Whether lipid 4.32mmol/L needs to take lipid-lowering drugs should be assessed for cardiovascular risk, risk assessment is performed, and if high risk patients are recommended to keep their lipid levels within a tighter range. Blood lipids include triglycerides, total cholesterol, LDL and HDL. Total cholesterol level of 4.32mmol/L is within the normal range and does not require oral medication if there is no cardiovascular risk; triglyceride and LDL levels of up to 4.32mmol/L are markedly elevated and may be treated with lipid-lowering drug interventions. Patients with elevated lipids should undergo routine cardiovascular disease risk assessment, which includes whether smoking, obesity, blood glucose level, blood pressure level, family history of early onset cardiovascular disease, etc. Patients at high risk need routine oral medication to lower lipids to keep them at a lower level, such as atorvastatin and resuvastatin. Patients with a lipid level of 4.32 mmol/L should have a comprehensive assessment of their condition, understand the specific lipid level and cardiovascular disease risk, and make a clear decision on the need for oral drug therapy, which should be applied under the guidance of a physician.