For most people, elevated LDL can be reduced through dietary adjustments, exercise, and taking medications such as atorvastatin as prescribed by a doctor. However, in very few cases where the above treatments are ineffective, blood filtration may be required to lower blood lipids.

Elevated LDL is also a type of hyperlipidemia, and individuals with this condition have an increased risk of cardiovascular and cerebrovascular diseases. Therefore, lipid-lowering treatment is necessary. The following methods can be used to lower blood lipids:

1. Dietary management involves consuming a light diet, reducing intake of fried foods, animal organs, cream-based products, fatty meat, barbecue, hot pot, etc.; increasing consumption of leafy green vegetables such as celery, spinach, leaf lettuce, cucumber, bitter melon, etc.; and combining refined and whole grains in staple foods, with options like buckwheat, quinoa, and brown rice for whole grains. Aim for 70% fullness per meal and avoid overeating.

2. Appropriate exercise primarily involves aerobic activities such as running, swimming, ball games, dancing, cycling, etc. Each effective exercise session should last at least 30 minutes, with a frequency of at least 3–4 times per week. Exercise helps reduce body weight and lower body fat percentage.

3. If the effects of diet and exercise are insufficient, medication can be used to lower low-density lipoprotein (LDL). Options include statins that inhibit cholesterol absorption, such as atorvastatin calcium, rosuvastatin, and pitavastatin; ezetimibe, which inhibits cholesterol absorption; and PCSK9 inhibitors that prevent the degradation of LDL receptors. If a single medication is ineffective, combination therapy may be considered.

4. If the above methods are ineffective in lowering blood lipids, plasma exchange or hemofiltration may be necessary in severe cases, though these are only used in a small number of critical situations.

Patients are advised to seek medical attention promptly and receive standardized treatment under the guidance of a doctor. They should not self-administer medication blindly.