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About High cholesterol

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Cholesterol is a waxy, fat-like substance found in your body. There are three primary types of cholesterol: HDL (high-density lipoprotein) is sometimes referred to as “good cholesterol” because it carries cholesterol back to your liver, which then removes it from your body. LDL (low-density lipoprotein) and VLDL (very low-density lipoprotein) are often referred to as “bad cholesterol” because they both lead to a buildup of plaque in your arteries.

Cholesterol is important. Your body needs cholesterol to make hormones, produce vitamin D, and make healthy cells. However, your body generally makes all the cholesterol it needs, and excess cholesterol in your blood may join with other substances to form plaque. This plaque sticks to the walls of your arteries and can lead to an array of serious health conditions, such as coronary artery disease, blood clots, chest angina, heart attack, stroke, and more.

Common Symptoms of High Cholesterol

High cholesterol does not cause any symptoms. The only way to determine whether or not you have high cholesterol is through a lipid panel. A lipid panel is a group of tests that measures cholesterol and other fats in your blood.

The National Heart, Lung, and Blood Institute (NHLBI) recommends that adult men should receive a lipid panel test every 1-2 years between the ages of 45-65. Women should be tested every 1-2 years between the ages of 55-65. Adults over the age of 65 should receive a lipid panel test every year.

Children usually receive a lipid panel test once between the ages of 9-11 and every five years after that.

Your provider will discuss the results of your lipid panel with you but for reference, see below:

Total Cholesterol - lower is better:

  • Below 200 milligrams per deciliter (mg/dL) is considered healthy
  • 200 to 239 mg/dL is borderline high
  • 240 mg/dL is high

HDL (Good Cholesterol) - higher is better:
60 mg/dL or higher is best -- High HDL levels protect against heart disease

  • 40 to 59 mg/dL is a healthy level of HDL
  • Less than 40 mg/dL is low, which can increase risk of heart disease

LDL ("bad cholesterol") - lower is better:

  • Less than 100 mg/dL is ideal, especially for individuals who have coronary heart disease
  • 100 to 129 mg/dL is optimal for individuals at risk of coronary artery disease
  • 130 to 159 mg/dL is OK for individuals with little risk of coronary artery disease
  • 160 to 189 mg/dL is high
  • 190 mg/dL or more is very high

Triglycerides - lower is better:

  • 150 mg/dL or less is desirable
  • 151 to 200 mg/dL is borderline high
  • 200 to 499 mg/dl is high, which increases your risk of heart disease
  • Over 500 mg/dl is very high

High Cholesterol Risk Factors

There are several factors that can increase your risk for developing high cholesterol. These include:

  • Family history of heart disease or high cholesterol
  • Being overweight/ having obesity
  • Cigarette smoking
  • Lack of physical activity/ cardiovascular conditions
  • High blood pressure
  • Diabetes
  • Unhealthy diet
  • History of high cholesterol
Common Medication
Treatment Options

Healthy lifestyle changes such as a clean diet rich in vegetables and whole grains, and getting enough exercise are foundational in lowering high cholesterol, and often these will be enough. Sometimes these changes won’t yield the desired results, however, and your doctor may recommend you take medication, as well.

There are many types of medication and several possible combinations available to treat high cholesterol. The prescription you receive will depend on your risk factors, your age, your health, and other variables. Below you will find a list of commonly prescribed medications to help you and your doctor discuss a treatment plan that is right for you.

In addition to medication, your doctor may recommend the following as part of a prevention and treatment plan for high cholesterol. Note that you should always defer to your doctor before beginning any treatment plan.
Sesame FAQs

Frequently asked questions about cholesterol care on Sesame

Can high cholesterol be treated online?

Sesame offers convenient and affordable online doctor visits with licensed health providers across the country. If you have a history of high cholesterol or at risk of developing high cholesterol, book a visit right away to discuss diagnosis and testing options.

Online doctor visits can be conducted in the comfort and privacy of your own home. During your visit, you will be asked about your symptoms and health history.

If your doctor determines that you are experiencing high cholesterol, they will discuss a treatment plan with you. This may include prescription medication and dietary/ lifestyle adjustments. If appropriate, your doctor can prescribe medication through Sesame. Depending on the medication, you can have your prescription delivered to your home or ready for same-day pickup at a pharmacy of your choice. Book a visit today to get started on treatment right away.

Can I get a prescription for high cholesterol medication on Sesame?

Yes! Sesame makes it easier than ever to get a new prescription or refill a prescription from the comfort of your own home! To discuss a new online prescription or refill, book a video visit with a doctor or nurse on Sesame to discuss a new online prescription or refill. Clinicians on Sesame can prescribe drugs that help treat high cholesterol.

Note that providers on Sesame cannot prescribe controlled substances.

Book a video visit on based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. You can also use Sesame Rx, Sesame’s prescription service, to have your medication mailed to your door for free. If you don’t want to go pick up a prescription in-person or utilize SesameRx, many pharmacies offer a prescription mail service for home delivery so that your medication can be shipped directly to you. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need.

How can I get a prescription fast?

Booking an appointment with a doctor or nurse online is typically the fastest way to get a prescription! Sesame offers same-day online doctor prescription and prescription refill appointments with board-certified healthcare professionals. If deemed clinically necessary, Sesame providers can provide prescriptions and prescription refills for most non-controlled substances. They can also provide you with a doctor’s note if necessary.

Most online prescription and prescription refill appointments take around 15 minutes, and providers are able to send a prescription to a pharmacy of your choice right after your appointment.

How much does an online doctor prescription refill visit cost on Sesame?

Sesame offers video prescription refill services at affordable prices starting at just $19. If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, infection, allergies, cholesterol problems, thyroid conditions, and more!

Here’s how it works:

  • Search to find the doctor or provider you want to see for the health care service you need.

  • Compare our affordable cash-pay prices. Sesame works with doctors and nurses directly- not insurance companies. That means you can pay up to 60% less than what you’ll find through your insurance network, without the worry of surprise bills and hidden fees.

  • Book at your convenience and pay upfront. Pay the one-time price listed on the site and set up a visit with a real, quality doctor or nurse practitioner on your schedule. It’s that simple.

Sesame offers online doctor prescription refills for a wide range of conditions and ailments. Book a visit (in-person or via video) to get the care you need at one clear, affordable price. No insurance needed.

Can you get a prescription refill at a different pharmacy?

Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

1) Call your new preferred pharmacy to request a transfer.

2) Provide that pharmacy with health insurance/ prescription info

3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

Can I use any pharmacy when getting a refill?

Yes, your doctor can send the prescription to the pharmacy of your choice.

When will I get my refills?

Refills are shipped at regular intervals for the length of your prescription - depending on how your provider wrote your prescription. Our care team will time it so that your next shipment will arrive before you run out of your current medication.

You'll be sent an email notification about a week before we begin processing your refill. You may find the exact processing date of your next refill in the Your Prescriptions section when you log in to your Sesame account.

Does Sesame offer discounts on prescriptions?

Yes! The SesameRx program offers access to hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - plus free delivery! Just have your Sesame provider check whether or not your prescription is available through the SesameRx program during your appointment. If your Sesame appointment results in a prescription, we’ll send you an email and text right afterward to complete your purchase.

You can also save up to 80% on prescription medications with the Sesame Prescription Savings Card, which can be used at 35,000+ locations across the country, including major chains like CVS, Walmart, Walgreens, Albertsons, Kroger, H-E-B, Hy-Vee and Wegmans. All you have to do is show the card to your pharmacist when picking up your prescription to confirm whether it can be used at your pharmacy. The best part? Your Sesame savings card works for everybody - friends, family, and co-workers - even if they've never used Sesame before.

What is SesameRx, and how does it work?

SesameRx is a prescription service that makes it easier and more affordable than ever to get prescription medication sent right to your door. We offer hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - delivered right to your door for free.

  1. Book and complete an appointment with a doctor, specialist, or provider who can write prescriptions through Sesame. Look for the "$5 med" tag on the provider card.
  2. If your appointment results in a prescription, we'll send you an email and text after to complete your purchase.
  3. We'll send your medication right to your door within 4 business days of shipping - with free delivery.

Sesame is not a pharmacy. As part of its prescription services, Sesame facilitates the delivery of prescription medication by its partner, Truepill pharmacy. Please refer to the Sesame terms of service for further information.

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