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Certainly to look at your nutrition status. Sometimes it can raise when you are very stressed too. You would need a break down so you can see if it's the bad (LDL's) that is high. If your HDL's then this is pretty good. Include oats, berries, seeds and lots of fibre into your diet daily to excrete the bad fats and help to fight free radicles. Decrease, Saturated fats, caffeine, sugar, and alcohol. Avoid table salt and processed foods. Vitamin B3 - No flush Niacin can be very helpful but i would suggest you get specific help on the correct dose for you.