Familial homozygous hypercholesterolemia is a genetic condition characterized by extremely high levels of LDL cholesterol. This inherited disorder can lead to severe cardiovascular issues at an early age, making early diagnosis and management crucial to mitigate health risks.

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Familial Homozygous Hypercholesterolemia FAQ


What causes familial homozygous high cholesterol?

This condition is caused by genetic mutations that lead to a deficiency in the liver's ability to remove LDL cholesterol from the blood.

How do I know if I have this condition?

A blood test can reveal high cholesterol levels, and genetic testing can confirm familial homozygous hypercholesterolemia.

What are the symptoms?

Many people with this condition may not show symptoms initially, but they can develop early signs of heart disease.

Can it be treated?

Yes, treatment typically involves medications, lifestyle changes, and sometimes LDL apheresis to reduce cholesterol levels.

Yes, a heart-healthy diet low in saturated fats and cholesterol is often recommended to help manage cholesterol levels.

What medications are commonly prescribed?

Medications like statins, PCSK9 inhibitors, and lomitapide are often prescribed to help manage cholesterol.

Is familial homozygous high cholesterol common?

It is rare, occurring in approximately 1 in 1 million people, making awareness and diagnosis critical.

Can family members also be affected?

Yes, because it is a genetic disorder, family members may also carry the genetic mutations.

How often should cholesterol levels be checked?

Individuals with this condition should have their cholesterol levels checked regularly, often every 3-6 months.

What is the prognosis?

With proper treatment and management, individuals can significantly reduce the risk of cardiovascular complications.

Are there support groups for this condition?

Yes, various organizations offer support and resources for individuals and families affected by familial hypercholesterolemia.

Is exercise beneficial for managing high cholesterol?

Yes, regular physical activity can help improve cholesterol levels and overall heart health.

Can I prevent this condition?

While you cannot prevent the genetic factors, early diagnosis and lifestyle adjustments can help manage cholesterol levels.

What role does genetics play in this condition?

Genetics plays a significant role; this condition is inherited and affects cholesterol metabolism.

Is there ongoing research for treatments?

Yes, researchers are constantly exploring new treatments and therapies for managing familial hypercholesterolemia.

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Information provided by Dr. Nithya Priya Raju. Reviewed by Dr. Mohamed El Khouly