Hair Shedding and Thinning: Causes and What to Do

Person checking hair shedding and scalp changes while holding a comb

 Hair Shedding and Thinning: How to Understand the Cause and What to Do Next

Finding more hair than usual on your pillow, comb, shower floor, or clothing can be unsettling. The natural reaction is often to search for an oil, supplement, shampoo, or home remedy that will stop the problem quickly.

But hair loss is not one condition, and increased shedding does not automatically mean that the hair follicles are permanently being damaged.

The more useful first question is:

Am I mainly experiencing increased shedding, hair breakage, gradual thinning, or a distinct area of hair loss?

That distinction matters because the causes and appropriate next steps can be very different. Hair may shed temporarily after illness, major stress, childbirth, significant weight loss, or another physical trigger. Other patterns may be related to hereditary hair loss, hormonal or thyroid conditions, nutritional problems, scalp disorders, medications, autoimmune disease, or inflammation.

The American Academy of Dermatology (AAD) notes that identifying the cause is central to deciding whether hair can regrow on its own or whether treatment is needed.

Hair Shedding, Thinning, and Breakage Are Not the Same Thing

The number of hairs you notice falling out does not tell the whole story.

People normally shed hair every day. The NHS notes that losing roughly 50–100 hairs a day can be normal, although the amount varies between individuals.

The more useful clues are changes in the overall pattern.

Increased shedding

You may notice substantially more loose hairs than usual during washing, brushing, or throughout the day.

This can occur after an illness, high fever, major stress, surgery, childbirth, substantial weight loss, or nutritional problems. In some cases, the trigger occurred several months before the shedding became obvious.

Gradual thinning

The number of loose hairs may not seem dramatic, but the hair gradually appears less dense.

A widening part, a thinner ponytail, increasing scalp visibility, or a slowly receding hairline can be more important than counting individual hairs.

Hair breakage

Broken hairs are different from hairs that have naturally completed their growth cycle.

Frequent heat styling, chemical processing, aggressive brushing, friction, or tension can damage the hair shaft. The result may be shorter broken hairs, split ends, frizz, or reduced apparent thickness.

Changing hair-care practices can reduce further damage, but that does not necessarily treat a condition affecting the hair follicle itself. AAD guidance specifically recommends gentler hair care to reduce damage.

Patchy hair loss

A clearly defined bald or thinning area deserves more attention than generalized shedding.

Patchy loss can occur with conditions such as alopecia areata or scalp infections. Some inflammatory conditions can also cause permanent follicle damage if treatment is delayed.

Look Back Before Looking for a Remedy

One of the most useful things you can do is review what happened during the previous several months.

Ask yourself:

  • Did I have a significant illness or high fever?

  • Did I undergo surgery?

  • Did I recently give birth?

  • Did I experience substantial emotional or physical stress?

  • Did I lose weight quickly?

  • Did I begin a restrictive diet?

  • Did I have a major change in eating habits?

  • Did I start, stop, or change a medication?

  • Have I developed scalp itching, scaling, pain, redness, or tenderness?

  • Has the hairline, part, or overall density changed gradually?

This timeline can provide useful clues.

For example, AAD guidance notes that increased shedding can appear a few months after childbirth, illness, an operation, or a significant stressful event. When the trigger resolves, excessive shedding may eventually stop, although visible recovery takes longer.

This delayed relationship is one reason people sometimes assume that the most recent shampoo, oil, or food is responsible when the relevant trigger happened much earlier.

What You Can Safely Change at Home

Home care is most useful when its goal is realistic:

protect the hair you have and remove avoidable sources of damage.

It should not be presented as a universal treatment for hair loss.

Reduce repeated pulling

Tight ponytails, buns, braids, extensions, and other styles that repeatedly pull on the scalp can contribute to traction alopecia.

If a hairstyle causes scalp pain, tenderness, or a persistent pulling sensation, it is worth changing the style.

Continued traction can cause permanent follicle damage in some cases, so early changes are preferable to waiting until visible thinning becomes severe.

Be gentler when washing and detangling

Hair can be more vulnerable to breakage when wet.

Avoid forceful brushing, aggressive towel rubbing, and pulling through knots. AAD hair-care guidance recommends minimizing unnecessary handling and using gentler styling practices.

There is no need to avoid washing the scalp simply because hair is shedding. The goal is appropriate scalp hygiene without unnecessary mechanical damage.

Reduce cumulative heat and chemical damage

Frequent straightening, curling, bleaching, relaxing, perming, and high heat can weaken the hair shaft.

You do not necessarily have to eliminate every styling practice. Instead, reduce repeated damage where possible and avoid combining several harsh treatments unnecessarily.

This can make the hair less fragile and reduce breakage, but it should not be confused with treatment for hereditary or inflammatory hair loss.

Nutrition Matters—but More Is Not Automatically Better

Hair production requires adequate energy and nutrients.

Severe calorie restriction, restrictive diets, and deficiencies involving nutrients such as iron, protein or zinc can contribute to hair loss in some people. The appropriate response, however, is not to take a large collection of supplements without knowing whether a deficiency exists.

A practical eating pattern includes adequate protein and a varied selection of nutrient-rich foods.

Depending on your diet, this may include:

  • Eggs

  • Fish or other protein-rich foods

  • Milk, yogurt, or suitable alternatives

  • Lentils and beans

  • Soy foods

  • Nuts and seeds

  • Vegetables and fruits

  • Whole grains

  • Meat or poultry, if eaten

The goal is nutritional adequacy rather than a particular “hair-growth food.”

Be cautious with hair supplements

Biotin is one of the most heavily promoted supplements for hair.

However, NIH's Office of Dietary Supplements states that biotin deficiency is rare and that evidence supporting biotin supplements for improving hair in people without deficiency is limited. High amounts of supplemental biotin can also interfere with certain laboratory tests, including some hormone tests.

That means more biotin is not automatically better.

The same principle applies to other vitamins and minerals. A supplement may be appropriate when a healthcare professional identifies a deficiency or another specific reason for supplementation. Taking multiple high-dose products simply because hair is shedding can create unnecessary risks.

If you are taking biotin or a “hair, skin and nails” supplement, tell your healthcare professional before laboratory testing.

What About Hair Oils?

Hair oils can have a useful cosmetic role, but they should be judged by what they can realistically do.

Coconut oil

Coconut oil may help condition and protect the hair shaft and may reduce some forms of hair-fiber damage.

That makes it more relevant to hair quality and breakage than to conditions in which follicles are shrinking, inflamed, infected, or otherwise affected.

If you enjoy using coconut oil and your scalp tolerates it, a small amount can be part of a cosmetic hair-care routine.

It should not, however, be presented as a universal treatment for hair loss.

Scalp massage and vigorous rubbing

A gentle application of a hair product is very different from aggressively massaging a shedding scalp.

If rubbing causes tenderness, irritation, scratching, or additional breakage, stop.

The objective should be to protect the scalp and hair—not to mechanically force new growth.

What About Onion Juice and Other Traditional Remedies?

Onion juice is often promoted as a general natural treatment for hair loss.

There is a small older clinical study investigating topical onion juice for patchy alopecia areata, and the results were reported as positive. However, that study does not establish onion juice as a treatment for every form of hair loss.

That distinction is important.

Evidence from one particular condition should not automatically be transferred to:

  • hereditary pattern hair loss

  • temporary stress-related shedding

  • thyroid-related hair loss

  • nutritional hair loss

  • scalp infection

  • traction-related hair loss

  • inflammatory or scarring alopecia

The same principle applies to other popular ingredients such as amla, fenugreek, aloe vera, and green tea.

They may have traditional or cosmetic uses, but traditional use is not equivalent to clinical proof of hair regrowth.

If a topical product causes burning, itching, redness, scaling, or worsening symptoms, discontinue it.

Stress Can Matter—but It Is Not a Diagnosis

Major physical or psychological stress can contribute to temporary shedding.

That does not mean that every episode of hair loss is “stress-related.”

Genetics, hormonal conditions, nutritional problems, medications, scalp disease, autoimmune conditions, and other causes can produce hair loss as well.

Stress management is therefore best considered part of general health rather than a replacement for investigating persistent hair loss.

Reasonable habits include regular physical activity, adequate sleep, relaxation practices, and maintaining a sustainable daily routine.

But if the hair loss is continuing, progressive, patchy, or accompanied by scalp symptoms, managing stress alone is not enough.

When the Pattern Suggests You Should Seek Medical Advice

It is reasonable to simplify your hair-care routine while observing a mild change.

However, some patterns should prompt professional assessment.

Consider seeing a doctor or dermatologist if you have:

  • Sudden or unusually severe hair loss

  • A clearly defined bald patch

  • Rapidly progressive thinning

  • A widening part that continues to worsen

  • A receding hairline that is progressing

  • Loss of eyebrows or eyelashes along with scalp hair loss

  • Scalp pain or tenderness

  • Significant redness or inflammation

  • Persistent scaling or crusting

  • Signs suggesting a scalp infection

  • Hair loss accompanied by other unexplained symptoms

  • Hair loss that remains concerning or unexplained

The NHS recommends seeking medical advice when hair loss is worrying, particularly because determining the cause is important before pursuing commercial hair-loss treatments.

Some forms of inflammatory or scarring alopecia can permanently destroy follicles. This is one reason persistent unusual hair loss should not be managed indefinitely with home remedies alone.

What a Healthcare Professional May Look For

A proper assessment is not simply a matter of counting shed hairs.

A clinician may look at:

  • Where the hair is thinning

  • Whether the loss is diffuse or patchy

  • The appearance of individual hairs

  • Hair density

  • The scalp surface

  • Signs of inflammation

  • Broken hairs

  • Changes around the hairline

  • Eyebrow or eyelash involvement

Your medical history is equally important.

You may be asked about recent illness, fever, pregnancy or childbirth, weight changes, diet, medications, family history, stress, hair-care practices, and the timing of the shedding.

Depending on the pattern and other symptoms, a clinician may decide whether laboratory testing or other investigations are appropriate.

Testing should be guided by the clinical situation rather than automatically ordering every possible vitamin or hormone test.

Treatment Depends on the Cause

This is the most important reason to avoid treating every type of hair loss as though it were the same condition.

If the problem is mainly hair-shaft damage, reducing heat, chemical exposure, friction, and tension may help prevent further breakage.

If temporary shedding followed an illness, major stressor, childbirth, or substantial weight change, identifying the trigger and allowing the hair cycle to recover may be more important than adding topical remedies.

If nutritional deficiency is involved, correcting the deficiency is more relevant than taking a general “hair-growth” supplement.

If the pattern is hereditary hair loss, evidence-based medical treatments may be considered. For example, AAD guidance identifies minoxidil as an established treatment option for some forms of pattern hair loss, although treatment choice depends on the individual and diagnosis.

If there is an inflammatory, infectious, autoimmune, or scarring condition, the appropriate treatment is different again.

In other words:

The same symptom can require completely different management depending on its cause.

Why “Stop Hair Fall Immediately” Is an Unreliable Goal

Hair growth follows a biological cycle. A trigger that occurred months earlier may only become visible as increased shedding later, and restoring visible density takes time.

For temporary stressor-related shedding, AAD information indicates that normal fullness may take around six to nine months to return after excessive shedding stops, although individual recovery varies.

Other types of hair loss behave differently.

Therefore, claims such as:

  • “Stop hair fall in 7 days”

  • “Regrow hair in 30 days”

  • “One oil will reverse hair loss”

  • “This food permanently stops hair fall”

should be treated cautiously.

A more useful goal is to determine what type of hair loss is occurring and whether anything needs to be corrected or treated.

A Simple Way to Think About Your Next Step

If you are unsure what to do, work through these questions:

1. Am I mainly seeing loose hairs, or is my hair visibly becoming thinner?

If it is mostly increased shedding, think about recent triggers.

2. Am I seeing broken hairs or damaged ends?

If so, examine heat, chemical treatments, tension, brushing, and other forms of mechanical damage.

3. Is the loss occurring in a specific pattern?

A widening part, receding hairline, crown thinning, or bald patch can point toward a different category of hair loss.

4. Does my scalp look or feel abnormal?

Pain, redness, inflammation, scaling, crusting, or tenderness increases the importance of professional assessment.

5. Have I recently changed my diet, weight, medication, or health status?

These details can provide important clues.

6. Am I taking supplements simply because I am worried?

Before starting high-dose products, consider whether there is an actual nutritional reason for them.

7. Is the problem continuing or getting worse?

Persistent progression is a reason to move beyond home experimentation.

Key Takeaways

  • Hair shedding, hair breakage, gradual thinning, and patchy hair loss are different problems.

  • A recent illness, major stressor, childbirth, significant weight loss, restrictive diet, medication change, or other event can sometimes help explain increased shedding.

  • Gentle washing, conditioning, reduced heat, less chemical processing, and avoiding tight hairstyles can help reduce avoidable hair damage.

  • Hair-care improvements protect the hair shaft; they do not treat every condition affecting the follicle.

  • A balanced diet with adequate energy and protein is more useful than taking multiple unneeded hair supplements.

  • Biotin deficiency is uncommon, and high-dose biotin can interfere with some laboratory tests.

  • Onion juice and other traditional remedies should not be presented as universal treatments for hair loss; evidence may apply only to particular conditions and remains limited.

  • Sudden, patchy, rapidly progressive, painful, inflamed, or otherwise unusual hair loss deserves professional assessment.

  • The appropriate treatment depends on the cause.

  • There is no reliable universal method for stopping hair loss immediately.

Medical Disclaimer

This article provides general educational information and is not a substitute for individual medical diagnosis or treatment. Hair loss can have many causes, and the appropriate evaluation depends on the pattern, duration, medical history, medications, nutrition, and scalp findings.

If hair loss is sudden, patchy, rapidly progressive, painful, inflamed, persistent, or otherwise concerning, consult a qualified healthcare professional or dermatologist. Do not stop a prescribed medication because you suspect it may be contributing to hair loss; discuss the concern with the clinician who prescribed it.

For readers with ongoing or unexplained hair loss, professional assessment is more appropriate than relying on repeated home remedies or supplements.

Related Articles: 

Hair shedding can have many different causes, so identifying the underlying pattern is important before trying home remedies. For additional information, see our guide on reducing hair fall and supporting hair growth.

Some people use household ingredients as part of their hair-care routine, although cosmetic care should not be confused with treatment for an underlying hair-loss disorder. You can also read our article about egg white and lemon for hair care.

Nutrition can be relevant when hair shedding is associated with a nutrient deficiency. For food-based sources of iron, see our article on iron-rich seeds.

External Resources: 

Because hair loss can result from different conditions, professional diagnosis can help identify the appropriate treatment. See the American Academy of Dermatology guide to hair-loss diagnosis and treatment for an evidence-based overview.

Hair loss may be associated with factors such as hereditary pattern hair loss, thyroid problems, certain medicines, stress and nutritional problems. For an overview of causes and treatment options, see the MedlinePlus information on hair loss.

Seasonal Respiratory Health: Practical Prevention Tips

Seasonal respiratory health practices including ventilation, hydration and everyday infection prevention

Seasonal Respiratory Health: Practical Ways to Reduce Infection Risk

Seasonal changes can alter the health risks people face, but they do not automatically make the immune system “weak.”

What changes from one season to another is the combination of temperature, humidity, air quality, indoor crowding, ventilation, allergens, water and food conditions, insect exposure, daily routines and circulation of infectious organisms.

For that reason, staying healthy through the year is not about finding one “immunity-boosting” food, drink or herbal remedy. A more useful approach is to identify the risks that become more important in a particular season and adjust everyday habits accordingly.

For respiratory illnesses, practical measures include good ventilation, hand and cough hygiene, staying home when sick, appropriate vaccination, and reducing exposure to crowded or poorly ventilated environments when risk is elevated.

In India, seasonal priorities can also change. Hot weather makes heat exposure and dehydration more important, while monsoon conditions can increase concerns about contaminated food or water, mosquitoes and damp environments. Cooler periods may require greater attention to respiratory exposure, particularly in crowded indoor settings.

The goal is not to eliminate every risk. It is to reduce the risks that can reasonably be reduced.

Seasonal changes do not simply “lower immunity”

The immune system is a complex network that protects the body against infections and other threats. Its normal function depends on many interacting factors, including nutrition, sleep, age, underlying health conditions and previous exposure or vaccination.

But becoming sick does not necessarily mean that someone has a “weak immune system.”

A healthy person can still catch influenza, COVID-19, a common cold or another respiratory infection after exposure to an infectious organism.

Similarly, fatigue, an occasional cold or a change in digestion should not automatically be interpreted as evidence of an immune disorder.

A more useful question is:

What exposure or environmental condition has changed, and what practical action can reduce the risk?

That change in perspective helps prevent unnecessary reliance on supplements and so-called immune boosters.

Why respiratory illness can seem seasonal

Respiratory infections can occur at any time of year. However, the conditions that influence transmission and exposure can change with the season.

People may spend more time indoors during some periods. Windows may be kept closed because of heat, cold or air pollution. Crowded workplaces, schools, public transport and households can increase opportunities for close contact.

Air circulation also matters. WHO guidance identifies ventilation as one component of a broader package of measures used to reduce respiratory-virus transmission.

Therefore, the important distinction is:

Cold or changing weather does not independently create an infection. An infectious organism is responsible for the infection, while seasonal conditions can influence exposure and transmission.

This is why seasonal prevention should focus on behavior and environment rather than trying to “heat,” “cool,” or “boost” the immune system with a particular food.

Improve indoor air when respiratory infections are circulating

Indoor air deserves more attention than it usually receives in general wellness articles.

When respiratory infections are circulating, spending prolonged periods in crowded or poorly ventilated indoor spaces can increase opportunities for exposure.

Practical measures include:

  • Open windows or doors when conditions allow.

  • Create cross-ventilation when possible by opening openings on opposite sides of a room.

  • Avoid keeping a crowded indoor space completely closed for long periods when ventilation can be improved safely.

  • Pay attention to ventilation in classrooms, offices and other shared spaces.

  • If someone in the household is sick, improve airflow where practical while considering the comfort and needs of the sick person.

WHO explains that ventilation should be part of a broader prevention strategy rather than treated as a standalone solution.

Ventilation also needs to be adapted to local conditions. During extreme heat or poor outdoor air quality, simply opening every window may not be appropriate. Follow local public-health or environmental guidance when air pollution or severe weather is a concern.

What to do when someone at home becomes sick

A household member with a respiratory infection can create a different risk from simply encountering someone briefly in public.

Useful steps include:

Reduce unnecessary close contact

If possible, give the sick person some space, particularly around household members who are older, pregnant, immunocompromised or living with significant chronic conditions.

Improve airflow

Use practical ventilation measures where appropriate.

Practice respiratory hygiene

The sick person should cover coughs and sneezes with a tissue or their elbow and dispose of tissues appropriately. Hands should be cleaned regularly.

Clean frequently touched surfaces when appropriate

Routine cleaning can help maintain household hygiene, particularly when several people share commonly touched objects.

Consider masking according to the situation

A well-fitting mask can be useful in some situations involving respiratory illness, especially when someone must be around others or when a person at higher risk is exposed to a crowded or poorly ventilated environment.

Masking recommendations can vary according to the infection, local transmission, personal risk and current public-health guidance. It should therefore be considered as one part of a broader prevention approach rather than a substitute for ventilation or staying home when sick. WHO includes masks among possible protective measures for higher-risk situations.

Hand and cough hygiene still matter

Respiratory infections are not spread through one single route, and no hygiene measure provides complete protection.

Nevertheless, regular hand and respiratory hygiene remains useful.

CDC guidance recommends covering coughs and sneezes, washing or sanitizing hands, and cleaning frequently touched surfaces as core hygiene measures for reducing respiratory-virus spread.

Practical habits include:

  • Wash hands with soap and water when they are visibly dirty and at appropriate times.

  • Use an alcohol-based hand sanitizer when soap and water are unavailable.

  • Avoid touching the eyes, nose and mouth with unclean hands.

  • Cover coughs and sneezes.

  • Dispose of used tissues promptly.

  • Wash hands after caring for someone who is sick.

These measures are simple, but their value comes from consistent use rather than from doing them only during a particular season.

Vaccination is different from an “immune booster”

Vaccination and nutrition are not interchangeable.

A vaccine is designed to produce protection against a particular infectious disease. It does not attempt to make the entire immune system generally “stronger.”

Whether a person should receive a particular vaccine depends on factors such as age, health conditions, pregnancy, occupation, travel, previous vaccination and current recommendations.

For respiratory infections, vaccination may be particularly relevant to people at increased risk of severe disease. Current recommendations can change, so readers should use guidance from appropriate health authorities or discuss their individual needs with a healthcare professional.

A healthy diet or herbal drink should not be presented as a replacement for recommended vaccination.

Food and sleep support health—but they are not seasonal shields

Nutrition remains important because the immune system requires adequate nutrients to function normally.

A practical diet can include:

  • vegetables and fruits

  • pulses and other legumes

  • whole grains

  • nuts and seeds

  • eggs or other protein sources

  • dairy or suitable alternatives

  • fish, poultry or other protein foods according to dietary preference

The important idea is adequacy and variety, not searching for a single “immune-boosting” food.

Vitamin C-rich foods such as guava, citrus fruits, tomatoes and other vegetables can be part of a healthy diet. That does not mean eating one of these foods provides complete protection from infection.

Similarly, turmeric, ginger, tulsi and other traditional foods or preparations can have cultural and dietary value, but traditional use should not be confused with clinical evidence that a product prevents respiratory infections.

Sleep is also important for normal health. Regular physical activity supports cardiovascular, metabolic and mental health. These habits are worth maintaining throughout the year, but they should not be marketed as guarantees against infection.

Summer: think about heat risk first

During hot weather, the immediate concern is often not “low immunity” but heat stress, dehydration and worsening of existing health conditions.

WHO identifies excessive heat as a significant health hazard and notes that it can aggravate cardiovascular, respiratory, kidney and other conditions.

During very hot weather:

  • Reduce strenuous outdoor activity during the hottest part of the day.

  • Stay in shade or a cool environment where possible.

  • Drink fluids regularly according to your individual needs.

  • Wear light, loose-fitting clothing.

  • Pay attention to heat warnings.

  • Check on older adults, children and people living alone.

  • Be especially cautious if you have a chronic medical condition or take medicines that can affect heat tolerance or fluid balance.

Do not assume that everyone should follow exactly the same fluid intake. People with some heart, kidney or other medical conditions may require individualized advice.

Heatstroke is a medical emergency. WHO advises urgent medical attention when a person develops severe heat-related symptoms such as delirium, convulsions or loss of consciousness.

Monsoon: prevention is broader than respiratory health

Monsoon conditions can change several health risks at once.

Safe food and water practices become particularly important where contamination is a concern. Useful habits include:

  • Drink water from a reliable safe source.

  • Wash food appropriately.

  • Cook food thoroughly.

  • Avoid foods that have been exposed to contamination or have been stored improperly.

  • Separate raw and cooked foods.

  • Keep food preparation areas clean.

Mosquito protection can also become important where mosquito-borne diseases are circulating.

Reduce standing water around the home where possible, use appropriate personal protection and follow local public-health advice during outbreaks.

A fever during the monsoon should not automatically be assumed to be an ordinary viral illness. Different infections can produce overlapping symptoms, and the appropriate evaluation depends on symptoms, exposure, local disease activity and individual risk.

Cooler weather: pay attention to respiratory exposure

During cooler periods, respiratory health may become a greater practical concern in some locations.

Useful habits include:

  • Keep shared indoor spaces adequately ventilated when practical.

  • Avoid unnecessary close contact with people who are clearly unwell.

  • Wash hands regularly.

  • Cover coughs and sneezes.

  • Follow current vaccination recommendations relevant to you.

  • Stay home when you are sick rather than exposing others unnecessarily.

  • Seek medical advice if respiratory symptoms are severe, persistent or worsening.

The exact seasonal pattern differs between regions and between years, so “winter always causes respiratory infections” is too simplistic.

Who may need extra protection?

Some people are more vulnerable to severe outcomes from respiratory or heat-related illness.

Depending on the condition and circumstance, extra caution may be appropriate for:

  • older adults

  • infants and young children

  • pregnant people

  • people with significant heart or lung disease

  • people with kidney disease

  • people with diabetes or other chronic conditions

  • people with weakened immune systems

  • people taking certain medications

  • people who work outdoors during extreme heat

WHO notes that older people, infants, outdoor workers and people with chronic illnesses can be particularly vulnerable during periods of high heat.

For respiratory infections, WHO also identifies older people, pregnant women, people with weakened immune systems and people with chronic conditions as groups that may face greater risk of severe illness.

The right precautions depend on the individual's circumstances. A person in a higher-risk group should not rely on a generic wellness checklist instead of individualized medical advice.

When should respiratory symptoms be medically evaluated?

Many mild respiratory illnesses improve with time and supportive care.

However, some symptoms should not be dismissed as an ordinary seasonal illness.

Seek urgent medical attention for symptoms such as:

  • difficulty breathing or shortness of breath

  • persistent chest pain or pressure

  • confusion or inability to remain alert

  • severe weakness or unsteadiness

  • seizures

  • significant dehydration or very little urination

  • symptoms that improve and then return or become substantially worse

These are among the emergency warning signs identified by CDC for respiratory-virus complications.

Children can have different warning signs, including difficulty breathing, bluish lips or face, dehydration, unusual lack of alertness or other serious symptoms.

People at higher risk of severe disease should also consider contacting a healthcare professional earlier when they develop respiratory symptoms, because some illnesses have treatments that work best when started promptly.

What should you not rely on?

Seasonal health information often becomes confusing because simple preventive habits are mixed with exaggerated claims.

Be cautious of claims that:

  • one food can prevent seasonal infections

  • a herbal drink can replace vaccination

  • sweating “removes toxins” or infections

  • a detox drink can cleanse the immune system

  • high-dose vitamins are automatically better

  • every recurring cold means you have “low immunity”

  • cold weather itself directly causes infection

  • a natural product is automatically safe

  • an immune supplement can guarantee protection

The underlying problem with these claims is that they turn a complex health issue into a single solution.

A safer approach is to ask:

What risk is this recommendation supposed to reduce, and what evidence supports it?

If the answer is unclear, the recommendation deserves caution.

A practical seasonal decision checklist

Instead of following dozens of immunity tips, use a short risk-based checklist.

If respiratory infections are circulating

Ask:

  • Is the indoor space crowded?

  • Can ventilation be improved?

  • Is anyone in the household sick?

  • Is anyone present at higher risk of severe illness?

  • Am I following current vaccination recommendations?

  • Should I avoid close contact with others while I am symptomatic?

During extreme heat

Ask:

  • Can I reduce outdoor exposure during the hottest period?

  • Am I drinking appropriately for my health needs?

  • Do I have access to a cool place?

  • Is anyone in my household particularly vulnerable?

  • Could my medical condition or medication increase heat-related risk?

During monsoon conditions

Ask:

  • Is my drinking water safe?

  • Is food being stored and cooked safely?

  • Is there standing water around the home?

  • What mosquito-borne illnesses are currently relevant locally?

  • Does a fever or other symptom require medical evaluation?

When someone at home is ill

Ask:

  • Can we reduce close contact?

  • Can airflow be improved?

  • Are hand and cough hygiene measures being followed?

  • Does the sick person or anyone exposed have a higher risk of complications?

  • Are there warning signs requiring medical attention?

This approach is more useful than trying to follow a permanent list of “immunity hacks.”

Key Takeaways

  • Seasonal changes alter exposure and environmental risks; they do not automatically mean that the immune system becomes weak.

  • Respiratory prevention should focus on practical measures such as ventilation, hand and cough hygiene, staying home when sick and appropriate vaccination.

  • Crowded or poorly ventilated indoor environments can increase respiratory exposure, making ventilation an important preventive consideration.

  • Nutrition, sleep and physical activity support normal health but should not be presented as guaranteed protection from infection.

  • Summer requires particular attention to heat exposure and hydration.

  • Monsoon conditions may require greater attention to safe food, water and mosquito protection.

  • Older adults, young children, pregnant people and people with certain chronic or immune-related conditions may need additional precautions.

  • Persistent, severe or worsening symptoms should not simply be attributed to the season.

  • No single food, herb, supplement or “immune booster” can replace evidence-based prevention.

Conclusion

Staying healthy through changing seasons is not about making the immune system permanently “stronger.”

It is about recognizing that different conditions create different risks.

When respiratory infections are circulating, focus on ventilation, hygiene, staying home when sick, appropriate vaccination and sensible exposure reduction. During extreme heat, shift attention toward cooling, hydration and protection from heat stress. During monsoon conditions, pay closer attention to food, water and mosquito-related risks.

A balanced diet, adequate sleep and regular physical activity remain useful foundations throughout the year, but they should be understood as parts of overall health rather than guaranteed shields against infection.

The most useful seasonal health habit is therefore simple:

identify the current risk, choose the preventive action that addresses that risk, and seek medical care when symptoms are more serious than ordinary self-care can safely manage.

Medical Disclaimer

This article provides general health information for educational purposes. It does not diagnose illness or replace individualized medical advice, diagnosis or treatment.

Seasonal illness can have many causes, and symptoms that appear similar can sometimes require different evaluation or treatment. People who are pregnant, very young, older, immunocompromised, living with significant chronic disease or taking medicines that affect heat tolerance, fluid balance or immune function may need individualized advice.

Seek urgent medical attention for serious symptoms such as difficulty breathing, persistent chest pain or pressure, confusion, seizures, severe weakness, significant dehydration or rapidly worsening symptoms.

Vaccination recommendations, disease patterns and public-health advice can change. Follow current guidance from appropriate local health authorities and consult a qualified healthcare professional when you are unsure what applies to your circumstances.

Related Articles: 

A varied diet provides nutrients needed for normal immune function. For practical food-based ideas, see our guide to foods that support immune health.

Good nutrition is only one part of maintaining overall health during seasonal changes. Adequate sleep is also important for normal physical and immune function, so see our guide on why quality sleep matters.

If seasonal changes are accompanied by a cough or cold, supportive home measures may help with comfort, although they should not replace medical care when symptoms are severe or persistent. See our article on home approaches for cough and cold.

External Resources: 

For evidence-based information about vitamins, minerals, dietary supplements and immune function, see the NIH Office of Dietary Supplements guide to immune function.

For practical measures that can reduce the spread of respiratory infections, see the CDC guidance on hygiene and respiratory-virus prevention.

LDL vs HDL: How to Understand Your Cholesterol Report

LDL HDL and triglycerides shown on a cholesterol blood test report with a heart health illustration

LDL vs HDL: How to Read Your Cholesterol Report and Understand Heart Risk

A cholesterol report can look straightforward: total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides.

The difficult part is understanding what those numbers mean together.

LDL is often called “bad cholesterol” and HDL “good cholesterol,” but that shorthand can create the wrong impression. A high HDL result does not automatically cancel an elevated LDL result, and a single cholesterol number cannot describe your entire risk of heart attack or stroke.

A more useful approach is to look at the lipid panel as one part of a larger cardiovascular-risk assessment.

The 2026 American College of Cardiology/American Heart Association (ACC/AHA) dyslipidemia guideline places particular emphasis on LDL-C and other atherogenic lipoproteins while also incorporating triglycerides, lipoprotein(a), apolipoprotein B, blood pressure, diabetes, kidney health, smoking and other risk factors into prevention decisions.

Why “Good vs Bad Cholesterol” Is Too Simple

Cholesterol itself is not a poison. Your body needs it for cell membranes, hormone production and other biological functions.

The issue is how cholesterol is transported through the bloodstream and, particularly, how long the body is exposed to elevated levels of atherogenic lipoproteins.

LDL particles can enter artery walls and contribute to the development of atherosclerotic plaque. Over time, atherosclerosis can contribute to coronary artery disease, heart attack, ischemic stroke and peripheral artery disease.

This is why LDL-C receives so much attention in cardiovascular prevention.

HDL is biologically important as well, but a higher HDL-C number should not be interpreted as a protective shield against elevated LDL-C or other risk factors. The American Heart Association states that HDL-C is not a treatment target by itself.

So instead of asking:

“Is my HDL good enough?”

a better question is:

“What does my complete lipid profile mean in the context of my overall cardiovascular risk?”

What the Main Parts of a Lipid Panel Mean

A standard lipid panel commonly reports four measurements.

LDL cholesterol

LDL-C estimates the amount of cholesterol carried within low-density lipoproteins.

Higher LDL-C is associated with greater atherosclerotic cardiovascular risk, and LDL-C lowering is a central part of cardiovascular prevention.

HDL cholesterol

HDL-C measures cholesterol carried in high-density lipoproteins.

HDL participates in several processes involved in lipid transport. People with higher HDL-C have often been observed to have lower cardiovascular risk, but that association does not mean that deliberately increasing HDL-C necessarily prevents cardiovascular events.

For this reason, HDL is interpreted as part of the overall picture rather than treated as a standalone target.

Triglycerides

Triglycerides are another type of blood fat.

Elevated triglycerides can accompany metabolic conditions such as insulin resistance and diabetes and can contribute to the overall burden of atherogenic lipoproteins.

Very high triglyceride levels also create a separate clinical concern because the risk of pancreatitis becomes important at sufficiently high levels. The 2026 guideline gives particular attention to persistent hypertriglyceridemia.

Total cholesterol

Total cholesterol combines cholesterol carried by several lipoprotein particles.

It can be useful as part of screening, but it should not be interpreted by itself. The American Heart Association does not recommend using a single “normal” total-cholesterol number as a universal treatment target.

Why LDL Receives More Attention Than HDL

One of the most important distinctions in cholesterol education is the difference between an association and a treatment target.

Higher HDL-C has been associated with lower cardiovascular risk in many observational studies.

But that does not mean that raising HDL-C by itself will necessarily reduce heart attacks or strokes.

LDL is different. Evidence from lipid-lowering trials supports reducing LDL-related exposure as a way of reducing atherosclerotic cardiovascular events. Consequently, current guidelines use LDL-C reduction and treatment goals as important components of cardiovascular prevention.

That is why:

High HDL + high LDL is not automatically a reassuring combination.

Likewise:

Low HDL does not by itself mean that someone has cardiovascular disease.

The entire risk profile matters.

What Is Non-HDL Cholesterol?

There is another number that can make a lipid report easier to interpret: non-HDL cholesterol.

It is calculated as:

Non-HDL-C = Total cholesterol − HDL-C

Unlike LDL-C alone, non-HDL-C represents cholesterol carried in a broader group of potentially atherogenic lipoproteins.

This can be particularly useful when triglycerides are elevated or when the clinician wants another way to assess atherogenic cholesterol.

The 2026 ACC/AHA guideline has restored non-HDL-C treatment goals alongside LDL-C goals, reflecting the broader focus on atherogenic lipoproteins.

Why the Same LDL Number Does Not Mean the Same Thing for Everyone

Suppose two adults both have an LDL-C of 130 mg/dL.

That number does not automatically lead to the same clinical decision.

One person might have:

  • No known cardiovascular disease

  • Normal blood pressure

  • No diabetes

  • No smoking exposure

  • No major family history

Another might have:

  • Diabetes

  • Chronic kidney disease

  • High blood pressure

  • A strong family history of premature cardiovascular disease

  • Previously diagnosed atherosclerotic cardiovascular disease

Their overall cardiovascular risk is different.

The 2026 ACC/AHA guideline therefore uses risk assessment rather than treating LDL-C as an isolated number. For primary prevention, the guideline uses the PREVENT-ASCVD equations for adults aged 30–79 and recommends personalizing the estimated risk with additional factors when appropriate.

This is one reason it is risky to label an LDL result simply “safe” or “dangerous” without knowing the person's circumstances.

What Other Factors Can Change Cardiovascular Risk?

A lipid report is only one part of cardiovascular prevention.

Important factors can include:

  • Age

  • Blood pressure

  • Diabetes

  • Smoking

  • Kidney disease

  • Previous cardiovascular disease

  • Family history of premature cardiovascular disease

  • Triglyceride levels

  • LDL-C

  • Non-HDL-C

  • Lp(a)

  • ApoB

  • Other metabolic and clinical factors

This explains why two people with similar cholesterol results may receive different recommendations.

It also explains why improving cholesterol is valuable but should not become the only health goal.

What Is Lipoprotein(a)?

Lipoprotein(a), or Lp(a), is a genetically influenced atherogenic lipoprotein.

It is different from ordinary LDL-C and can remain elevated even when a standard lipid panel does not look particularly concerning.

The 2026 ACC/AHA guideline recommends measuring Lp(a) at least once in adulthood to identify people with increased inherited cardiovascular risk. Lifestyle changes generally have little effect on Lp(a), so discovering an elevated level can help clinicians pay closer attention to LDL-C and other modifiable risk factors.

An elevated Lp(a) does not mean that a heart attack is inevitable.

It means that an additional risk factor has been identified and should be interpreted alongside the rest of the person's cardiovascular profile.

What Is ApoB?

Apolipoprotein B (ApoB) is a protein found on several atherogenic lipoprotein particles.

Because each relevant particle carries ApoB, measuring ApoB can provide information about the number of atherogenic particles rather than simply the amount of cholesterol contained within them.

The 2026 guideline describes ApoB measurement as particularly useful in selected situations, including people with elevated triglycerides, diabetes or cardiovascular-kidney-metabolic risk, and situations in which residual lipid-related risk may not be obvious from LDL-C and non-HDL-C alone.

ApoB is therefore not a test that everyone with a cholesterol report automatically needs.

It is better viewed as an additional tool when the standard lipid panel leaves an important question unanswered.

When Is Coronary Artery Calcium Testing Considered?

A coronary artery calcium (CAC) scan is a specialized CT scan that detects calcified plaque in the coronary arteries.

It is not a routine test for every person with high cholesterol.

The 2026 ACC/AHA guideline supports selective CAC use when the result could help clarify cardiovascular risk and guide treatment decisions.

The important point is that CAC should not be ordered simply because someone wants another number.

Its usefulness depends on whether the result is likely to change a clinical decision.

What Can Raise LDL Cholesterol?

High LDL-C does not necessarily mean someone has eaten too much fatty food.

Several factors can contribute.

Genetics

Inherited conditions can produce substantially elevated LDL-C.

Familial hypercholesterolemia is one example. People with this condition may have very high LDL-C from a young age and increased cardiovascular risk.

Very high LDL therefore deserves proper evaluation rather than being automatically blamed on lifestyle.

Dietary Pattern

Diet can affect LDL-C, particularly the type of fat consumed.

Replacing foods high in saturated fat with foods containing unsaturated fats can help improve cardiovascular risk. Current AHA dietary guidance emphasizes vegetables, fruits, whole grains, healthy protein sources, minimally processed foods and unsaturated fats.

For an Indian eating pattern, practical changes may include using less butter or other high-saturated-fat ingredients when appropriate, reducing frequent deep-fried and heavily processed foods, and increasing vegetables, beans, lentils, whole grains, nuts and seeds.

The goal is not to fear all dietary fat.

The more useful question is:

What food is replacing the saturated fat?

Replacing it with unsaturated fat is different from replacing it with refined carbohydrates or highly processed foods.

Metabolic Health

Diabetes, insulin resistance, excess body weight and elevated triglycerides can occur together with an unfavorable lipid pattern.

Improving metabolic health may improve several cardiovascular risk factors, although the response of LDL-C varies between individuals.

Physical Inactivity

Regular physical activity supports cardiovascular health, blood pressure, fitness and metabolic health. It can also produce modest improvements in lipid measurements.

Exercise should therefore be viewed as part of overall cardiovascular prevention—not simply as a method for raising HDL.

Medical Conditions and Medicines

Thyroid disorders, kidney disease, diabetes and some medications can affect lipid levels.

If cholesterol rises unexpectedly or is markedly elevated, identifying a possible underlying cause can be more useful than immediately searching for a “cholesterol-lowering food.”

Practical Ways to Support a Healthier Lipid Profile

There is no single food that reliably substitutes for a heart-healthy dietary pattern.

Build meals around high-fiber foods

Soluble fiber can help lower LDL-C.

Useful foods include:

  • Oats

  • Barley

  • Beans

  • Lentils

  • Chickpeas

  • Certain fruits

  • Psyllium

NHLBI's cholesterol-lowering dietary guidance specifically emphasizes soluble fiber and plant foods as part of a cholesterol-lowering eating pattern.

Instead of asking for the “best cholesterol-lowering food,” build meals around several useful components.

For example:

Breakfast: oats with fruit and nuts

Lunch: dal or beans with vegetables and a whole-grain staple

Snack: fruit or unsalted nuts

Dinner: vegetables with lentils, beans or another appropriate protein source

The exact foods can vary according to culture, budget, preferences and medical needs.

Replace rather than simply eliminate

Reducing saturated fat is more useful when the replacement is nutritionally appropriate.

For example, replacing some butter or other saturated-fat-rich foods with unsaturated-fat sources can be more useful than simply replacing them with refined snack foods.

Stay physically active

Walking, cycling, swimming, dancing and strength training can all contribute to cardiovascular health when performed safely and consistently.

The 2026 guideline continues to place lifestyle optimization at the foundation of dyslipidemia management.

Avoid tobacco

Smoking substantially increases cardiovascular risk.

If a person smokes, stopping tobacco use addresses a much broader cardiovascular risk than trying to manipulate the HDL number with a particular food.

Manage the rest of the risk profile

A person working on cholesterol should also pay attention to:

  • Blood pressure

  • Blood glucose

  • Physical activity

  • Tobacco exposure

  • Kidney health

  • Sleep

  • Body weight when appropriate

This is why cholesterol management should be viewed as part of cardiovascular prevention rather than as an isolated nutrition project.

When Lifestyle Changes May Not Be Enough

Lifestyle measures are important, but they do not produce the same LDL reduction in everyone.

Genetics can strongly influence LDL-C.

Some people also have cardiovascular disease, diabetes, kidney disease or other conditions that increase the potential benefit of lipid-lowering medication.

The 2026 ACC/AHA guideline recommends LDL-lowering therapy in certain higher-risk primary-prevention groups, including adults aged 40–75 with diabetes, stage 3 or 4 chronic kidney disease, or HIV, regardless of LDL-C level. It also provides risk-based recommendations for other adults.

The appropriate treatment therefore depends on the person's clinical situation.

What about statins?

Statins remain an important class of LDL-lowering medicines.

For U.S. primary prevention, the USPSTF recommends initiating a statin for certain adults aged 40–75 who have at least one cardiovascular risk factor and an estimated 10-year CVD risk of 10% or greater, and selectively offering one at 7.5% to less than 10%. Those recommendations do not cover every high-risk situation, such as LDL-C above 190 mg/dL or known familial hypercholesterolemia.

The 2026 ACC/AHA guideline provides a broader and newer dyslipidemia framework, so readers should not treat the USPSTF thresholds as a universal treatment rule for every patient.

Most importantly, prescribed lipid-lowering medication should not be stopped simply because a later blood test improves.

What About Supplements?

A supplement marketed for cholesterol is not automatically equivalent to a cholesterol-lowering medication.

Some supplements have evidence of modest effects on cholesterol measurements. For example, NCCIH notes evidence for plant sterols/stanols and some other products, while emphasizing that supplements should not replace prescribed treatment.

Red yeast rice deserves particular caution

Some red yeast rice products contain monacolin K, which is chemically identical to lovastatin.

Such products can therefore have statin-like effects, side effects and drug interactions. Some products may also contain citrinin, a contaminant associated with kidney damage.

This is an important example of why:

“Natural” does not automatically mean “risk-free.”

If you are taking cholesterol medication, ask a healthcare professional before adding a cholesterol supplement.

Can Food or Herbs “Clean” Your Arteries?

No.

A food, drink or herbal product cannot be accurately described as physically scrubbing cholesterol plaque from artery walls.

A heart-healthy diet may contribute to lower cardiovascular risk. Some nutrients or supplements may modestly change lipid measurements.

Those statements are very different from claiming that a product removes arterial plaque.

Be cautious with claims such as:

  • “Clean your arteries in days”

  • “Flush cholesterol naturally”

  • “Reverse blocked arteries with one food”

  • “Natural replacement for statins”

  • “Guaranteed cholesterol cure”

The more dramatic the promise, the more important it is to look for evidence of meaningful clinical outcomes rather than simply a temporary change in a laboratory value.

When Should a Cholesterol Result Be Discussed With a Healthcare Professional?

Professional evaluation is particularly important when you have:

  • Very high LDL-C

  • Known cardiovascular disease

  • Diabetes

  • Chronic kidney disease

  • Persistently elevated triglycerides

  • A strong family history of premature cardiovascular disease

  • Suspected familial hypercholesterolemia

  • An unexpectedly abnormal lipid profile

  • Questions about starting, changing or stopping medication

The purpose of the appointment is not simply to label the cholesterol result “good” or “bad.”

Useful questions include:

  1. What is my LDL-C and non-HDL-C?

  2. How does my result fit my overall cardiovascular risk?

  3. Do I have factors that suggest inherited cholesterol risk?

  4. Would Lp(a) testing be useful if it has never been measured?

  5. Would ApoB add useful information in my situation?

  6. Would additional risk assessment, such as CAC scoring, change the treatment decision?

  7. Are there medical conditions or medicines that could be affecting my cholesterol?

  8. What LDL-C reduction or goal is appropriate for my level of risk?

  9. Are lifestyle changes sufficient, or should medication be considered?

These questions are more useful than asking only:

“How can I increase my HDL?”

When Symptoms Require Urgent Attention

High cholesterol itself usually does not produce obvious symptoms.

Do not wait for a cholesterol-related symptom before seeking care.

Seek urgent medical attention for symptoms such as:

  • New or severe chest pressure or pain

  • Sudden severe shortness of breath

  • Fainting associated with concerning symptoms

  • Sudden weakness or numbness on one side of the body

  • Sudden difficulty speaking

  • Sudden loss of vision

  • Other symptoms suggestive of a heart attack or stroke

These symptoms can have several causes and require appropriate medical assessment rather than treatment with a food or supplement.

A Simple Way to Read Your Cholesterol Report

When you receive a lipid report, use this sequence.

1. Start with LDL-C

Do not ask only whether it is “normal.”

Ask:

What LDL-C level is appropriate for my cardiovascular risk?

2. Look at non-HDL-C and triglycerides

These help provide a broader view of atherogenic lipids.

3. Look at HDL-C without overinterpreting it

A higher HDL-C does not automatically make elevated LDL-C unimportant.

4. Consider the rest of the risk profile

Think about:

  • Blood pressure

  • Diabetes

  • Smoking

  • Kidney disease

  • Age

  • Family history

  • Previous cardiovascular disease

5. Ask whether additional testing would actually change the decision

Depending on the situation, a clinician may consider Lp(a), ApoB or CAC.

Not everyone needs all three.

6. Decide what action is appropriate

The possible actions may include:

Lifestyle improvement → repeat assessment → further risk evaluation → medication when indicated

The correct sequence depends on the individual.

Key Takeaways

  • LDL-C is an important modifiable contributor to atherosclerotic cardiovascular risk.

  • HDL-C is relevant, but it is not a standalone treatment target.

  • A high HDL-C result does not automatically cancel elevated LDL-C.

  • Total cholesterol should not be interpreted by itself.

  • Non-HDL-C provides another measure of cholesterol carried by potentially atherogenic particles.

  • Triglycerides can add important information, particularly when they are persistently elevated.

  • Lp(a) is genetically influenced and the 2026 ACC/AHA guideline recommends measuring it at least once in adulthood.

  • ApoB can be useful in selected people when the standard lipid profile does not fully describe atherogenic risk.

  • The same LDL-C result can lead to different decisions depending on cardiovascular risk and medical history.

  • A heart-healthy dietary pattern is more useful than relying on one “cholesterol-lowering” food.

  • Soluble-fiber-rich foods and replacing some saturated fat with unsaturated fat can support healthier lipid levels.

  • Exercise, tobacco avoidance, blood-pressure management and diabetes management matter alongside cholesterol.

  • Supplements are not automatically safer than medicines, and some can interact with medications.

  • No food or herbal remedy can accurately be described as physically “cleaning” cholesterol plaque from arteries.

  • Cholesterol management is ultimately about reducing cardiovascular risk over time, not achieving one perfect laboratory number.

Medical Disclaimer

This article is for general educational purposes and is not a diagnosis or individualized treatment plan. Cholesterol results and cardiovascular-risk assessments need to be interpreted in the context of age, medical history, medications, family history, blood pressure, diabetes, kidney health and other factors.

Do not start, stop or change prescription medication because of information in this article. If you have a markedly abnormal cholesterol result, known cardiovascular disease, very high triglycerides, or symptoms suggesting a heart attack or stroke, seek appropriate medical care.

Guidelines can change as evidence develops. Treatment decisions should be based on current clinical guidance and an individual discussion with a qualified healthcare professional.

Related Articles: 

Understanding LDL and HDL is only one part of maintaining cardiovascular health. For a broader evidence-informed look at everyday approaches to heart health, see our guide to supporting heart health and reducing cardiovascular risk.

Cholesterol is one factor involved in cardiovascular risk, alongside blood pressure, diabetes, smoking, age, family history and other factors. For more information about cardiovascular risk and heart attacks, see our article on why heart attacks can occur and the factors involved.

Dietary fat quality is one part of an overall heart-healthy eating pattern. For more information about the potential concerns surrounding repeated use of cooking oil, see our article on reusing cooking oil and heart health.

External Resources: 

For an authoritative explanation of LDL, HDL and triglycerides and how they relate to cardiovascular risk, see the American Heart Association guide to HDL, LDL and triglycerides.

For the latest clinical guidance on evaluating and managing abnormal cholesterol and other lipid levels, see the 2026 AHA/ACC Guideline on the Management of Dyslipidemia.