Should the above conditions not explain the elevation in LDL, then it may be a problem in fat metabolism causing the LDL to increase. In such cases, we look for a family history of cholesterol problems (medical term: dislipidemia), we set a plan for lifestyle modifications including an alimentary diet/weight loss plan if needed, exercise program, limitation of alcohol, quitting smoking. If however the LDL level is significantly elevated and in the presence of family history of diseases like diabetes, heart disease or hypertension, the treating physician may consider instituting medical treatment with statins.