How to Lower Cholesterol Naturally: A Functional Medicine & Holistic Nutrition Approach

High cholesterol has long been viewed as a key contributor to heart disease, but from a functional medicine and holistic nutrition perspective, the story is more nuanced. Cholesterol itself isn’t the villain—it’s an essential compound involved in hormone production, cellular repair, and brain health. The real issue lies in how cholesterol is being used in the body and what’s causing it to become imbalanced in the first place.

If you’re searching for ways on how to lower cholesterol naturally, it’s important to look beyond numbers and lab reports. Instead, we dig deeper into root causes such as inflammation, oxidative stress, poor liver function, and metabolic dysfunction. Let’s explore the foundational changes you can make to support healthy cholesterol levels through food, lifestyle, and targeted supplements.

Understanding Cholesterol the Holistic Way

Before jumping into solutions, let’s shift the narrative. Total cholesterol doesn’t paint the full picture. Functional medicine looks at:

  • LDL particle size and density (small, dense LDL is more inflammatory)

  • HDL functionality (not just quantity)

  • Triglyceride-to-HDL ratio

  • Markers of inflammation like hs-CRP

  • Liver function and bile flow

Addressing these variables is how we get to the root of cholesterol imbalances.

how to lower cholesterol naturally

Foods to Avoid for Healthy Cholesterol

Top foods and ingredients to avoid when looking to support healthy cholesterol levels include:

  • Inflammation promoting foods

  • Processed foods

  • Alcohol

  • Caffeine

  • Canola/ Vegetable Oils

  • Low-quality animal products

  • Processed meats

  • Refined grains

how to lower cholesterol naturally

How to Lower Cholesterol Naturally with Food

Food is one of the most powerful tools for balancing lipids, reducing inflammation, and supporting overall heart health.

1. Fiber-Rich Foods

Soluble fiber helps bind excess cholesterol and toxins in the gut, promoting their elimination.

  • Oats

  • Flaxseeds and chia seeds

  • Lentils and beans

  • Apples, pears, and berries

  • Psyllium husk (can also be used as a gentle supplement)

2. Healthy Fats

Replace inflammatory fats with heart-supportive ones.

  • Extra virgin olive oil

  • Avocados

  • Wild-caught salmon, sardines, and mackerel (rich in omega-3s)

  • Nuts like walnuts and almonds

3. Fermented Foods

A healthy gut microbiome plays a surprising role in cholesterol metabolism.

  • Sauerkraut

  • Kimchi

  • Kefir

  • Miso

  • Plain yogurt with live cultures

4. Liver-Supporting Foods

The liver is central to cholesterol regulation, especially for bile production and detox.

  • Beets and beet greens

  • Dandelion greens and leafy greens

  • Artichokes

  • Cruciferous vegetables like broccoli, kale, and Brussels sprouts

  • Lemon water and apple cider vinegar (help bile flow)

  • Quality red meat, pasture raised eggs (yes, I did say eggs and meat). Both of these products when sourced correctly have an amazing anti-inflammatory effect on the body and actually support healthy cholesterol levels.

how to lower cholesterol naturally

Supplements That Support Healthy Cholesterol Levels

From a holistic nutrition standpoint, supplements can be helpful—but should never replace a foundational diet and lifestyle. Here are key supplements often used in functional medicine protocols:

1. Omega-3 Fatty Acids (EPA/DHA)

  • Supports lowering triglycerides and inflammation

  • Look for sustainably sourced fish oil or algae oil (for plant-based options)

2. Red Yeast Rice

  • Naturally contains compounds similar to statins (use under practitioner guidance)

  • Often combined with CoQ10 to support mitochondrial function

3. Berberine

  • Helps lower LDL and triglycerides

  • Also supports insulin sensitivity and gut health

4. Niacin (Vitamin B3)

  • Can raise HDL and lower LDL

  • Should be used with practitioner monitoring due to potential side effects

5. Artichoke Leaf Extract

  • Supports liver function and bile production

  • May help regulate cholesterol and triglyceride levels

6. CoQ10

  • Important for cellular energy, especially in the heart

  • Especially recommended if using statins or red yeast rice

how to lower cholesterol naturally

Lifestyle Tips for Natural Cholesterol Balance

Beyond food and supplements, these practices can move the needle:

  • Daily movement (walking, resistance training, yoga)

  • Stress management (chronic stress raises cortisol, impacting lipid metabolism)

  • Prioritize sleep (poor sleep contributes to metabolic dysfunction)

  • Avoid smoking and limit alcohol

  • Support blood sugar balance with low-glycemic meals

how to lower cholesterol naturally

A Root Cause Mindset to Lower Cholesterol Naturally

Functional medicine reminds us that every symptom is a messenger. Elevated cholesterol may signal inflammation, insulin resistance, poor bile flow, or chronic stress—not just a dietary fat issue. By embracing a root-cause mindset, you empower your body to return to balance naturally.

If you’re unsure where to start, consider working with a holistic nutritionist or functional medicine practitioner who can run advanced labs, personalize your nutrition plan, and guide you through a sustainable protocol.

Final Thoughts

Learning how to lower cholesterol naturally isn’t about restriction—it’s about nourishment. By supporting your body’s detox pathways, calming inflammation, and providing nutrient-dense foods, you lay the foundation for not just better cholesterol, but total-body vitality.

Looking for more information about naturally lowering cholesterol levels? Visit Dr. Axe’s blogs and listen to this short video about ‘How to Lower Cholesterol Naturally’ in only 4 steps!

Additionally, check out Dr. Axe’s blog post which discusses all about cholesterol lowering foods that we can add to our daily nutrition. Still looking for more information on cholesterol? Check out this last resource that covers all the best foods and supplements to promote healthy cholesterol levels.

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