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Common causes behind symptoms of high cholesterol include: Poor diet high in saturated and trans fats Lack of regular physical activity Being obese or overweight Smoking and excessive alcohol consumption Genetic factors (familial hypercholesterolemia) Certain medical conditions like diabetes, hypothyroidism, and kidney disease Some medications, including certain birth control pills and diuretics Age and gender (risk increases with age, and men tend to have higher cholesterol levels than women before menopause) If youre concerned about your cholesterol levels or experiencing symptoms that might be related to cardiovascular issues, such as chest pain, shortness of breath, or dizziness, dont wait to seek medical attention