When menopause starts, hormone changes can affect how your body handles cholesterol. Lower estrogen can raise LDL, bad cholesterol, and triglycerides while lowering HDL, the healthy kind. These changes often cause high cholesterol in menopause, which increases your risk of heart problems.
You can reduce cholesterol levels with small changes in food, exercise, and daily habits. Learning how to lower cholesterol during menopause means making steady choices that keep your heart strong.
At SensIQ Notropics, we turn medical research into real help for women in midlife. Guided by Dr. Luke Barr, Chief Medical Officer, we focus on ways to support calm, focus, and heart balance without hormones.
This article shares science-based steps that may help support healthy cholesterol and heart health during menopause while reducing the risk of future issues.
Key Takeaways
- During menopause, lower estrogen levels can lead to higher LDL cholesterol and triglycerides, which increase your risk of cardiovascular issues if left unmanaged.
- Simple habits – like eating fiber-rich foods, choosing olive oil over butter, and staying physically active – can significantly help reduce cholesterol levels and support overall heart health.
- Regular blood tests are essential to track changes in LDL, HDL, and triglycerides, especially since thyroid and hormonal shifts can affect cholesterol balance.
- Hormone replacement therapy (HRT) and non-hormonal options may help improve cholesterol profiles when guided by a healthcare professional.
- Long-term consistency in diet, movement, and stress control is key to maintaining healthy cholesterol and reducing the risk of heart complications after menopause.
Why Cholesterol Rises in Menopause
Hormone and Metabolism Changes
Falling estrogen changes how the liver handles fats and cholesterol. This shift can raise total cholesterol and density lipoprotein LDL, which can build up in arteries, and lower high-density lipoprotein HDL, which helps protect them¹.
Weight gain and slower metabolism are common and can make it harder to stay at a healthy weight. Together, these changes create factors for heart disease that increase your risk for cholesterol problems.
Thyroid and Lipid Impact
Thyroid changes also affect fat levels in the blood. Low thyroid function can increase cholesterol and triglycerides, adding more risk factors for heart issues. Regular blood tests can catch these shifts early so your doctor can suggest safe steps to correct them.
Recommended Cholesterol Ranges
A healthy cholesterol level for most menopausal women is similar to other adults – LDL below 100 mg/dL, HDL above 50 mg/dL, and triglycerides below 150 mg/dL². Keeping up with these numbers helps you see progress in reducing the risk of heart disease as hormones change.
Diet and Lifestyle to Lower Cholesterol Naturally

Smart Food Choices
You can reduce cholesterol levels by eating estrogen rich foods and moving often. Try these simple steps:
- Eat more fiber. Oats, beans, and fruit can help slow cholesterol absorption.
- Pick healthy fats. Choose fish, nuts, and olive oil instead of fried or processed food.
- Cook with care. Use a little vegetable oil instead of butter or shortening.
- Watch portions. Maintaining a healthy weight helps balance hormones and cholesterol.
Healthy Daily Habits
Limit alcohol and added sugar. Avoid trans fats, which harm your heart. Stay physically active with walking, cycling, or light workouts for at least 150 minutes a week³. These habits can raise HDL and lower blood pressure.
Sleep and relaxation matter too. Long-term stress raises cortisol, which can raise LDL and blood pressure. Activities like yoga, meditation, or breathing exercises may help support mood and metabolism, reducing the risk of long-term problems.
Medical and Hormonal Support Options
Testing and Monitoring
Regular checkups help track your progress. Your doctor may test your blood every one to two years, especially if you have high blood pressure or other medical conditions. These tests show early changes that can guide your care plan.
Hormone Replacement Therapy
Hormone replacement therapy (HRT) may help balance HDL and LDL levels⁴, but it is not right for everyone. Dr. Luke Barr recommends talking with your doctor about the possible benefits and risks before starting. Always check with your physician before adding or changing any supplement or hormone routine.
Non-Hormonal and Clinical Options
If you prefer to avoid hormones, there are other doctor-approved ways to help. These may include prescription medications or nutritional supplements such as omega-3 fatty acids or plant sterols*.
Research suggests these nutrients may support healthy cholesterol metabolism and overall heart balance⁵. SensIQ’s focus is on safe, science-based ingredients that may promote focus, calm, and general wellness. Results may vary.
Life After Menopause: Maintaining Healthy Cholesterol

Staying Consistent
After menopause, steady habits matter most. Keep testing your cholesterol and stay in touch with your doctor. A healthy lifestyle with good food, movement, and rest supports your heart and helps maintain balanced cholesterol over time.
Tracking Your Progress
Notice your wins. Lower LDL, better energy, and stable blood pressure are all signs of progress. Dr. Barr says success depends on being consistent, not extreme, in your approach to heart health and reducing the risk of future issues.
Frequently Asked Questions
Does Cholesterol Increase During Menopause?
Yes. Falling estrogen can raise LDL and triglycerides and lower HDL, which means high cholesterol in menopause is common. Regular checkups can help you stay on track.
How Can I Lower My Cholesterol Naturally?
Eat fiber-rich foods, use olive oil and vegetable oil instead of butter, limit red meat, stay active, and manage stress. These actions support heart health and cholesterol balance.
What Supplements Support Healthy Cholesterol?
Omega-3 fatty acids, niacin, and plant sterols may help support healthy cholesterol metabolism⁵. They should be used along with a balanced diet and medical guidance, not as replacements.
References
- Currie, H., & Williams, C. (2008). Menopause, cholesterol, and cardiovascular disease. US Cardiology, 5(1), 12–14. https://www.uscjournal.com/articles/menopause-cholesterol-and-cardiovascular-disease-0
- Wyness, L. (n.d.). Menopause and cholesterol: 6 small dietary changes to help lower your cholesterol. Laura Wyness Nutrition. Retrieved October 8, 2025, from https://www.laurawyness.com/menopause-and-cholesterol-6-small-dietary-changes-to-help-lower-your-cholesterol
- Mayo Clinic Staff. (n.d.). Top 5 lifestyle changes to improve your cholesterol. Mayo Clinic. Retrieved October 8, 2025, from https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/reduce-cholesterol/art-20045935Mayo Clinic
- Cleveland Clinic. (n.d.). Hormone therapy for menopause symptoms (HRT). Retrieved October 8, 2025, from https://my.clevelandclinic.org/health/treatments/15245-hormone-therapy-for-menopause-symptoms
- Harvard Health Publishing. (2024, June 14). Omega-3 foods: Incorporating healthy fats into your diet. Harvard Medical School. https://www.health.harvard.edu/nutrition/omega-3-foods-incorporating-healthy-fats-into-your-diet
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.