Dr Hisham Al-Janabi Clinic
Dr Hisham Al-Janabi is a consultant in cardiology, interventional cardiology and internal medicine. His clinic at Al-Kasasbeh Center in Aqaba provides cardiolog…
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High Cholesterol Treatment Doctors in Jordan
علاج ارتفاع الكولسترول
High cholesterol means an excess of fats circulating in the blood, chiefly low-density lipoprotein cholesterol, which deposits in the artery wall and narrows it slowly over years. The condition is usually silent: there is no pain and no symptom to announce it, and it is detected by a blood lipid profile. Feeling well is therefore no reassurance, and waiting for a symptom to appear is not a strategy. Treating high cholesterol is not about chasing a number on a laboratory report; it is about reducing the chance of heart attack, stroke and blocked limb arteries. The doctor therefore starts by estimating total risk: age, smoking, blood pressure, diabetes, weight and waist circumference, physical activity, kidney disease, and a family history of early cardiovascular disease. Two people with an identical number may be managed differently, one needing medication early and the other lifestyle change with monitoring; eligibility for treatment is decided by clinical assessment and risk estimation, not by the result alone. The pillars of treatment are well established: a diet lower in saturated and trans fats and richer in fibre, vegetables, whole grains, legumes and fish; regular activity on most days of the week; losing excess weight even partially; stopping smoking; controlling diabetes and blood pressure; and a lipid-lowering medicine when needed, chosen by the treating doctor. A general page does not list brand names or doses, because that is an individual medical decision which changes with the patient, liver and kidney function, and other medicines being taken. The limits deserve plain statement. Medication does not replace diet, and diet does not replace medication in someone who genuinely needs it; a high level of so-called good cholesterol does not cancel the harm of raised low-density cholesterol; and no food or herb cleans arteries or dissolves deposits that are already there. Most important of all: do not stop the medicine because the test improved. The test improved because of the medicine, and stopping it lets the lipids and the risk return silently, with no warning at all.
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Procedure steps
- 1
Blood lipid profile
Blood is drawn to measure total, low-density and high-density cholesterol and triglycerides. Blood glucose and liver, kidney and thyroid function are often requested alongside, since disturbance of these raises lipids. Fasting is not required in every case and is decided by the doctor or laboratory, and no decision is based on a single borderline result or one taken during acute illness.
- 2
Cardiovascular risk estimation
The doctor combines the result with age, smoking, blood pressure, diabetes, weight and family history, examines the heart and limb pulses, and asks about chest pain or leg pain on walking. This risk estimate, not the number in isolation, determines how intensively to treat and whether medication is needed; imaging or an electrocardiogram may be added when symptoms are present.
- 3
Looking for a secondary cause
Before committing to long-term therapy, secondary causes of raised lipids are excluded: an underactive thyroid, poorly controlled diabetes, liver and kidney disease, alcohol, and certain medicines. Severe inherited hyperlipidaemia, which starts at a young age and warrants screening of family members, is also considered, because its management differs from diet-related elevation.
- 4
Lifestyle plan
A practical diet and activity plan replaces generic advice: swapping saturated fats, cutting fried food, pastries, sweets and sugary drinks, increasing fibre, vegetables, legumes and fish, a realistic weight-loss target, and graded physical activity suited to the patient's joints and capacity. Stopping smoking is handled as a core part of the plan, not a passing remark.
- 5
Medication and monitoring
When needed, a lipid-lowering medicine is prescribed by the doctor, with a clear explanation that it is long-term risk reduction rather than a temporary course. The lipid profile is repeated after an interval set by the doctor to measure response, and symptoms such as severe muscle pain are monitored. Any change or discontinuation follows a medical decision after review, never a personal initiative once the numbers look better.
Before the procedure
Ask the laboratory or your doctor whether your test requires fasting, and if so avoid food and sweetened drinks for the stated period while drinking water freely. Do not change your diet abruptly in the two days before the test, because the result should reflect your usual state. Tell the doctor about all your medicines and supplements, including anything bought without a prescription, about any thyroid, liver or kidney disease, about pregnancy or plans for it, and about alcohol intake if any. Bring older lipid results if you have them, since the trend over time matters more than a single reading. Write down your family history as well: who had a heart attack or stroke and at what age, because this single fact can change how intensively the plan is set.
After the procedure
Treat the plan as a permanent way of living rather than a short campaign: stay with the diet and activity even after the numbers improve, keep diabetes and blood pressure controlled, and avoid tobacco completely, including second-hand smoke. Repeat the lipid profile only at the interval your doctor sets, and avoid unnecessary extra testing. **Do not stop your cholesterol medicine or reduce its dose yourself when the test improves, because the improvement is the result of the medicine.** If a side effect troubles you, see your doctor to adjust the plan rather than stopping quietly. **Call emergency services immediately for chest pain or pressure or pain spreading to the arm or jaw, sudden breathlessness, weakness, numbness or drooping on one side of the face or body, slurred speech or sudden loss of vision, or a severely painful, cold and pale leg.** Seek prompt review for unusual severe muscle pain or dark urine during treatment.
Expected duration
Drawing blood for a lipid profile takes minutes, and the result is usually available the same or the next day. The risk-assessment and planning visit normally lasts 20 to 40 minutes. The effect of any dietary or medication change is judged by repeating the profile after 6 to 12 weeks, after which review is spaced to every 3 to 12 months depending on stability and clinical judgement.
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