vegetables liberally, limit saturated fats, increase fish and fish oil intake, have fiber with each meal, keep your weight in check, don't smoke at all or drink excessively (one or two drinks weekly).
The lower the better on LDL and the higher the better on HDL. You have to eat, just keep it healthy and you'll be fine.
Dr. Dean Giannone
Dr. Dean Giannone
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Dr. William Cromwell
Clinical Lipidology
In brief: Find and Fix Causes
The first step is to determine if the LDL is elevated due to an acquired medical condition.
If treatable conditions are identified i would manage those and start diet, exercise and lifestyle modifications. Soluble fiber and plant stanols can be used to lower ldl. If non-statin medications are needed options include agents to decrease gut cholesterol absorption (ezetimibe, colesevelam) and niacin.

In brief: Find and Fix Causes
The first step is to determine if the LDL is elevated due to an acquired medical condition.
If treatable conditions are identified i would manage those and start diet, exercise and lifestyle modifications. Soluble fiber and plant stanols can be used to lower ldl. If non-statin medications are needed options include agents to decrease gut cholesterol absorption (ezetimibe, colesevelam) and niacin.
Dr. William Cromwell
Dr. William Cromwell
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Dr. Milton Alvis Jr
Preventive Medicine
In brief: Avoid Sugar ↓ Weight
The psck9 inhibitors, in development, have been the most powerful way so far; statin cholesterol production inhibitors next most powerful (& all human trials strongly favorable).
However food choices & body fat, especially visceral fat, & exercise also important. Despite dietary fats long being promoted as the culprit, foods high in sugar/carbs are the worst for increasing ldl, see: nusi.Org.

In brief: Avoid Sugar ↓ Weight
The psck9 inhibitors, in development, have been the most powerful way so far; statin cholesterol production inhibitors next most powerful (& all human trials strongly favorable).
However food choices & body fat, especially visceral fat, & exercise also important. Despite dietary fats long being promoted as the culprit, foods high in sugar/carbs are the worst for increasing ldl, see: nusi.Org.
Dr. Milton Alvis Jr
Dr. Milton Alvis Jr
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1 comment
Dr. Milton Alvis Jr
I strongly disagree with D. Giannone. He is offering the long promoted and repeatedly dis-proven idea that saturated fats increased LDL particles concentrations. Actually it is food carbs, all carbs, promptly converted by the liver into triglyceride fats for storage, which drive ↑es in LDL particle concentrations. LDL-C has never the correct issue & is routinely misleading.
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