Hyperlipidemia is defined as abnormality in either your cholesterol or triglycerides (fat). High cholesterol, or hypercholesterolemia, occurs when you have elevated levels of cholesterol in your blood. Cholesterol is a waxy substance that’s essential for building cells but can lead to health issues when levels are too high. Low-Density Lipoprotein (LDL) is referred to as "bad" cholesterol, high levels of LDL can lead to plaque buildup in arteries, increasing the risk of heart disease and stroke. High-Density Lipoprotein (HDL) is known as "good" cholesterol, HDL helps remove other forms of cholesterol from the bloodstream. Higher levels are generally better. Most common causes of high cholesterol are genetics, diet, lack of exercise, age. High cholesterol typically doesn’t cause symptoms, which is why regular blood tests are important. Severe cases can lead to conditions like atherosclerosis, heart attacks, or strokes. Triglycerides also contribute to heart disease and atherosclerosis when levels are high. Diagnosis of hyperlipidemia is established by a lipid panel ordered typically as part of your annual wellness checkup. Treatment is aimed at lifestyle changes (diet, exercise, weight management, avoiding smoking and alcohol).  If your levels are elevated and lifestyle changes have failed at improving these levels your doctor may prescribe medications to treat these, such as statin.  Omega3 (fish oil, flaxseed oil) are good over the counter treatment for elevated triglyceride levels and low HDL levels, but they typically do not help lower LCL cholesterol. Once you are diagnosed and if you are taking a statin to help lower cholesterol/triglyceride levels you will need regular bloodwork to monitor.