When people talk about “good cholesterol,” they’re talking about high-density lipoproteins (HDL)—the kind of cholesterol that works positively in your bloodstream.

HDL, low-density lipoproteins (LDL), triglycerides, and Lp(a) cholesterol make up your total cholesterol count, the magic number your doctor might be telling you to lower. In that count, HDL cholesterol is the kind you want in higher numbers.

Why Is It Good?

Because cholesterol can’t dissolve in the blood, it relies on lipoproteins to transport it to and from cells. Good cholesterol is responsible for sweeping the artery-clogging bad cholesterol out of the bloodstream and taking it to the liver, adrenals, ovaries, and testes. In essence, HDL cholesterol is the “good cholesterol” because it removes bad cholesterol from the body. Because of this, HDL cholesterol is responsible for reducing the hardening of the arteries, which lowers your risk of heart attack or heart disease.

Research has also found that having a low HDL level increases your chances of memory loss and dementia.

What the Numbers Mean

In a healthy person, 30 percent of the blood is made up of good cholesterol. The American Heart Association recommends a HDL level higher than 60 mg/dL. An HLD level less than 40 for men and less than 50 for women is considered dangerous.

How to Raise Good Cholesterol

Good cholesterol can be raised in many ways, including:

  • limiting alcohol intake
  • decreasing caloric intake
  • avoiding foods high in trans fats acid and LDL cholesterol
  • losing weight
  • quitting smoking
  • exercising
  • adding soluble fiber and omega-3 fatty acids to your diet
Read Video Transcript »

Doctor’s Whiteboard: “High Cholesterol 101”

Cholesterol, and its role in the body, is one of the most misunderstood topics in the world of healthcare. You’ve likely read or watched numerous news reports about the dangers of cholesterol in your diet and how it can lead to heart disease. But that’s far from the whole story.

Cholesterol is a crucial building block of every cell in your body. It’s so important that your liver actually produces most of the cholesterol that you’ll ever need, regardless of your diet.

There are two main types of cholesterol. LDL, or low-density, cholesterol particles are a combination of fat and protein that travel through your bloodstream and deliver cholesterol to the tissues that need it, such as nerve cells. HDL, or high-density, cholesterol particles contain a much higher ratio of protein to fat, and their function is to scour the bloodstream, vacuuming up excess bits of cholesterol and returning those to the liver. HDL also helps keep the blood vessels and arteries clear, and that’s why it’s often referred to as “good” cholesterol.

Cholesterol can become dangerous when your body has too much LDL or “bad” cholesterol. These fatty particles can accumulate inside of blood vessels and form clogs, or plaques, which can lead to a heart attack.

For many people, it’s possible to control cholesterol levels by making changes to their diet, like avoiding saturated fats, and getting more exercise. However, since the liver produces roughly 75 percent of a person’s total cholesterol, lifestyle changes are not always effective. 

One of the key medications to treat high cholesterol is a class of drugs called statins. Statins work to block the production of cholesterol in the liver and have been shown to bring down LDL levels, boost HDL levels, and lower the risk of developing heart disease.

Statins, like any medication, have side effects and may interact with treatments for related conditions. People who are taking other medications, such as blood thinners, may be at risk for developing drug interaction side effects. Many medications are metabolized, or broken down, in the liver. For some people with elevated cholesterol, it sometimes makes sense to use a statin that breaks down outside of the liver where there is less of a chance for dangerous side effects.

The good news about cholesterol is that through a combination of diet, exercise, and working with your doctor, it’s possible to dramatically reduce your risk of heart disease. If you’d like to learn more about treating high cholesterol, take a look at the information we have here at Healthline or make an appointment with your doctor.