{"id":32,"date":"2025-05-14T06:42:11","date_gmt":"2025-05-14T06:42:11","guid":{"rendered":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/?page_id=32"},"modified":"2026-09-02T04:29:59","modified_gmt":"2026-09-02T04:29:59","slug":"hypercholesterolaemia-lipid-disorders","status":"publish","type":"page","link":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/","title":{"rendered":"Hypercholesterolaemia\/ Lipid Disorders"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia is also known as dyslipidaemia, which refers to high levels of cholesterol in the blood. There are various causes and contributing factors that can lead to hypercholesterolaemia.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is hypercholestrolaemia?<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-794e3cfa wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia is the condition of having abnormal levels of cholesterol in the blood. The body obtains cholesterol from the foods we eat and from the cholesterol synthesis of the cells. The liver is the main site where <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3388116\/#sec2\">cholesterol homeostasis (balance) is maintained<\/a>. Lipoproteins are complex particles responsible for the transport of fats including cholesterol and triglycerides in the body.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DMWvM22RD2V\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/DMWvM22RD2V\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewBox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/DMWvM22RD2V\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\">A post shared by The Metabolic Clinic (@the.metabolic.clinic)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Lipoproteins<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK305896\/\">Lipoproteins<\/a> are particles of fats and proteins consisting of a cholesterol or triglyceride core, surrounded by free cholesterols, phospholipids and apolipoproteins. Several types of lipoproteins are found in our body:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>High-density lipoprotein (HDL)<\/strong> \u2013 HDLs have high proportions of proteins to lipid, their main function is to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK549802\/\">transport cholesterol from the bloodstream to the liver<\/a>. HDLs also have anti-inflammatory properties due to their ability to reduce the size of atherosclerotic plaques.<br><\/li>\n\n\n\n<li><strong>Intermediate-density lipoprotein (IDL)<\/strong> \u2013 IDLs are derived from very low-density lipoproteins. IDLs are also pro-atherogenic, which promotes the formation of atherosclerosis plaques.<br><\/li>\n\n\n\n<li><strong>Low-density lipoprotein (LDL)<\/strong> \u2013 LDLs are derived from VLDL and IDL particles. LDLs carry the majority of cholesterol that is found in the blood.<br><\/li>\n\n\n\n<li><strong>Very low-density lipoprotein (VLDL)<\/strong> \u2013 Similar to LDLs, VLDLs transport cholesterols and triglycerides from the liver to the blood.<br><\/li>\n\n\n\n<li><strong>Chylomicrons<\/strong> \u2013 Chylomicrons are large triglyceride-rich particles made by the intestine. These particles carry dietary lipids from our food.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The term high cholesterol is often associated with high levels of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK559182\/\">Non-<\/a>HDL lipoproteins (Mainly LDL). High levels of LDL which we know is responsible for deposition of cholesterol into blood vessel walls will&nbsp; eventually lead to a higher level of atherosclerotic plaque formation. Rupture of these plaques or blockage of blood vessels by these plaques lead to cardiovascular and vascular diseases such as heart attack.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the signs of hypercholestrolaemia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia in itself does not show symptoms. Symptoms occur when it\u2019s too late, when cholesterol plaque blocks or ruptures causing heart attack, stroke and peripheral vascular disease (poor circulation in the legs).&nbsp; With very high levels of cholesterol (often seen in genetic\/ familial hypercholesterolaemia) the following might be seen:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Xanthoma<\/strong> \u2013 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562241\/\">Xanthomas<\/a> are deposits of fat underneath the skin and soft tissues such as tendons. Xanthomas are caused by the breakdown of lipoproteins.<br><\/li>\n\n\n\n<li><strong>Xanthelasma palpebrarum<\/strong> \u2013 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK531501\/\">Xanthelasma palpebrarum<\/a> is characterised by soft or semi-solid yellow papules consisting of cholesterol. These papules are often found near the inner corners of the eyes, along the upper and lower eyelids. Xanthelasma palpebrarum is also considered a form of xanthoma. The papules are formed from the accumulation of lipids in macrophages.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Arcus cornealis<\/strong> \u2013 Arcus cornealis, sometimes known as <a href=\"https:\/\/my.clevelandclinic.org\/health\/symptoms\/24243-arcus-senilis\">arcus senilis<\/a>, is the appearance of gray or white rings of lipid around the outer cornea. Although common in elderly people, arcus cornealis in younger people are typically associated with hypercholesterolemia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What causes hypercholestrolaemia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia or dyslipidaemia can be <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459188\/\">familial (genetically inherited) or acquired<\/a> (develops over time).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Familial hypercholesterolaemia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Familial hypercholesterolaemia is inherited genetically, these are typically caused by genetic mutations leading to the impaired ability of the liver to take up circulating LDL-cholesterol (LDL-C) in the blood. The reduction in LDL removal by the liver results in very high LDL levels. Common examples of inherited familial hypercholesterolaemia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mutation of the LDL receptor<\/strong> \u2013 Loss-of-function mutations to the gene that codes for the LDL receptor causes a reduction in the activity of the receptors to take up excess LDL-cholesterol from the blood.<br><\/li>\n\n\n\n<li><strong>Mutation of the gene coding the apolipoprotein<\/strong> \u2013 Mutations to this gene can cause the shape of the apolipoprotein to change, hence reducing the ability of the protein to attach to the LDL receptor in the liver.<br><\/li>\n\n\n\n<li><strong>Increased clearance of the LDL receptors<\/strong> \u2013 A gain-of-function mutation of an enzyme known as proprotein convertase subtilisin\/kexin type 9 (PCSK9) causes an increase in the removal of LDL receptors on the liver cells surfaces. Ironically this mechanism has been harnessed in cholesterol treatment.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Familial hypercholesterolaemia must be screend and treated early. Much can be done with early and personalised treatment. Patients with familial hypercholesterolaemia are pre-disposed to heart attack and strokes in their 40s or earlier. A family history of early heart attack or stroke may be indicative.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Acquired hypercholesterolaemia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;Acquired hypercholesterolaemia is typically secondary to causes such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Poor dietary choices<\/strong> \u2013 Diets high in saturated fats and trans-fatty acids can increase LDL.<br><\/li>\n\n\n\n<li><strong>Hypothyroidism<\/strong> \u2013 The thyroid hormones regulate <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35038435\/\">cholesterol production, transformation, and clearance<\/a>. Imbalances due to hypothyroidism can lead to hypercholesterolaemia.<br><\/li>\n\n\n\n<li><strong>Uncontrolled diabetes<\/strong> \u2013 Diabetes and dyslipidaemia are often associated with each other. <a href=\"https:\/\/www.webmd.com\/cholesterol-management\/diseases-linked-high-cholesterol\">Diabetes can affect the balance of HDL and LDL<\/a>, leading to higher levels of LDL in the blood and a reduction in HDL which helps clear cholesterol from blood<br><\/li>\n\n\n\n<li><strong>Use of medication<\/strong> \u2013 Use of medications such as cyclosporine, thiazide, diuretics, and glucocorticoids can lead to an increase in LDL.<br><\/li>\n\n\n\n<li><strong>Lack of physical activity<\/strong> \u2013 Regular physical activity improves lipid metabolism with a rise in HDL, and <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8393411\/#sec4-ijerph-18-08858\">lack of physical activity can have the opposite effect<\/a>.<br><\/li>\n\n\n\n<li><strong>Menopause<\/strong> \u2013 Studies have shown that <a href=\"https:\/\/journals.lww.com\/menopausejournal\/abstract\/2019\/11000\/lipid_profile_differences_during_menopause__a.16.aspx\">postmenopausal women can be at higher risk of hypercholesterolaemia<\/a>. This is likely due to&nbsp; the drop in oestrogen levels, as oestrogen has a <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5763482\/#S3\">protective effect against atherosclerotic heart diseases<\/a> by regulating cholesterol levels in the blood.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Who is at risk of hypercholesterolaemia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Common risk factors of hypercholesterolaemia include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Age<\/strong> \u2013 The risk of dyslipidaemia is typically higher in men 45 years and older, or in women 55 years and older.<br><\/li>\n\n\n\n<li><strong>Family history<\/strong> \u2013 Having a family member with premature atherosclerotic heart disease (younger than 55 years in men, and younger than 65 years in women) also increases your risk of Hypercholesterolaemia.<br><\/li>\n\n\n\n<li><strong>Diabetes<\/strong> \u2013 Diabetes and hypercholesterolaemia often co-exist and both contribute to an increased risk of cardiovascular diseases.<br><\/li>\n\n\n\n<li><strong>Hypertension<\/strong> \u2013 Similarly, hypertension and hypercholesterolaemia are also associated with each other. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26062915\/\">Hypertension can increase the risk of atherosclerosis<\/a> leading to an increased risk of cardiovascular diseases.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How is hypercholesterolaemia diagnosed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Typically, your healthcare provider will recommend you to get a <a href=\"https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/lipid-panel\">lipid panel<\/a>, sometimes also called a lipid profile. This test shows you the levels of your:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Total cholesterol <\/strong>\u2013 Total cholesterol measures your overall cholesterol, including LDL-C, HDL-C, and VLDL-C.<br><\/li>\n\n\n\n<li><strong>LDL-C<\/strong> \u2013 LDL-C in the blood is also known as the \u201cbad cholesterol\u201d. LDL-C can cause cholesterol deposition in blood vessel walls and increase atherosclerotic plaque.<br><\/li>\n\n\n\n<li><strong>HDL-C<\/strong> \u2013 HDL-C in the blood is known as \u201cgood cholesterol\u201d, which helps transport cholesterol back to the liver.<br><\/li>\n\n\n\n<li><strong>Triglycerides<\/strong> \u2013 Triglycerides are fats from our diet, high levels of triglyceride in the blood are a risk factor for cardiovascular disease and very high levels cause&nbsp; pancreatic inflammation.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lipoprotein Little a <\/strong>\u2013 LP(a)- A lipoprotein that is genetically inherited in higher levels in 20 percent of the population that multiplies your risk of cardiovascular disease. It should be measured once in your life. Dr. Dinesh comments that this test is underdone and not well known among the medical fraternity but should be done on everyone as it influences how we treat the individual and their future risk.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Lipid panels are useful to monitor and manage hypercholesterolaemia before any serious cardiovascular event takes place. Your doctor may recommend you to get a lipid panel, as well as regular follow-up screenings, if you are a high-risk individual.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How is hypercholesterolaemia treated?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia treatment requires lifestyle changes and adjustments. Leading a healthy lifestyle is often the first step to managing this condition .<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dietary changes<\/strong> \u2013 Maintaining a healthy diet is important to manage your cholesterol levels, a diet rich in fruits and vegetables, as well as healthy unsaturated fats are generally recommended.<br><\/li>\n\n\n\n<li><strong>Increase physical activity<\/strong> \u2013 Being more active can improve your overall health and control dyslipidaemia. Exercising for more than 30 minutes a day, 5 times a week is generally recommended to manage cholesterol levels. This should be started gradually. Additionally, incorporating various types of exercises such as <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3906547\/#Sec9\">resistance training and aerobic exercises<\/a> is also recommended. Dr. Dinesh has seen many of his patients raise their HDL this way.<br><\/li>\n\n\n\n<li><strong>Reduce intake of alcohol and tobacco use<\/strong> \u2013 Excessive intake of alcohol and use of tobacco are often associated with an increased risk of cardiovascular diseases. The aim of hypercholesterolaemia management is to reduce strokes and heart attacks.<br><\/li>\n\n\n\n<li><strong>Manage stress<\/strong> \u2013 Chronic stress can increase cortisol levels in your body, high levels of cortisol is associated with an <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4370130\/\">increase in total cholesterol, HDL-C, and LDL-C<\/a> in the blood.<br><\/li>\n\n\n\n<li><strong>Medications<\/strong> \u2013 In cases where lifestyle changes are not enough to control your dyslipidaemia, your doctor may prescribe <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK305897\/#lipid_risk-mgt-hbc.THE_CHOLESTEROL_HYPOT\">cholesterol-lowering drugs<\/a> for you. Common examples of these medications include:<br>\n<ul class=\"wp-block-list\">\n<li><strong>Statins<\/strong> \u2013 <a href=\"https:\/\/medlineplus.gov\/statins.html\">Statins<\/a> are medications that lower your LDL-C by inhibiting 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) activity. This slows down cholesterol synthesis in the liver and increases liver LDL receptors.<br><\/li>\n\n\n\n<li><strong>Ezetimibe<\/strong> \u2013 Ezetimibe reduces cholesterol absorption in the intestine and increases LDL receptor activity in the liver. Often ezetimibe is used in combination with statins.<br><\/li>\n\n\n\n<li><strong>PCSK9 inhibitors<\/strong> \u2013 PCSK9 promotes the degradation of the LDL receptors in the liver, hence inhibiting the activity of this enzyme can improve LDL-C levels in the blood. This medication is typically given in combination with statins to patients at high risk of atherosclerotic cardiovascular diseases.<br><\/li>\n\n\n\n<li><strong>Bempedoic acid<\/strong> \u2013 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK594232\/#article-148890.s3\">Bempedoic acid<\/a> inhibits the activity of adenosine triphosphate-citrate lyase (ACL), which reduces cholesterol synthesis and increases LDL receptors as well as LDL-C clearance from the blood.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Omega 3 <\/strong>\u2013 Helps reduce triglycerides in those with high triglyceride levels.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What are the complications of hypercholesterolaemia?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia contributes to the formation of atherosclerotic plaques. These plaques build up in the arterial walls, blocking blood flow. Even more critical is when the blood vessel is suddenly blocked when these plaques rupture and cause blood clots to form. This is what typically happens in a heart attack\/ stroke. When left untreated or unmanaged, atherosclerotic plaques can lead to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Coronary artery diseases<\/strong> \u2013 The coronary artery supplies blood to your heart. An atherosclerotic plaque can block the blood supply to the heart and cause conditions such as shortness of breath, angina, and myocardial infarction (heart attack).<br><\/li>\n\n\n\n<li><strong>Carotid artery diseases<\/strong> \u2013 The carotid artery supplies blood to your brain, a blockage in this artery can lead to stenosis or strokes.<br><\/li>\n\n\n\n<li><strong>Peripheral artery diseases<\/strong> \u2013 Plaque build-up in your peripheral arteries can lead to reduced blood flow to your hands and feet. Common symptoms of peripheral artery disease include frequent infections on the limbs and poor wound healing of the limbs.<br><\/li>\n\n\n\n<li><strong>Kidney artery stenosis<\/strong> \u2013 Kidney artery stenosis refers to the narrowing of the blood vessels that supply blood to your kidneys, this can <a href=\"https:\/\/www.niddk.nih.gov\/health-information\/kidney-disease\/renal-artery-stenosis#complications\">impair kidney functions and lead to chronic kidney diseases<\/a>.<br><\/li>\n\n\n\n<li><strong>Mesenteric ischaemia<\/strong> \u2013 The mesentery is the membrane in the abdomen that holds the bowels. Mesenteric ischaemia caused by atherosclerotic plaques can reduce blood flow to the small intestines, damaging the small intestines.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Summary<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hypercholesterolaemia is a long-term condition caused by a combination of genetic and environmental factors. Thankfully, your cholesterol levels can be effectively managed with regular screening, monitoring, lifestyle changes, and the right medical intervention.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When it comes to lipid disorders, early detection and treatment are essential \u2014 left unmanaged, hypercholesterolaemia can lead to serious complications, such as heart disease. Take the first step today and <a href=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/contact\/\" data-type=\"page\" data-id=\"194\">book a consultation<\/a> with us for a detailed diagnosis and personalised treatment plan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n<div class=\"alignnone\"><style>#sp-ea-453 .spcollapsing { height: 0; overflow: hidden; transition-property: height;transition-duration: 300ms;}#sp-ea-453.sp-easy-accordion>.sp-ea-single {margin-bottom: 10px; border: 1px solid #e2e2e2; }#sp-ea-453.sp-easy-accordion>.sp-ea-single>.ea-header a {color: #feffed;}#sp-ea-453.sp-easy-accordion>.sp-ea-single>.sp-collapse>.ea-body {background: #fff; color: #183122;}#sp-ea-453.sp-easy-accordion>.sp-ea-single {background: #667861;}#sp-ea-453.sp-easy-accordion>.sp-ea-single>.ea-header a .ea-expand-icon { float: left; color: #444;font-size: 16px;}<\/style><div id=\"sp_easy_accordion-1750230782\"><div id=\"sp-ea-453\" class=\"sp-ea-one sp-easy-accordion\" data-ea-active=\"ea-click\" data-ea-mode=\"vertical\" data-preloader=\"\" data-scroll-active-item=\"\" data-offset-to-scroll=\"0\"><div class=\"ea-card ea-expand sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-4530\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse4530\" aria-controls=\"collapse4530\" href=\"#\" aria-expanded=\"true\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-minus\"><\/i> How can I prevent hypercholesterolaemia?<\/a><\/h3><div class=\"sp-collapse spcollapse collapsed show\" id=\"collapse4530\" data-parent=\"#sp-ea-453\" role=\"region\" aria-labelledby=\"ea-header-4530\"> <div class=\"ea-body\"><p>A healthy lifestyle is important to manage and control your cholesterol levels. Maintaining a healthy diet and regular exercise are recommended as it can help lower cholesterol levels and improve your overall health.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-4531\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse4531\" aria-controls=\"collapse4531\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> Do I have to take cholesterol medications for the rest of my life?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse4531\" data-parent=\"#sp-ea-453\" role=\"region\" aria-labelledby=\"ea-header-4531\"> <div class=\"ea-body\"><p>Some people may be able to manage their cholesterol levels through diet and exercise alone. In some cases, patients may need to take cholesterol-lowering medications for a long time due to genetic predisposition or a high risk of atherosclerotic cardiovascular diseases. Lifestyle changes reduce cholesterol by 20 percent. Those who need more than that will likely need long-term medication.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-4532\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse4532\" aria-controls=\"collapse4532\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> Are there any foods I cannot eat if I have hypercholesterolaemia?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse4532\" data-parent=\"#sp-ea-453\" role=\"region\" aria-labelledby=\"ea-header-4532\"> <div class=\"ea-body\"><p>You may still eat your usual foods, but it is recommended to reduce the consumption of red meats, processed meats, fatty or greasy foods, and foods with saturated or trans fat. Instead, opt for foods with high fibre, such as fruits and vegetables, whole grains, and healthy fats such as fish and nuts.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-4533\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse4533\" aria-controls=\"collapse4533\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> When should I visit the doctor for hypercholesterolaemia?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse4533\" data-parent=\"#sp-ea-453\" role=\"region\" aria-labelledby=\"ea-header-4533\"> <div class=\"ea-body\"><p>It is recommended to visit your doctor for a lipid panel test if you are at risk of hypercholesterolaemia. Individuals aged over 35 for men, and 45 for women are recommended to undergo regular screenings. Additionally, if you have diabetes, a family history of hypercholesterolaemia, obesity, or hypertension, you are also recommended to undergo a lipid panel test.<\/p><\/div><\/div><\/div><div class=\"ea-card sp-ea-single\"><h3 class=\"ea-header\"><a class=\"collapsed\" id=\"ea-header-4534\" role=\"button\" data-sptoggle=\"spcollapse\" data-sptarget=\"#collapse4534\" aria-controls=\"collapse4534\" href=\"#\" aria-expanded=\"false\" tabindex=\"0\"><i aria-hidden=\"true\" role=\"presentation\" class=\"ea-expand-icon eap-icon-ea-expand-plus\"><\/i> How do I know I have hypercholesterolaemia?<\/a><\/h3><div class=\"sp-collapse spcollapse \" id=\"collapse4534\" data-parent=\"#sp-ea-453\" role=\"region\" aria-labelledby=\"ea-header-4534\"> <div class=\"ea-body\"><p>You will not know if you have high cholesterol until your doctor performs a lipid panel. Hypercholesterolaemia do not typically show symptoms, and the symptoms such as chest pains, difficulty breathing, and dizziness, are typically caused by atherosclerotic plaques in the blood vessels which is too late<\/p><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Hypercholesterolaemia can lead to atherosclerosis and plaque build-up, consequently increasing the risk of cardiovascular diseases.<\/p>\n","protected":false},"author":1,"featured_media":334,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"page_category":[4],"class_list":["post-32","page","type-page","status-publish","has-post-thumbnail","hentry","page_category-metabolic-disorders"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>High Cholesterol Singapore | Hypercholesterolaemia Treatment<\/title>\n<meta name=\"description\" content=\"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"High Cholesterol Singapore | Hypercholesterolaemia Treatment\" \/>\n<meta property=\"og:description\" content=\"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/\" \/>\n<meta property=\"og:site_name\" content=\"The Metabolic Clinic\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-02T04:29:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/image-20.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"1056\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/\",\"url\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/\",\"name\":\"High Cholesterol Singapore | Hypercholesterolaemia Treatment\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/image-20.jpeg\",\"datePublished\":\"2025-05-14T06:42:11+00:00\",\"dateModified\":\"2026-09-02T04:29:59+00:00\",\"description\":\"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/#primaryimage\",\"url\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/image-20.jpeg\",\"contentUrl\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/image-20.jpeg\",\"width\":1600,\"height\":1056},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/hypercholesterolaemia-lipid-disorders\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Hypercholesterolaemia\\\/ Lipid Disorders\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#website\",\"url\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/\",\"name\":\"The Metabolic Clinic\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#organization\",\"name\":\"The Metabolic Clinic\",\"url\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/Layer_1-7.svg\",\"contentUrl\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/Layer_1-7.svg\",\"width\":220,\"height\":80,\"caption\":\"The Metabolic Clinic\"},\"image\":{\"@id\":\"https:\\\/\\\/themetabolicclinic.com.sg\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"High Cholesterol Singapore | Hypercholesterolaemia Treatment","description":"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/","og_locale":"en_US","og_type":"article","og_title":"High Cholesterol Singapore | Hypercholesterolaemia Treatment","og_description":"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.","og_url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/","og_site_name":"The Metabolic Clinic","article_modified_time":"2026-09-02T04:29:59+00:00","og_image":[{"width":1600,"height":1056,"url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/image-20.jpeg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/","url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/","name":"High Cholesterol Singapore | Hypercholesterolaemia Treatment","isPartOf":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#website"},"primaryImageOfPage":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/#primaryimage"},"image":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/#primaryimage"},"thumbnailUrl":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/image-20.jpeg","datePublished":"2025-05-14T06:42:11+00:00","dateModified":"2026-09-02T04:29:59+00:00","description":"Learn about high cholesterol and hypercholesterolaemia in Singapore, including causes, cholesterol testing, risk factors and treatment options.","breadcrumb":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/#primaryimage","url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/image-20.jpeg","contentUrl":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/image-20.jpeg","width":1600,"height":1056},{"@type":"BreadcrumbList","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/hypercholesterolaemia-lipid-disorders\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/"},{"@type":"ListItem","position":2,"name":"Hypercholesterolaemia\/ Lipid Disorders"}]},{"@type":"WebSite","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#website","url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/","name":"The Metabolic Clinic","description":"","publisher":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#organization","name":"The Metabolic Clinic","url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#\/schema\/logo\/image\/","url":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/Layer_1-7.svg","contentUrl":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-content\/uploads\/2025\/05\/Layer_1-7.svg","width":220,"height":80,"caption":"The Metabolic Clinic"},"image":{"@id":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":5,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"predecessor-version":[{"id":573,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/pages\/32\/revisions\/573"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/media\/334"}],"wp:attachment":[{"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/media?parent=32"}],"wp:term":[{"taxonomy":"page_category","embeddable":true,"href":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/themetabolicclinic.com.sg\/wp-json\/wp\/v2\/page_category?post=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}