2026年的“降脂计划”做好了吗？吃素吃药都不管用怎么办？看这篇就够了

Core Viewpoint - Abnormal blood lipids are a major risk factor for cardiovascular diseases, and controlling blood lipids is particularly important during high-incidence seasons for these diseases [3] Group 1: Misconceptions about Blood Lipid Control - Many patients believe that dietary changes alone can significantly lower cholesterol levels, but cholesterol in the blood is primarily produced internally, with only 20% to 30% coming from dietary sources [6][7] - The body's cholesterol production is largely determined by genetics, and some individuals may have a high internal production rate regardless of dietary restrictions [6][7] Group 2: Underlying Causes of High Blood Lipids - High blood lipids can be a symptom of other underlying conditions, such as hypothyroidism, which can slow metabolism and reduce cholesterol clearance [9][10] - Other endocrine disorders, like diabetes and Cushing's syndrome, can also lead to abnormal lipid levels, indicating the need for comprehensive evaluation rather than solely relying on medication [10] Group 3: Treatment Options and Guidelines - Statins are the cornerstone of treatment for cardiovascular diseases, effectively lowering "bad cholesterol" and stabilizing atherosclerotic plaques [12] - For patients with specific genetic backgrounds or those who do not respond adequately to statins, advanced treatments like PCSK9 inhibitors and high-purity prescription-grade Omega-3 fatty acids are available [12][13] - Current medical guidelines recommend different LDL cholesterol targets based on individual risk factors, emphasizing the importance of a balanced approach to cholesterol management rather than aiming for excessively low levels [13]