High HDL Cholesterol (Hyperalphalipoproteinemia) Treatment & Management

Updated: Jun 07, 2023
  • Author: Basma Abdulhadi, MD; Chief Editor: George T Griffing, MD  more...
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Treatment

Medical Care

Most patients with hyperalphalipoproteinemia (HALP) are incidentally diagnosed following blood testing. Generally, patients are asymptomatic and no medical therapy is required. However, patients with corneal opacity may need an evaluation by an ophthalmologist.

Patients in whom excessive alcohol consumption is a cause of elevated high-density lipoprotein cholesterol levels should be assessed for the possible consequences of this practice.

Chest pain syndromes and other manifestations of ischemic heart disease in persons with hyperalphalipoproteinemia must be thoroughly evaluated in the usual manner.

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Surgical Care

Surgical care is not usually required.

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Consultations

No consultations are usually required.

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Diet

Certain forms of dietary therapy, including the consumption of a diet low in fat content, have been shown to influence the levels of alpha lipoproteins and high-density lipoprotein (HDL) cholesterol in plasma. A low-fat diet may cause some reduction in HDL cholesterol levels, while high-fat diets are associated with higher HDL cholesterol levels.

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Activity

Most patients with hyperalphalipoproteinemia are healthy and asymptomatic. No restrictions on activity are required.

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