The Best Diet for Familial Hypercholesterolemia

Many people have a genetic cholesterol problem and don’t even know it. Discover the best diet for familial hypercholesterolemia.



0:00 Introduction: The best diet for familial hypercholesterolemia
0:10 What is familial hypercholesterolemia?
2:58 Key points from an important study
5:30 Natural ways to lower cholesterol
7:45 Things to avoid to help lower cholesterol
8:08 Signs of familial hypercholesterolemia
8:52 Learn more about niacin!

Today we’re going to talk about the best diet for familial hypercholesterolemia.

With this condition, a person has 50 percent of the LDL receptors than usual, which means they have a higher risk of a buildup of LDL.

The top signs of familial hypercholesterolemia are fat deposits on the Achilles tendons, wrists, or eyelids and a condition called arcus senilis, which is whitening around the iris.

Key points from an important study:
• The current dietary guidelines for the management of coronary heart disease in familial hypercholesterolemia are based on outdated and unsupported information.

• There’s no evidence to support the recommendations of consuming a low saturated fat diet or low cholesterol diet, which are given to individuals with a genetic cholesterol problem.

• A low-carb diet was found to significantly improve cardiovascular disease biomarkers.

• There is sufficient rationale for conducting clinical trials to assess the effects of a low-carb diet on familial hypercholesterolemia individuals with insulin resistance.

It may be good to question if lowering the cholesterol and saturated fats in your diet is the best strategy to focus on. But talk to your doctor before making any changes to your diet or medications.

In my opinion, people with high cholesterol should focus more on lowering their carbs rather than saturated fat or cholesterol.

Natural remedies for cholesterol problems:
1. Get on the Healthy Keto® diet
2. Do intermittent fasting
3. Take red yeast extract
4. Take policosanol
5. Take niacin
6. Exercise
7. Consume garlic
8. Consume tocotrienols

Dr. Eric Berg DC Bio:
Dr. Berg, age 57, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

#keto #ketodiet #weightloss #ketolifestyle

Thanks for watching! I hope this helps increase your awareness of the best diet for familial hypercholesterolemia. I’ll see you in the next video.


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  1. Carmen47 Freixas on March 1, 2023 at 11:30 am

    My late dad, my brother and I have this Familial …we have never taken any statins, my dad
    did not die from it, at age 85, I am 76 and my brother 73, we don’t even thing about it
    I use naturopathy and homeopathy.

    • Anas Malik on March 1, 2023 at 3:36 pm

      Excuse me what products do you use for it? Because I also suffer from familial high cholesterol and I used mixed of lemon and garlic and ginger but it damaged my stomach.

    • Becky Howard on March 1, 2023 at 3:44 pm


    • Neznaboh on March 2, 2023 at 3:22 pm

      Homeopathy is just expensive placebo.

  2. defenestrationfan on March 1, 2023 at 12:01 pm

    My dad had high cholesterol and heart problems most of his adult life (along with a few heart attacks and a triple bypass). I blame the nutrition industry directly for his health woes. I can distinctly remember in the 60’s we switched from butter to “oleo” margarine, ate everything low-fat – even cutting the fat from our meat etc. Yet it never did any good. He passed away from congestive heart failure. I was getting overweight and exercised and dieted and ran daily never seeing any improvement. A year-and-a-half ago switched to keto – lost 45 pounds in 3 months- my good and bad cholesterol evened out and a myriad of other physical ailments disappeared in a matter of weeks. It works! The health industry are at best incompetent and at worst compliant with an INDUSTRY bent on making money.

  3. Charityhope amenn on March 1, 2023 at 12:03 pm

    I did have very high cholesterol and I did follow a diet within 3 months my cholesterol dropped so what you are saying really does work because I did it myself even before you started talking about this so it really does work

    • Charityhope amenn on March 1, 2023 at 12:05 pm

      Thank you so much doctor for bringing that to the surface Lots of exercise plenty of rest lots of blueberries lots of fruit and fresh vegetables and spinach shakes And my cholesterol dropped So it’s very possible if you’re committed I had more energy I was able to sleep better I was able to move around better it really does work I know I lived it and it really does work

    • Scroobius Pip on March 1, 2023 at 12:15 pm

      ​@Charityhope amenn I have real high cholesterol and am very worried and scared about it, as mine is genetic

    • Abhishek Pandey on March 1, 2023 at 2:21 pm

      @Scroobius Pip are you overweight? I’ve 158 cholesterol

  4. Super June Baby on March 1, 2023 at 12:14 pm

    After taking antibiotics, one year, I became hyper sensitive to grain. I spent over a year being so sick and losing so much weight, people were startled. No docs could diagnose, I just stopped eating wheat and grains and switched to nuts. Not keto, just no grains at all, except white rice on occasion. I don’t worry about my BP, cholesterol or weight anymore. Yes, it’s the carbs. In particular all the carbs we eat that are breads which also contain sugar. They have GMO’d grains to death. No pun intended.

    • Sami Sam on March 1, 2023 at 4:58 pm

      probiotics water will help your sensitive to grain

    • TheTezzerax on March 1, 2023 at 6:24 pm

      This is me as well. Once I stopped grains my cholesterol dropped nearly 100 points back to where low high cholesterol use to be. Drs don’t harass me anymore.

    • TiMalice2009 on March 1, 2023 at 10:14 pm

      I cut grains too. Do
      LDL dropped 50 points in a month.

    • Super June Baby on March 2, 2023 at 2:36 am

      @TheTezzerax They wanted to put me on a statin, but I used red-yeast rice and dropped 60 points. However, I stopped that too, because it is a statin and I just didn’t want any of it.

    • I'm happy on March 2, 2023 at 3:51 am

      High-density lipoprotein (HDL – cholesterol): has the ability to transport cholesterol out of cells and back to the liver for metabolism or elimination from the body. High concentrations of this type of lipoprotein will bring many benefits to the cardiovascular system, including preventing the formation of plaque. For this reason, HDL cholesterol is known as “good cholesterol”.

  5. flamingpie herman on March 1, 2023 at 12:19 pm

    My dad had hghi cholesterol his whole life. They wanted to put him on a statin. I told him not to take it so he didn’t. When I was young I also had extremely high cholesterol of 250. But I was very healthy. My little girl when she was about 12 was tested and she had really high cholesterol as well. They wanted to put her on something and I said heck no. Even back then I knew that having a high cholesterol didn’t mean you were an unhealthy person

    • Diana Briscoe on March 2, 2023 at 12:53 am

      I believe they have this definition of what they consider normal. It never occurs to people to think of what might be normal for them. It is important to know and understand trends of your own system and not allow any company to define your normal. I remember the local clinic changing their protocol for testing cholesterol from fasting to not fasting. People came in after a super-sized burger meal and of course numbers were different. Then they told people their cholesterol had increased significantly. So manipulative.

    • Mark White on March 2, 2023 at 4:59 am

      My wife of 39 years has a cholesterol of about 450-480. Her PCP put her on high statins and it almost killed her. It took a full 6 months of major abdominal and leg cramps until she finally got over it. As one Youtube physician recently said, “If your doctor has you on a statin you need to find a new doctor because all of the information available today shows statins don’t prevent any cardiovascular diseases while at the same time harm your organs.” Good call flamingpie herman!

    • F_Society91 on March 2, 2023 at 11:48 am

      ​@Larry C im not obese, in fact im a skinny man, 180cm 64 kg but I have very high cholesterol level and i dont know why. I dont eat too much and the food is normal, nothing bad, Mediterranean diet, i dont know what to do about this.

    • Hazel Piazza on March 2, 2023 at 4:00 pm

      ​@Larry C not everyone with hypercholesterolemia are obese people. My dad has it and he’s a very thin man.

  6. Joanne Morrison on March 1, 2023 at 12:37 pm

    I got called in for Familial… test because some of my first cousins had it, thankfully i dont have it but im grateful for all Dr Berg’s videos, so that i can adjust my diet to healthy eating.

  7. Seattle Six on March 1, 2023 at 12:46 pm

    This post is of high interest since I have all the FH markers. After 200+ days IF & OMAD the BMI is now just over 22 and T2D is in remission with HbA1C at 5.1%. BP is significantly lower by keeping strictly to healthy Keto and using all the recommended nutrients listed here except for policosanols 🧐 As expected my MD recommends statins, however these play havoc on balance, strength & endurance. I will be reviewing the supplied links here and the summary information is much appreciated as always! Thanks for raising awareness 😉

  8. Yankee 🌹 Rose on March 1, 2023 at 12:56 pm

    Dr. Berg you’re the best! Thank you for these incredible, informative daily videos! You keep us healthy, happy and we appreciate you. ❤✝️

  9. Vibush Ramadas on March 1, 2023 at 1:10 pm

    Thanks for the video. Imagine going to a car mechanic to fix a noise in the engine and are given a pair of ear plugs as the solution to the problem; today’s doctors wouldn’t have that type of service right? I am very concerned how many doctors just carelessly prescribe statins as a solution but completely destroy their patient’s bodies and then blame the patient’s genes.

    • Mariette Stabel on March 1, 2023 at 1:58 pm

      It’s all for money

  10. Rebecca Gibbs on March 1, 2023 at 2:09 pm

    This popped up at the most opportune moment. Thank you for addressing diet and FH. I have FH, originally diagnosed when my cholesterol was over 500 at the age of 32. I maxed out dosing on statins with no benefit. Moved to Vytorin with great decrease in overall numbers but I feel like garbage most of the time (brain fog, muscle aches, low stamina ect). Started with PCSK9 in combo with Vytorin and numbers are now at the low side of “normal”. As a result my hormomes are disregulqted, libido has tanked and and I still don’t feel great. Learning the importance of cholesterol in the body, Keto, and IF. I am now going AMA off some of my meds because I believe most of my problems are as a direct result of the meds. My HGbA1C is 4.8%, so no issues there. I have also been studying the Keto lifestyle and OMAD (as Keto has knocked out my appetite completely). Educating myself because the cardiac professional community refuses to look at modern evidence and facts.

    • Rebecca Gibbs on March 2, 2023 at 1:48 pm

      I was 5’3″ at the time of highest cholesterol and 134lbs.

    • Rebecca Gibbs on March 2, 2023 at 2:16 pm

      ​@I’m happy it is a combination medication of simvastatin and ezetimibe.

    • Rebecca Gibbs on March 2, 2023 at 2:17 pm

      ​@Abhishek Pandey no. 5’3″ and 134 lbs.

    • Abhishek Pandey on March 2, 2023 at 3:17 pm

      @Rebecca Gibbs oh! I see rebecca, you weren’t that overweight I guess. Looks like genetic predisposition.

    • I'm happy on March 2, 2023 at 4:30 pm

      @Rebecca Gibbs tks

  11. JDMStav on March 1, 2023 at 3:19 pm

    This is me. I was put on statins from the age of 18 because of my family history. I stopped taking them about 10 years ago because I was convinced they were causing me more issues that they were stopping and my cholesterol levels were only slightly higher than the average anyway. Luckily, I had already found your channel a few years back too so I already do keto & fasting, I take Niacin as you’ve recommended it before and I take wheatgerm oil as my vitamin E supplement. Honestly, I’ve never been in better health than I am now and I’m 39. Just goes to show, you don’t need to be an ‘expert’ to take in information and apply it to your own needs. Your videos have been a massive help to me. Keep up the great work Doc 👍

    • Jackie Burns on March 1, 2023 at 8:50 pm

      What type/ brand of niacin

    • 714boba2003 on March 1, 2023 at 9:13 pm

      How much dosage of niacin did you take?

    • KD on March 1, 2023 at 10:47 pm

      @Jackie Burns Better brands will say Non GMO,GMP certification. NOW Supplements are good but other brands out there. 50mg to start if someone never has taken before. Even that dosage will cause skin to turn red in areas and cause a tingling feeling in body.

    • Lets Go on March 1, 2023 at 11:26 pm

      Did you have calcium scoring done for you? I am around your age and my total cholesterol runs in 500s . Never took statins but doing keto for a few years which has helped in insulin resistance.

    • I'm happy on March 2, 2023 at 3:51 am

      What is statin?

  12. AvasGrandma on March 1, 2023 at 3:21 pm

    I’ve had high cholesterol for decades. I also have MS. The myelin shield that is attacked by MS is made of cholesterol and taking statins further causes increased problems with that. My understanding is that coronary plaques are made from calcium, not cholesterol. If so, we should be taking Vitamin D3 with Vitamin K2, because K helps D to steer calcium into your bones, not your arteries or kidneys. And carbohydrates cause a multitude of health problems including heart attacks. Cutting out gluten entirely and lowering carbohydrates has fantastic health benefits.

    • Jerry Lisby on March 1, 2023 at 4:46 pm

      Greens like spinach and kale have vitamin k

  13. Krissy Matthew on March 1, 2023 at 3:37 pm

    Could you please talk about drinking distilled water, baking soda, and sea salt to detox? Thank you! Love your channel!❤️

  14. Kerrie Sutton on March 1, 2023 at 5:36 pm

    They say I have FH, but I have a thyroid problem. My gallbladder gives me issues. I am currently 1 year keto, 20 lbs lighter. I weigh 104 and am 5’2’’. My last cholesterol was 390. I have to say I feel better than I ever have. My triglycerides are 69. My doctor keeps trying to put me on a statin. The last time my feet and joints hurt so bad. I could barely walk. If you knew me, you would know I am a very active person. Off the statins no problem with moving. I am taking your gallbladder medicine. It seems to help my digestion. Thank you. I will try adding niacin.

  15. John Benischek on March 1, 2023 at 6:12 pm

    I always had high cholesterol so the doctor talked me into taking statins and I stopped eating eggs, butter, & saturated fat. My cholesterol was now low, but my triglycerides shot up to 269. I started feeling miserable and had no energy at all. I could not run 50 feet and wanted to sleep all the time. I developed glaucoma and lost half my vision in one eye.

    A year ago I stopped taking statins and went on the Keto Diet with intermittent fasting. I now eat 4 eggs a day, lots of butter, and saturated fat. I lost 55 pounds and feel great! My cholesterol is back to being high but my triglycerides are now down to 64. My Tri/HDL ratio is now 1.1/1. I can now run 2 miles a day and have lots of energy.

    The only negative is that I have recently developed Raynaud’s phenomenon in my fingers. Could this be because I am now lifting weights?

    • I'm happy on March 2, 2023 at 3:53 am

      I don’t know statin?

  16. Lorie Matthews on March 1, 2023 at 6:14 pm

    Would love to see you do video on hereditary hemachromatosis, I was diagnosed with it around 3 years ago. I cannot take certain supplements, like vitamin C as it helps me to store more iron which I certainly DON’T need… anyway, it would be helpful to learn more about this disorder. Thanks Dr Berg!

    • sdfswords on March 2, 2023 at 5:44 am

      Have you tried regularly giving blood? It’s reputed to be a good way to mitigate your condition, with very low risk.

  17. ray shoesmith on March 1, 2023 at 7:36 pm

    My hdl/tri ratio is 17, the doctor nearly fell off his chair and insisted that I needed statin meds immediately!
    I paid 5k for a fat attenuation index of my cardiac arteries and cac score.
    Came back as 0 build up and the doctor said I have the arteries of a newborn baby!
    I’ve never eaten breakfast in my life, so maybe fasting has been the key driver, and I pretty much eat anything after 13:00

    • F_Society91 on March 2, 2023 at 11:56 am

      I didn’t understand how did you clean your arteries.

    • ray shoesmith on March 2, 2023 at 12:08 pm

      @F_Society91 I didn’t have to, they have never had any buildup.

    • Lghop on March 2, 2023 at 6:07 pm

      Do you have FH too? What is your ldl and total cholesterol? My ldl is 350 and my total is 440 and I just found out I have FH. I do not want to take any statins and all the drs are freaking out that. One Dr said I need to find out if I have FH stat and if I did then I have to go on statins immediately. I said I will take the test but am not going to agree to going on statins. They got the results of my FH so the office already called me that I have to come in bc I know he wants to insist that I have no choice and have to take statin now. I’m not going to but still worried that I have FH but I’m so glad Dr berg made this video

  18. roguechevelle on March 1, 2023 at 11:03 pm

    Thank you for making this! There is not a lot that’s talked about with FH, it’s very frustrating and every gp I’ve ever had doesn’t understand it one had never even heard of it. My health has tanked in the last 10 years now and I’m at my wits end now. I think there needs to be more Doctors willing to open up their minds to the possibility that the medical community may have things wrong instead of stubbornly holding on to outdated information.

  19. Jonathan Lara on March 2, 2023 at 12:26 am

    I came off of statins because of your niacin video. Although, I did deeper research and decided to come off of my anxiety medication as well. The best thing I’ve ever done! It’s been 6 months now and I feel better than ever!

    • Dr. Eric Berg DC on March 2, 2023 at 1:44 am

      Great. Glad that video helped you. Stay safe and healthy!

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