two chief types of cholesterols are high density lipoproteins (HDL) and low density lipoproteins(LDL). For the sake of simplicity HDL is considered as good cholesterol while LDL is known as thebad cholesterol. We can conclude that the bad cholesterol is responsible for forming plaques inthe arteries and thus, increases the risk of heart attack. The good cholesterol on the other hand,reverses cholesterol transport by taking it out of the plaque and sending it back to blood circulationfor excretion via liver. TypesThree major types of lipoproteins are found in the serum of a fasting individual namely, low densitylipoproteins (LDL), high density lipoproteins (HDL) and very low density lipoproteins (VLDL). 1. Low density lipoproteins (LDL) or bad cholesterol and its management LDL or bad cholesterol comprises 60-70% of the total serum cholesterol. It is the majoratherogenic lipoprotein used in the cholesterol lowering therapy as its higher levels are dangerous.It deposits cholesterol on the walls of arteries resulting in the formation of a hard substance knownas cholesterol plaque. This plaque is responsible for the hardening of arterial walls so theybecome narrow and the process is identified as atherosclerosis. Liver not only manufactures andsecretes LDL cholesterol in the blood stream but also removes it from the blood. A large numberof active receptors are present on the surface of liver that actively bind to the LDL cholesterolmolecules and remove it from blood. A deficiency of LDL receptors is associated with the higherlevel of these molecules in the blood. A number of advantages are known when the levels of bad cholesterol undergo reduction forexample, declination in the formation of new plaques on the walls of the arteries, removal ofexisting plaques from the arterial walls, narrowed arteries attain their normal shape, avoidance ofrupturing of plaques which facilitates formation of blood clots and finally the risk of heart attack isreduced. A number of studies have indicated that the risk of heart attack diminishes by 25% forevery 10% drop in the LDL cholesterol level and it is the key factor ensuring that total bloodcholesterol level has reached a safer zone. A study carried out with 4,000 individuals hasconfirmed that the levels of bad cholesterol and risk of heart attack were reduced to about 25%and 42%by using the drug statin. It is profitable that the daily calorie intake of fat must be reduceddown to 30% and consumption different kinds of foods rich in carbohydrates, proteins must beincreased as the body will convert them into triglycerides which are later stored as fat. Foods rich in saturated fats increase levels of LDL cholesterol in blood stream. Fats may beclassified as saturated and unsaturated fats. Saturated fats are easily available in the meat, dairyproducts and some vegetable oils especially those derived from coconut, palm and cocoa.Therapeutic lifestyle changes adopted for lowering the levels of bad cholesterol include regularexercise, loss of excess body weight and following a diet with low concentration of saturated fatsand cholesterol. When lifestyle changes fail to give desired results then medications are taken intoconsideration. Statins are the most effective drugs giving best results for lowering the levels of badcholesterol and also reducing the risk of heart diseases. Other drugs that can be used includefibrates like gemfibrozin, resins such as cholestyramine, ezetimibe and Zetia. The NationalInstitute of Health, the American Heart Association and the American College of Cardiology havepublished some guidelines that can help the medical experts while dealing with cases of highcholesterol.