When it comes to cholesterol, there’s a lot of confusion out there. Between internet advice, diet trends, and old health myths that never seem to go away, it can be hard to know what’s true. September is Cholesterol Education Month, making it the perfect time to clear up some of the most common cholesterol myths.

Myth #1: All cholesterol is bad
Fact: Not all cholesterol is harmful. Your body actually needs cholesterol to build cells, produce hormones, and support digestion. The key is balance. There are two main types:

• LDL (low-density lipoprotein): Often called “bad” cholesterol because it can lead to plaque buildup in your arteries.
• HDL (high-density lipoprotein): Known as “good” cholesterol because it helps carry LDL away from the arteries.

Myth #2: If you feel healthy, you don’t need to worry about cholesterol
Fact: High cholesterol usually has no symptoms, which is why it’s often called a silent risk factor. The only way to know your numbers is through a simple blood test. Even if you feel well, unchecked cholesterol can increase your risk of heart disease and stroke.

Myth #3: Only older adults need to watch their cholesterol
Fact: Cholesterol problems can affect anyone, even young adults and children. Lifestyle, genetics, and diet all play a role. Starting healthy habits early—like staying active, eating a balanced diet, and not smoking—can make a big difference in lifelong heart health.

Myth #4: If you eat foods with cholesterol, your cholesterol will skyrocket
Fact: Dietary cholesterol (from foods like eggs or shellfish) doesn’t affect blood cholesterol levels as much as once thought. The bigger culprits are saturated fats, trans fats, and highly processed foods, which can raise LDL cholesterol. Moderation and balance are key.

Myth #5: Medication is the only way to lower cholesterol
Fact: While medication can be very important for some people, lifestyle changes often play a huge role, too. Eating more fiber, staying physically active, maintaining a healthy weight, and quitting smoking can all help improve cholesterol levels. For some, combining lifestyle changes with medication is the most effective path.

The Bottom Line
Cholesterol doesn’t have to be confusing. Knowing the facts—and separating them from myths—can help you take control of your heart health. Talk with your primary care provider about getting your cholesterol checked and making a plan that works for you. Your heart will thank you!