Most people focus on LDL cholesterol when it comes to heart health, but VLDL cholesterol—very-low-density lipoprotein—is an often-overlooked risk factor. VLDL carries triglycerides through the blood, and when levels rise, it can lead to atherosclerosis, increasing the risk of heart attacks and strokes. In India, where heart disease causes about a third of deaths, high VLDL is a silent contributor.

High VLDL is common in people who eat excess sugar and fried foods, are overweight, inactive, or have insulin resistance and type 2 diabetes. Even if LDL is controlled, high VLDL can still harm your arteries.

The good news: VLDL can be managed through simple diet and lifestyle changes. Reducing sugary foods and refined carbs, adding whole grains, vegetables, lean proteins, and healthy fats, and staying active can steadily lower VLDL levels. Maintaining a healthy weight, limiting alcohol, quitting smoking, and regular exercise all help protect the heart.

Doctors recommend checking a full lipid profile, not just LDL, to understand VLDL levels. In some cases, medication may be needed, but everyday choices play a powerful role. By understanding VLDL and taking small, consistent steps, you can significantly reduce your heart risk and improve long-term health.