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Heart health

High cholesterol dietitian

High cholesterol usually has no symptoms and is found on a blood test. Our dietitians help you swap saturated fat for unsaturated fat and eat for heart health.

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Understanding the condition

Cholesterol is a type of fat made by your body and found in some foods. Too much LDL, the so called bad cholesterol, can build up in artery walls and raise the risk of heart attack and stroke.1 It usually causes no symptoms and is found through a blood test, so checks matter, especially from age 45, from 30 for Aboriginal and Torres Strait Islander people, or if heart disease or high cholesterol runs in your family.1 Learn the warning signs of a heart attack, which need a call to 000.4

The Heart Foundation recommends an eating pattern rich in vegetables, fruit, wholegrains, legumes, fish, nuts and seeds, with saturated fat replaced by unsaturated fats such as olive oil, nuts and oily fish.2 Soluble fibre from oats, beans and vegetables, and foods fortified with plant sterols, can also help lower LDL cholesterol.1,2 Food changes work alongside, not instead of, prescribed lipid-lowering medicines such as statins, which are recommended when your overall cardiovascular risk is higher.1,3 Never stop a medicine without talking to your doctor.

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High cholesterol dietitian

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • High cholesterol usually has no symptoms and is found through a blood test
  • A family history of high cholesterol or early heart disease raises the chance of it
  • Higher risk with age, with Healthdirect advising checks from age 45, or from 30 for Aboriginal and Torres Strait Islander people
  • Lumps of fat visible under the skin can occur in an inherited form called familial hypercholesterolaemia
  • Often found with high blood pressure, diabetes or excess weight, so your overall heart risk is assessed together
  • Red flag: call 000 straight away for heart attack warning signs such as chest pain, arm, shoulder, neck, jaw or back pain, shortness of breath, or feeling sick, sweaty or dizzy.

How our team helps

  • Assessment of what you eat, your blood results, your medicines and your family and medical history
  • A personalised heart healthy eating plan that replaces saturated fat with unsaturated fat and adds fibre, fish, legumes, nuts and wholegrains
  • Label reading and shopping skills, including spreads, oils, snacks and plant sterol foods
  • Cooking demonstrations that show healthier fats in everyday family meals
  • Support to use your diet alongside any prescribed lipid-lowering medicine, never as a replacement
  • Review appointments, with coordination with your GP, pharmacist, diabetes educator and exercise physiologist

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Dietitian
Dietitian
Allied health team
Dietitian
Personalised nutrition advice from Accredited Practising Dietitians to help manage blood glucose levels, weight management and overall nutritional health.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Pharmacy
Pharmacy
Allied health team
Pharmacy
On-site pharmacy services providing expert medication management, diabetes supplies, and health consultations.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our care follows the Heart Foundation dietary fat position statement and the 2023 Australian guideline for assessing and managing cardiovascular disease risk.

  1. Healthdirect Australia. Cholesterol, what to do if your cholesterol is too high. Sydney: Healthdirect Australia; reviewed April 2026.
  2. National Heart Foundation of Australia. Dietary fat & heart healthy eating: dietary position statement. Melbourne: Heart Foundation; 2019.
  3. Nelson MR, et al. 2023 Australian guideline for assessing and managing cardiovascular disease risk. Med J Aust. 2024;220(9).
  4. National Heart Foundation of Australia. Heart attack warning signs. Melbourne: Heart Foundation; updated 2026.
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Common questions

Can I stop my statin if I change my diet?
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No. Healthy eating works alongside prescribed cholesterol medicines, not instead of them. Never stop or change a statin without talking to your doctor. We work with your GP and pharmacist so your eating plan supports your treatment.

Which fats should I swap?
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Aim to replace saturated fat, from fatty meats, butter, baked goods and fried foods, with unsaturated fats such as olive oil, nuts, seeds, avocado and oily fish. We help you make swaps that suit your cooking and tastes.

Do plant sterol spreads and foods work?
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Foods fortified with plant sterols, around 2 to 3 grams a day, can help lower LDL cholesterol as an addition to healthy eating and medicines. We help you work out whether they suit you and fit your budget.

Will changing what I eat lower my cholesterol?
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Changing what you eat can help lower LDL cholesterol, but responses differ and we cannot promise a particular result. Your GP will repeat blood tests to see how things are going, and we adjust your plan from there.

Do I need a referral to see a dietitian for high cholesterol?
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No referral is needed for private appointments. A Medicare rebate needs a GP Chronic Condition Management Plan and a GP referral, and applies to up to five eligible allied health services a calendar year. Private health extras, NDIS or DVA funding may also apply, so ask us when you book.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.