Published on Feb 26, 2025
Cholesterol is a waxy, fat-like substance that plays a vital role in our bodies. We need cholesterol to build healthy cells, produce hormones, and aid digestion. In fact, our liver makes all the cholesterol we need, so we don’t actually have to consume extra through our diet. The trouble starts when we have too much of the wrong kind of cholesterol. There are two main types often talked about: LDL (low-density lipoprotein) often called “bad” cholesterol, and HDL (high-density lipoprotein) or “good” cholesterol. High levels of LDL can lead to fatty deposits in your arteries, narrowing them and increasing the risk of heart disease. On the other hand, HDL helps remove excess cholesterol from the bloodstream.
Having high cholesterol usually doesn’t cause any symptoms on its own, so many people don’t realize their levels are elevated until a blood test. Yet its impact on health is serious. High LDL cholesterol and triglycerides (another blood fat) have been linked to a higher chance of coronary heart disease. Over time, excess cholesterol contributes to atherosclerosis – a hardening and clogging of arteries that can trigger heart attacks or strokes. Heart disease remains the leading cause of death in Australia (responsible for about one in every ten deaths), so managing cholesterol is crucial for protecting your heart. It’s also an extremely common issue – around 8.5 million Australian adults have abnormal blood cholesterol levels. The good news is that by taking action to control your cholesterol, you can significantly reduce your risk and improve your health.
In this article, we’ll explain how cholesterol-lowering medications (like Atorvastatin, Fluvastatin, or combination pills such as Ezetimibe + Simvastatin) work to keep your cholesterol in check. We’ll also dive into the importance of a healthy diet and regular exercise in managing cholesterol – because pills alone aren’t a magic fix. Combining medication with lifestyle changes yields the best results. Additionally, we’ll discuss a modern twist to healthcare: how you can conveniently get prescriptions online for your cholesterol meds and even obtain medical certificates online, through services like NextClinic. This means you can get Atorvastatin prescriptions online or renew your Fluvastatin in Australia without the hassle of regular clinic visits. Let’s explore how to keep your cholesterol (and your heart) in the best shape, the easy way.
When lifestyle measures alone aren’t enough to get cholesterol down to safe levels, doctors may prescribe cholesterol-lowering medications. The most common of these are statins, a class of drugs that includes Atorvastatin, Fluvastatin, Simvastatin, and others. Statins have been a game-changer in heart health – they can dramatically lower “bad” LDL cholesterol and have been shown to reduce the risk of heart attacks and strokes in high-risk individuals. But how do they work?
Statins work by reducing the amount of cholesterol your liver produces. In simple terms, they partially block an enzyme in the liver that’s responsible for making cholesterol. When the liver can’t produce as much, it starts pulling LDL cholesterol out of your bloodstream to use what’s already there. This process lowers the level of LDL cholesterol circulating in your blood. In essence, statins slow down internal production and force the body to “burn off” existing cholesterol, preventing it from building up on artery walls.
For many people, a statin like Atorvastatin (widely known by the brand name Lipitor) is prescribed as a once-daily tablet to keep cholesterol in check. Another statin, Fluvastatin, works in the same way, and might be chosen in certain cases based on a patient’s needs or tolerance. These medications are usually well-tolerated, but like any medication they can have side effects. Most people don’t experience problems, but a small percentage might have issues like muscle aches or mild digestive upset. It’s important to communicate with your doctor about any side effects – often they can be managed by adjusting the dose or switching to a different statin. The benefits of statins in reducing cardiovascular risk generally far outweigh the risks of side effects for those who truly need them. (If you ever do feel side effects, don’t stop your medication on your own; talk to your doctor for guidance.)
Statins aren’t the only option for lowering cholesterol. Another medication commonly used is Ezetimibe, which works differently. While statins target cholesterol production in the liver, Ezetimibe reduces the absorption of cholesterol in your small intestine, so you take in less cholesterol from the foods you eat. Less cholesterol absorbed means the liver again has to draw on the body’s cholesterol stores, further lowering LDL levels. Ezetimibe can lower LDL by around 15-25% on its own, and it’s often added when statins alone aren’t enough. In fact, doctors have found that adding Ezetimibe to a statin can sometimes lower cholesterol more effectively than doubling the statin dose. There’s even a combination tablet of Ezetimibe + Simvastatin (Simvastatin is another statin) – in Australia, this combination helps patients hit cholesterol targets when one medicine by itself isn’t doing the trick.
By using medications that attack the problem from multiple angles – less production in the liver with a statin, and less absorption from the gut with Ezetimibe – doctors can help patients achieve healthier cholesterol levels. It’s a bit like a one-two punch against high cholesterol. Remember, though, that these medications control cholesterol, but they don’t “cure” it. You generally need to keep taking them long-term to maintain the benefits. If you stop, your cholesterol will likely creep back up. That’s why consistent use is important, and why making it convenient to renew your prescriptions online (which we’ll discuss later) can be a big help in staying on track.
Lastly, it’s worth noting that medication is recommended based on your overall risk. Doctors consider factors like your cholesterol levels, blood pressure, age, family history, and whether you have conditions like diabetes. If your risk of heart attack or stroke is high, medication may be advised earlier. If it’s moderate, they might give lifestyle changes some time to work first. The goal is always to get your cholesterol to a healthy range to protect you in the long run. And for most people, medication is just one part of the solution – the other part is lifestyle, which we’ll get into next.
“You are what you eat,” as the saying goes, and when it comes to cholesterol, diet plays a huge role. Think of food as the fuel and building blocks your body uses. Some foods will nudge your cholesterol numbers in the wrong direction, while others can help improve them. If you’re on cholesterol-lowering medication, a healthy diet will boost its effectiveness. And if you’re not on medication, diet (and exercise) might even be enough on their own to reach safe cholesterol levels.
So, what dietary choices matter for cholesterol? The biggest villains are saturated fats and trans fats. Saturated fats are found in things like fatty cuts of meat, butter, full-cream dairy products, and many processed foods like pastries and biscuits. Eating a lot of saturated fat can raise your LDL (“bad”) cholesterol. Trans fats – often found in commercially baked goods and fried foods – are even worse; they not only raise LDL but also lower your HDL (“good”) cholesterol. There’s strong evidence that cutting down on saturated and trans fats can improve your cholesterol profile. Practical tip: try swapping butter for healthier spreads (like avocado, olive oil or nut butter spreads) and choose leaner cuts of meat or plant-based proteins more often.
On the flip side, heart-healthy foods can actively help lower cholesterol. The Heart Foundation of Australia recommends following a heart-healthy eating pattern that is mostly plant-based. This doesn’t mean you have to go vegetarian, but it means loading up your plate with vegetables, fruits, whole grains, legumes (beans, lentils, chickpeas), nuts and seeds – and cutting back on processed foods and excessive red meat. Plant foods are naturally cholesterol-free and tend to be high in dietary fibre, which is great for cholesterol management. In particular, soluble fiber (the kind found in oats, barley, beans, lentils, apples and other fruits) can help reduce LDL cholesterol by binding some of it in your digestive system and removing it. Try starting your day with a bowl of oatmeal or adding beans to your salads and soups. Every little bit helps.
Let’s break down a few diet tips that can make a real difference in managing cholesterol:
Remember, diet isn’t about a short-term “cholesterol diet” that you go on for a few weeks then abandon. It’s about making sustainable changes to the way you eat. The great thing is these diet improvements won’t just help your cholesterol – they’ll benefit your overall health, weight, blood pressure, and energy levels too. Many people find that after getting used to less fatty, salty processed food, they start craving it less. Your taste buds can adapt over time to enjoy the natural flavors of whole foods.
And yes, eating healthy still allows for tasty meals! You can spice up your cooking with herbs and spices, try new recipes (the Heart Foundation has some excellent heart-healthy recipes), and savor natural foods. Think of it as an opportunity to explore a Mediterranean-style diet or other cuisines rich in veggies and healthy fats.
If you need personalized advice, consider seeing a dietitian – they are the experts in creating a plan that works for your lifestyle and food preferences. Small changes add up: swapping that daily pastry for a piece of fruit and nuts, or choosing grilled fish over fried, might seem minor, but over months and years it’s powerful. Your diet works hand in hand with medication (if you’re on one) to get those cholesterol numbers down. In some cases, dedicated diet changes can even reduce or delay the need for medication – though if your doctor has prescribed a statin, be sure to take it as directed even as you improve your eating habits.
Along with diet, exercise is the other key pillar of cholesterol management and overall heart health. We often hear that exercise is good for us, but how exactly does it relate to cholesterol? Regular physical activity has a direct positive impact on your cholesterol levels: it can raise your HDL (good cholesterol) and help lower LDL and triglycerides. Think of HDL as the “garbage truck” that picks up excess cholesterol and takes it to the liver for disposal – exercise helps build more of those trucks to clean up your arteries.
Exercise also helps by managing body weight. Carrying extra weight, especially around the middle, can contribute to higher LDL and triglycerides. By staying active and shedding excess kilos, you improve your cholesterol profile. In fact, losing even 5-10% of your body weight (if you’re overweight) can lead to meaningful improvements in cholesterol and triglycerides. Plus, exercise improves how your body uses blood sugar and insulin, lowers blood pressure, and strengthens your heart muscle – all great for reducing heart disease risk.
The Australian guidelines for physical activity recommend that adults aim for at least 30 minutes of moderate-intensity exercise on most days of the week. Moderate-intensity means you’re breathing a bit faster and maybe breaking a light sweat, but you can still talk (think brisk walking, cycling, swimming, or even doing active housework or gardening). If you’re able and keen, you can do more – up to 45-60 minutes most days, or amp up the intensity for a shorter time (e.g., jogging or a gym class). The goal is at least 150 minutes of moderate exercise per week. For older adults (65+), similar totals are advised, though it can be broken into shorter sessions (like three 10-minute walks spread through the day).
Wondering what type of exercise is best for cholesterol? Both aerobic exercise (cardio) and resistance training (strength exercises) provide benefits. Aerobic exercises include activities like walking, jogging, cycling, swimming, dancing – anything that gets your heart rate up. These have been shown to effectively control cholesterol levels and raise HDL. Resistance training involves using weights or bodyweight exercises (like push-ups, squats, or using resistance bands) to build muscle. This is also beneficial, as increasing muscle mass can improve your metabolism and how your body handles fats. The best routine is one that includes a mix of both cardio and strength training each week. For example, you might walk or cycle on most days and do some light weight training or yoga a couple of times a week for strength and flexibility.
If you’re currently not very active, start small and build up gradually. You don’t have to become a marathon runner or gym junkie overnight. Even a 15-minute walk at lunch is better than nothing, and you can slowly extend your walks or add new activities as your fitness improves. The key is consistency. Find activities you enjoy – if it feels like punishment, it’s going to be hard to stick with. Maybe you enjoy a team sport, or prefer solitary walks in nature, or love the peaceful mind-clearing of swimming laps. Whatever keeps you moving regularly is the “right” exercise for you.
Life can be busy, but try to sit less and move more. If you have a desk job, get up and stretch or walk every hour. Take the stairs instead of the lift when you can. Park a bit further from the shops to get some extra steps in. All these little bits of movement add up over the day. Some people like using a fitness tracker or even a simple pedometer app on their phone to motivate themselves to reach a step count goal (10,000 steps a day is often cited, but any increase from your usual is good).
Aside from cholesterol benefits, exercise is a mood booster and stress reliever. Managing stress is also important for heart health, and staying active can help you sleep better and feel better emotionally. It’s truly medicine for the body and mind. And if you haven’t been active in a while or have any medical concerns, it’s wise to chat with your GP about starting an exercise program. They can give you specific recommendations or refer you to an exercise physiologist if needed.
In summary, regular exercise + good diet + medication (if prescribed) = a powerful formula for a healthy heart. These lifestyle habits amplify the effects of any cholesterol-lowering drugs you take, and have plenty of other health perks too. So, lace up those walking shoes or find an activity you love, and make it a part of your routine. Your heart will thank you!
Maintaining a routine with medication and lifestyle changes is essential for managing cholesterol. But let’s face it – life gets busy, and the logistics of healthcare can sometimes be a headache. Think about the traditional way of getting a prescription refill: scheduling a GP appointment (which might be days or weeks away), taking time off work or other responsibilities to attend, sitting in the waiting room, then finally getting your paper script. If you’re managing a long-term condition like high cholesterol, you might need prescription renewals for medications such as Atorvastatin every few months. Doing that over and over can become tedious. This is where online prescription services come in, making life a whole lot easier.
In Australia, it’s now possible to renew prescriptions online for many common medications. Through telehealth platforms like NextClinic, you can have a short consultation with a doctor over the phone or internet and get your prescription without stepping foot in a clinic. It’s a safe and convenient alternative to the old paper prescription system. In fact, electronic prescriptions (or “e-scripts”) have become mainstream – over 200 million electronic prescriptions have been issued in Australia since 2020, and they’re accepted at virtually all pharmacies. Instead of a paper script, you receive a digital token (often as an SMS or email with a QR code or link) which you can take to any pharmacy. The pharmacist scans it and dispenses your medication just like with a normal script. No paper, no fuss.
So, what are the benefits of getting your cholesterol prescriptions online? Here are a few big ones:
The convenience of online prescriptions really shines for maintenance medications – those you take long-term where your condition is stable and just needs periodic review. High cholesterol is a prime example. Once you and your GP have established the right medication and dose (say you’ve been stable on Atorvastatin for a year with good results), subsequent renewals can be safely handled with a quick online check-in. It saves you time and helps ensure you never run out of your medication, which is crucial for keeping your cholesterol levels steady. Skipping pills because you couldn’t get a timely GP appointment can set you back; online access helps prevent those gaps.
To sum up, NextClinic offers flexibility and convenience. We’re basically bringing the doctor’s advice to you, instead of you always going to the doctor. Especially in our digital age (accelerated by the COVID-19 pandemic, when telehealth became a necessity), this model of care has proven effective and popular. Patients have embraced it because it fits better with modern life. As long as you use reputable services and stay engaged with your healthcare, renewing prescriptions online can be a seamless part of your cholesterol management plan.
With great convenience comes great responsibility – both on the part of the healthcare provider and you, the patient. While online prescriptions offer a fantastic way to maintain access to medications, it’s important to ensure that treatment remains safe and effective. This means not skipping the essential steps of proper medical oversight, even if the consultation is brief.
Short consultations (like the ones done via telehealth for a prescription renewal) might only take a few minutes, but they serve an important purpose. During that time, the doctor is doing a mini-review of your treatment. They might confirm your current dose and ask if you’ve noticed any problems. This is the time to speak up about any new symptoms or concerns – for example, if you started experiencing muscle soreness after a few weeks on a higher statin dose, or if you’re not sure whether a new over-the-counter supplement you’re taking could interfere with your cholesterol medicine. The doctor’s role here is to catch any potential side effects, ensure the medication is still the right choice for you, and that you’re using it correctly.
Why not just keep taking the medicine without checking in? Because your health isn’t static. You might develop a new health condition, or your lifestyle changes could actually improve your cholesterol to the point where medication needs adjusting. Conversely, if your cholesterol isn’t improving enough, you might need a dose change or an additional therapy (like adding Ezetimibe to your statin). These decisions should be guided by a doctor. Even in an online context, patient safety comes first – reputable services will not just dish out a prescription without any screening. They have protocols to flag cases that need a more detailed review or in-person exam.
It’s also important to remember that communication is key. If you have any side effects from your cholesterol medication, inform the doctor. Common side effects of statins, for instance, include muscle aches or fatigue, but these are usually manageable and often temporary. The doctor might recommend ways to alleviate them, or decide if switching medications is necessary. Never feel like any concern is too small to mention. Healthdirect, for example, advises that you should talk to your doctor if you experience side effects with statins, rather than just stopping the pills on your own. There might be solutions – such as adjusting the timing of your dose, checking interactions, or doing a blood test to ensure all is well.
Another aspect of safe treatment is monitoring. For cholesterol management, this typically means periodic blood tests to check your cholesterol levels and sometimes liver enzymes (since statins, in rare cases, can affect the liver). Usually, your GP will arrange a blood test a couple of months after starting or changing a dose of a statin, and then perhaps every 6-12 months once you’re stable. If you’re using online services for prescription renewals, make sure you’re still following through with these blood tests as advised. The online doctor might ask when you last had a cholesterol test or what the results were, and if it’s been too long they may recommend you get one before the next renewal. It’s a part of keeping you safe and ensuring the medication is doing its job.
Compliance (taking your medication as prescribed) is crucial. It’s easy to fall out of routine, especially if you feel fine (which most people with high cholesterol do; it’s asymptomatic). But remember that the medication is working in the background to keep you fine. Set reminders if needed, and integrate it into your daily routine (for example, take your statin every night at dinner time). If cost or forgetfulness or any other issue is making it hard to stick to your regimen, discuss this with your healthcare provider – there may be solutions, like once-weekly pill organizers, text reminder services, or switching to a cheaper generic brand.
Online services like NextClinic are designed with these safety nets: they require you to have that quick check-in for a repeat script (so a professional is always periodically reviewing your case), and they maintain records of your consultations. You should always provide truthful and thorough information in the questionnaires – they rely on what you report. It might be tempting to just click “no issues” to speed through, but it’s in your best interest to mention if, say, you’ve started a new medication for another condition, or if you’re experiencing any new symptoms. That way the doctor can make an informed decision.
It’s also worth noting that not everyone is a candidate for online prescriptions in every scenario. If someone has very complex health issues or uncontrolled side effects, the telehealth doctor might refer them back to a GP or specialist for in-person care. Quality online healthcare will acknowledge its limits. For the majority of routine renewals, though, it works beautifully.
In short, stay engaged in your treatment. Use the convenience of online prescriptions as a tool to help you stay consistent, but don’t become complacent about the medical side of things. Continue scheduling your periodic full check-ups with your GP – think of it like a yearly “tune-up” where you can delve deeper into your overall health, while using online renewals for the in-between maintenance. Keep up your healthy lifestyle efforts and share your successes or struggles with your healthcare providers. For example, if you’ve managed to lose significant weight and improve your diet since starting a statin, bring it up – you might find your cholesterol levels have improved so much that the doctor could consider lowering your dose.
Most importantly, listen to your body and the advice of your doctors. Cholesterol management is a long game, but with the combination of effective medication, lifestyle changes, and accessible healthcare services, it’s a game you can win. The goal is not just hitting a number on a blood test, but actually reducing your risk of heart disease and living a healthy life. By ensuring safe and effective treatment through proper consultation and follow-up, you’re setting yourself up for success.
Managing cholesterol is a journey, but it’s one that pays off with a healthier heart and reduced risk of serious problems down the line. The key takeaways are clear: combining medication with lifestyle changes offers the best results. Cholesterol-lowering medications like Atorvastatin, Fluvastatin or Ezetimibe/Simvastatin can significantly reduce your LDL levels and protect you from heart attacks and strokes, especially when taken as prescribed. But they work even better when you pair them with a heart-friendly lifestyle – meaning a balanced diet low in unhealthy fats and rich in plants and fiber, regular physical activity, and other good habits like maintaining a healthy weight and not smoking. As health experts often remind us, pills are not a substitute for healthy living. Rather, they are an addition to it. “To lower your risk, it’s important to maintain a healthy lifestyle as well as taking statins,” notes Healthdirect Australia, underlining that both sides of the equation matter.
The advent of online prescription services in Australia (such as NextClinic and others) has made it easier than ever to stick to your cholesterol management plan. There’s one less excuse to skip refilling your meds when you can do it from your couch in a matter of minutes. This convenience can help you stay on track, ensuring you consistently take your medication without interruption. It also makes accessing healthcare less of a burden, which is great because managing a chronic issue like high cholesterol is not a one-time thing – it’s ongoing. By reducing the hassle, online services encourage people to follow through with their treatment and check-ups.
Another benefit is that these telehealth options often fit neatly into a busy life. Whether you’re a working parent, live far from a clinic, or simply prefer the ease of a phone call over a clinic visit, you can keep your health in check without derailing your day. It’s healthcare evolving to meet patients where they are, literally and figuratively.
In summary, effective cholesterol management boils down to a few fundamentals:
By taking these steps, you’re stacking the odds in your favor. High cholesterol is very common, but its consequences aren’t inevitable. We have the knowledge and tools to control it. Think of it as maintaining your car – a bit of regular care (good fuel, oil changes, tune-ups) keeps it running smoothly for years. Similarly, taking care of your body with the right fuel (food), regular activity, and necessary meds will keep your engine (your heart) running strong.
Remember, you’re not alone on this journey. Work closely with healthcare professionals – be it your GP, a dietitian, a cardiologist for higher-risk individuals, or the online doctors providing telehealth services. They are your pit crew, helping you make the tweaks and changes needed for optimal performance. And don’t underestimate the support of family or friends; making lifestyle changes together (like going on walks with a partner or cooking healthy meals as a family) can make it more enjoyable and lasting.
In the end, successfully managing your cholesterol is a gift you give to yourself. It means more energy, a healthier heart, and peace of mind knowing you’re doing what you can to prevent heart disease. With a blend of education, medication, lifestyle adjustments, and convenient healthcare access, you have a powerful toolkit to keep your cholesterol in check. So take charge of your health – your future self will thank you for it.
Q: What is cholesterol and why is high cholesterol harmful?
Cholesterol is a fatty substance found in your blood. It’s actually essential in small amounts for building cells and producing hormones. However, high levels of bad cholesterol (LDL) can lead to a buildup of plaque in your arteries. Over time, this buildup hardens and narrows the arteries, a condition known as atherosclerosis. This raises your risk of serious problems like heart attacks and strokes because blood can’t flow as easily. In Australia, high cholesterol is common and is a major risk factor for heart disease, the country’s leading cause of death. In short, managing cholesterol is crucial to keep your arteries clear and your heart healthy.
Q: How do medications like statins (e.g., Atorvastatin or Fluvastatin) and Ezetimibe lower cholesterol?
Statins work by targeting the source of cholesterol production in your body – your liver. Drugs like Atorvastatin or Fluvastatin inhibit an enzyme in the liver that’s needed to make cholesterol. This causes the liver to produce much less cholesterol and instead draw upon the excess cholesterol in your bloodstream, thereby lowering your blood LDL levels. Ezetimibe, on the other hand, works in your intestines. It blocks the absorption of cholesterol from the food you eat, so less cholesterol enters your bloodstream. Because they work differently, doctors sometimes use Ezetimibe + a statin (like Simvastatin) together; the combination can lower cholesterol more than either alone. In all cases, these medications focus on reducing the “bad” LDL cholesterol (and they can have a modest effect on raising “good” HDL cholesterol or lowering triglycerides). The result is less cholesterol available to stick to artery walls. It’s important to note that you usually need to keep taking these medications long-term for continued benefit – if you stop, your cholesterol may rise again.
Q: Do I still need to watch my diet and exercise if I’m taking cholesterol medication?
Yes, absolutely. Medications are not a free pass to eat unhealthy foods or be inactive. Think of cholesterol-lowering drugs and lifestyle changes as teammates – they work best together. A healthy diet (low in saturated and trans fats, and rich in fruits, vegetables, whole grains, and lean proteins) can improve your cholesterol independently and will make your medication more effective. For example, if you cut down on foods high in saturated fat like butter, fatty meats, and fried takeaways, you’re reducing the influx of cholesterol your body has to deal with. Exercise is equally important; regular physical activity can raise your HDL “good” cholesterol and help lower LDL and triglycerides. So, even on medication, continue those healthy habits: take your walks, hit the gym or yoga class, choose a salad or grilled fish more often, and keep an eye on portion sizes. Many people find that with improved diet and exercise, they might even be able to use a lower dose of medication or fewer medications (under their doctor’s guidance). Plus, diet and exercise have many other health benefits beyond cholesterol – they’ll make you feel better overall. In short, medication + lifestyle is the winning formula for heart health.
Q: Can I get my cholesterol medication prescription (for example, Atorvastatin or Fluvastatin) online in Australia?
Yes. In Australia, it is possible to get prescriptions for medications like Atorvastatin online through NextClinic for just $29.90. We connect you with an AHPRA-registered doctor through telehealth. The doctor will review your request and medical history, often through a brief online form or consultation. If appropriate, they can then issue a prescription electronically. Fluvastatin, and most other statins, can also be prescribed this way, provided it’s safe and suitable for you.
This medical blog provides general information and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with your regular doctor for specific medical concerns. The content is based on the knowledge available at the time of publication and may change. While we strive for accuracy, we make no warranties regarding completeness or reliability. Use the information at your own risk. Links to other websites are provided for convenience and do not imply endorsement. The views expressed are those of the authors and not necessarily representative of any institutions.
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