
High cholesterol is a common but serious cardiovascular condition that affects millions of Americans. Cholesterol, a waxy substance produced by the liver, intestines, and nearly all tissues in the body, plays essential roles in hormone production, vitamin D synthesis, and the creation of bile acids needed to digest fats. It also helps protect cell membranes from temperature changes.
While your body needs cholesterol to function properly, too much of it—particularly “bad” LDL cholesterol—can accumulate in your arteries, restricting blood flow and significantly increasing your risk of heart attack, stroke, and other complications. The good news is that high cholesterol often responds well to lifestyle modifications and, when necessary, medication.
At Prima Medicine, board-certified internist Dr. Chethana Rao and her experienced team provide comprehensive cholesterol management for patients throughout Fairfax, South Riding, Merrifield, and Tysons, Virginia. As part of Privia Medical Group, our practice combines advanced diagnostic testing with personalized treatment plans designed to lower your cholesterol levels and protect your long-term cardiovascular health.
Understanding Your Cholesterol Numbers
A comprehensive lipid panel measures different types of cholesterol in your blood. Understanding these numbers is crucial for assessing your cardiovascular risk:
Your total cholesterol test combines all these measurements to provide an overall picture of your cardiovascular risk. At Prima Medicine, we use these results along with other health factors to create your personalized treatment strategy.
Risk Factors for High Cholesterol
Several factors can increase your likelihood of developing high cholesterol:
- Poor diet high in saturated fats and trans fats
- Lack of regular physical activity
- Obesity or being overweight
- Smoking and tobacco use
- High blood pressure
- Diabetes or prediabetes
- Family history of high cholesterol or heart disease
- Age (risk increases with age)
Treatment Options for High Cholesterol
At Prima Medicine, we develop individualized treatment plans based on your specific cholesterol levels, overall health, and cardiovascular risk factors. Treatment typically includes:
Lifestyle Modifications
A heart-healthy diet low in saturated fats, regular exercise, weight management, and smoking cessation can significantly improve cholesterol levels. For some patients, these changes alone may be sufficient to achieve target cholesterol goals.
Medications
When lifestyle changes aren’t enough, several effective medications are available, including:
- Statins to reduce LDL cholesterol production
- Bile acid sequestrants to eliminate cholesterol through bile acids
- Cholesterol absorption inhibitors
- PCSK9 inhibitors for patients who need additional LDL reduction
- Fibrates to lower triglycerides
- Niacin to raise HDL and lower LDL levels
Dr. Rao carefully evaluates potential benefits and side effects to recommend the safest, most effective treatment for your situation.
Why Choose Prima Medicine
Cardiovascular risk—not one lab value—drives the plan. High cholesterol treatment is a risk decision, not simply a response to one flagged result. Age, blood pressure, diabetes, smoking, family history, and prior cardiovascular disease change the recommendation.
Treatment decisions based on total cardiovascular risk—not one number. Prima Medicine considers the lipid results alongside age, blood pressure, diabetes, kidney disease, smoking, family history, medication tolerance, and prior cardiovascular disease. Treatment intensity is based on total risk—not a reflex response to one LDL value.
Cholesterol decisions connected to blood pressure, diabetes, and family history. Prima Medicine can manage high cholesterol alongside blood pressure, diabetes, weight, kidney health, lifestyle, family history, and medication tolerance. The followup plan can therefore address both cholesterol reduction and the other factors that determine heart and stroke risk.
Frequently Asked Questions
Schedule Your Cholesterol Screening Today
Early detection and management of high cholesterol can dramatically reduce your risk of serious cardiovascular complications. Prima Medicine serves patients in Fairfax, South Riding, Merrifield, and Tysons, VA. Call (703) 870-3750 or book online to schedule your comprehensive cholesterol evaluation and take control of your heart health today.









































