People with family members who have had a stroke or heart attack before age 50. Laboratory test to measure blood cholesterol levels. Smoking increases the risk. When these are insufficient, medications may be prescribed. The diet changes and life-style modifications do not mean you have to give up all the good things you enjoy.
Moderation is important.
Consult your doctor about recommendations for a cessation program. Diet restrictions need to be continued, even if you are taking these medications. Consult your doctor before beginning an exercise program if you have high cholesterol levels and other risk-factors for heart disease. Read food labels carefully. A product may have no cholesterol but still be high in fat content.