Appointment Helpline
Cholesterol disorders often develop quietly and are frequently discovered during routine health checks. Many people are surprised to learn that cholesterol levels can remain high even with a balanced diet and regular exercise. In such situations, careful medical evaluation is important to identify genetic factors, metabolic conditions, or other underlying causes. At Manipal Hospitals, our Cholesterol Management Clinic in India, Bangalore, provides detailed assessment and long-term monitoring for people with persistent lipid abnormalities, familial hypercholesterolemia, mixed dyslipidaemia, and elevated triglycerides. Our approach combines precise medical therapy with personalised lifestyle interventions to lower cardiovascular risk, protect your arteries, and support your long-term health.
At Manipal Hospitals, we focus on accurate diagnosis, risk stratification, and long-term lipid control so patients receive care that prevents events and preserves quality of life. Our team includes lipid specialists, cardiologists, endocrinologists, clinical pharmacists, dietitians, and exercise physiologists who plan care together. We combine guideline-driven drug therapy with lifestyle programmes and advanced options for treatment-resistant cases. You can trust us for specialist cholesterol care because of:
Structured risk assessment, including Framingham and ASCVD scoring, plus coronary calcium, where needed
Advanced lipid testing, including lipoprotein(a), apolipoprotein B, and particle analysis for personalised treatment plans
Access to non-statin options such as PCSK9 inhibitor therapy and bile acid sequestrants when indicated
LDL apheresis and speciality infusion support for homozygous familial hypercholesterolemia or refractory disease
Dietetic-led medical nutrition therapy, supervised exercise prescriptions, and long-term adherence clinics
High cholesterol is not a single condition; it can manifest in different ways and stem from various underlying factors. Our clinic specialises in identifying the root cause to provide targeted, effective care. We assess and manage:
Familial Hypercholesterolemia: An inherited genetic disorder that causes dangerously high LDL (bad) cholesterol levels from birth, significantly increasing the risk of early heart attacks. It requires aggressive and specialised management.
Polygenic Hypercholesterolemia: The most common form, resulting from the cumulative effect of multiple small genetic variations combined with lifestyle factors like diet and physical activity.
Mixed Dyslipidaemia: A pattern often seen in metabolic syndrome or diabetes, characterised by high triglycerides and low HDL (good) cholesterol, along with elevated LDL. This combination is particularly harmful for heart health.
Secondary Hyperlipidaemia: High cholesterol caused by another medical condition, such as an underactive thyroid (hypothyroidism), kidney disease, liver disorders, or as a side effect of certain medications.
Elevated Lipoprotein(a): A lesser-known, genetically determined type of cholesterol-like particle that is an independent risk factor for heart disease and requires specific risk assessment and management strategies.
The challenge with high cholesterol is that it is a silent condition. Most people feel perfectly fine until a significant blockage has formed. This is why screening is so critical. However, extremely high levels, especially in genetic forms, can sometimes show physical signs:
Xanthomas: Fatty, yellowish deposits of cholesterol that can appear as bumps under the skin, often on the elbows, knees, buttocks, or around the tendons of the hands and feet.
Xanthelasma: Small, yellow patches of cholesterol just under the skin, typically on or around the eyelids.
Arcus Cornealis: A pale white or grey ring around the coloured part of your eye (the cornea), sometimes indicating high cholesterol, especially in people under 40.
Chest Pain or Discomfort: If cholesterol has built up significantly in the coronary arteries, it can lead to angina, experienced as chest tightness or pain during exertion.
Leg Cramping or Numbness: Peripheral artery disease, caused by cholesterol plaques in the leg arteries, can lead to pain, cramping, or weakness in the legs during activity.
Effective High cholesterol treatment in India is tailored to your risk profile and the cause of the abnormal lipids. Treatment begins followed by accurate diagnosis through cardiovascular risk assessment, lipid testing, and advanced cardiac imaging.
Especially, CT Coronary Calcium Scoring, a quick, non-invasive scan, can help detect early calcium deposits in the coronary arteries even before symptoms develop. It helps doctors identify hidden plaque build-up and estimate a person’s future risk of coronary artery disease.
Our treatment plan typically combines proven medicines with practical lifestyle changes:
Precision medication plans: Statins remain the cornerstone, but we choose the specific drug and dose based on your LDL level, tolerance, age, and comorbidities. When required, we add ezetimibe, fibrates, or other agents in combination to achieve targets.
Advanced therapies for genetic or resistant cases: For familial hypercholesterolemia or statin-intolerant patients, we provide access to newer injectable agents such as PCSK9 inhibitors and discuss options like bempedoic acid or bile acid sequestrants as appropriate.
Integrated lifestyle and nutrition counselling: Medicines work best alongside a cholesterol-lowering dietary plan. Our dietitians help build realistic, heart-healthy menus that fit your tastes and daily life rather than imposing restrictive rules.
Addressing secondary causes: We always screen for and treat contributing conditions, hypothyroidism, poorly controlled diabetes, kidney or liver disease, because correcting these often improves lipid levels.
Comprehensive cardiovascular risk assessment: Cholesterol is one part of the picture. We consider blood pressure, smoking status, family history, and diabetes to decide how aggressively to treat and to set target LDL goals.
Our high cholesterol clinic in India provides a complete spectrum of services, from initial screening to advanced therapeutic management. You will benefit from:
Detailed lipid profiling and cardiovascular risk assessment to understand your complete cholesterol picture, including LDL, HDL, triglycerides, and advanced markers when needed.
Genetic counselling and testing for individuals with a strong family history of very high cholesterol or early heart disease.
Advanced cardiac imaging, including coronary calcium scoring and carotid intima-media thickness tests, for comprehensive risk assessment.
Specialist consultation for familial hypercholesterolemia, including diagnosis, family screening advice, and management with conventional and advanced therapies.
Management of complex or statin-intolerant cases with alternative medications like ezetimibe, bile acid sequestrants, and PCSK9 inhibitors.
Personalised nutrition and lifestyle counselling with dietitians who specialise in heart-healthy eating patterns, including plant-based options and therapeutic lifestyle changes.
Coordinated care for secondary causes, working closely with our endocrinology team to address underlying conditions like hypothyroidism or diabetes.
