Lipids, blood lipids, in people’s impression, abnormal blood lipids are often equated with obesity and seem to be the patent of fat people, but in fact, it is not. In fact, there are many misconceptions about blood lipids, let’s take an inventory of what they are. Have you been hit? In people’s impression, dyslipidemia is often equated with obesity and seems to be the patent of fat people. Therefore, it is easy for those who are slim to ignore lipid screening. In fact, lipid levels are not necessarily related to body size. There are primary and secondary dyslipidemia. Primary dyslipidemia is related to the environment and genetics; secondary dyslipidemia is secondary to other diseases such as diabetes, hypertension, nephrotic syndrome, hypothyroidism, chronic obstructive liver disease, pancreatitis, etc. Therefore, people with a thin body type are not immune to dyslipidemia. Myth 2: The lower the blood lipids, the better The subtle harm of high blood lipids to blood vessels must be taken seriously, but the lower the blood lipids, the better. The incidence of tumors will increase if blood lipids are too low. Because cholesterol and triglycerides are essential nutrients, too much or too little are not good for health. Myth 3: No treatment is necessary if there are no symptoms Many patients with dyslipidemia do not have specific symptoms, so they think that it will not lead to big problems in the short term. In fact, if dyslipidemia is not controlled for a long time, it is most likely to lead to three types of diseases: heart disease, cerebrovascular disease, and kidney disease, and renal arteriosclerosis can easily lead to uremia. Myth 4: Excessive belief in health care drugs and rejection of lipid regulating drugs Many patients feel that health care products are biological agents, safe and reliable, and that there are too many adverse reactions to western drugs, so they often choose to rely on health care products such as deep-sea fish oil and spirulina to regulate their blood lipids. But this is often ineffective. In fact, lipid-regulating drugs have two roles: first, they can lower blood lipids; second, they have the role of anti-atherosclerosis and plaque stabilization. In addition, lipid regulation and lipid lowering is a long-term process, during the treatment period, in addition to adjusting the diet and increasing exercise, the increase or decrease of lipid-regulating drugs should listen to the doctor’s advice. Misconception 5: Pay more attention to triglycerides and ignore LDL cholesterol Many patients regard abnormally high triglycerides as a serious problem. Active use of statin lipid regulators to lower LDL-C is very helpful in preventing and improving the outcome of cardiovascular disease. Myth 6: Dyslipidemia is only a disease of affluence, just avoid eating. Many people think that “high blood lipid” and “abnormal cholesterol” are caused by the lifestyle of eating more and moving less, and often regard high blood lipid and abnormal cholesterol as the result of eating more and moving less. “It is often seen as a disease of affluence caused by eating too much and moving too little. In fact, abnormal cholesterol is not a simple lifestyle disease. It is not something that can be solved by simply avoiding food and exercising more, although it has some relationship with diet and exercise. There are two sources of blood lipids: one is from the digestion and absorption of the food we eat (exogenous), which accounts for 30% of total blood lipids; the other is from the synthesis in our body (endogenous), mainly by the liver, which accounts for 70% of total blood lipids. Therefore, the latest research findings and new guidelines emphasize that dietary control of exogenous lipids alone is far from sufficient. In addition, hypertension, diabetes, and smoking are important factors contributing to cholesterol deposition. Many lighter weight lean people and strict vegetarians think they will never have problems with high lipids and abnormal cholesterol, but in fact, with the above risk factors, they may have abnormal lipid metabolism, leading to atherosclerosis-related diseases. Myth 7: You can stop taking medication once your blood lipids are reduced to normal. Blood lipid abnormalities are a slow process, so the regulation of blood lipids, especially the elimination of the adverse effects of blood lipids, also requires a continuous process. Long-term use of lipid-regulating drugs can not only regulate blood lipids, but also significantly reduce the incidence, disability and mortality of coronary heart disease, myocardial infarction and stroke.