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Very high LDL
Repeated, markedly elevated LDL levels, especially before treatment, can raise concern for an inherited condition.
Cholesterol care | New York
Familial hypercholesterolemia evaluation in New York
A focused review of LDL history, premature cardiovascular disease, family patterns, physical findings, treatment response, and next steps for relatives.
Start with evaluation, not a product assumption
The care team must confirm clinical fit, current records, monitoring, access, and the correct site before treatment moves forward.
Direct answer
Familial hypercholesterolemia, often called FH, is an inherited condition that causes high LDL cholesterol from birth and raises the risk of early heart disease. An evaluation uses LDL results, personal and family history, prior treatment, physical findings, and sometimes genetic testing. A negative or unavailable genetic test does not by itself exclude a clinical diagnosis.
Current product and service status
This is an evaluation and coordination page. It does not promise genetic testing, a specific medicine, or complete specialist care at every Nao Medical location.
When FH should be considered
No single web checklist diagnoses FH, but several patterns should prompt a careful review.
Early cardiovascular disease
A personal or family history of heart attack or coronary disease at a young age can strengthen the concern.
Family pattern
High cholesterol across close relatives, a known FH diagnosis, or physical findings associated with severe lifelong LDL exposure may matter.
What the clinician reviews
The evaluation should separate a possible inherited disorder from secondary causes and incomplete records.
Lipid history
Bring untreated values when available, recent results, prior goals, and response to each medicine.
Other causes
The clinician may assess conditions and medicines that can raise cholesterol before assigning an inherited diagnosis.
Family information
A simple family history can identify relatives who may need their own cholesterol evaluation. Their care is separate and requires consent.
Treatment and family follow-through
FH often requires sustained LDL lowering and coordinated preventive care.
Individual treatment
Treatment can combine lifestyle support with oral or injectable medicines based on age, risk, LDL response, label, and patient preference.
Cascade screening
When FH is diagnosed, first-degree relatives should discuss cholesterol screening with their own clinicians.
Referral when needed
Children, very high-risk adults, severe hypercholesterolemia, or uncertain cases may need lipid-specialist, cardiology, or genetics coordination.
How the evaluation moves forward
The sequence protects safety and keeps a product request from bypassing diagnosis, records, monitoring, access, or referral needs.
Bring the record
Bring recent lipid results, a current medication and supplement list, prior reactions, relevant diagnoses, and family history when available.
Review risk and prior treatment
The clinician reviews the reason for treatment, prior response, safety considerations, adherence barriers, and the role of lifestyle support.
Choose the next step
The plan may include repeat or additional testing, a medication change, teaching, prior-authorization work, specialist coordination, or continued monitoring.
Confirm follow-up
The care team confirms how results and symptoms will be reviewed. Product supply or administration is arranged only after operational capability is verified.
Evaluation locations across New York
Choose a nearby Nao Medical clinic as a starting point for evaluation or care coordination.
Capability boundary: these location cards do not establish that a medicine, device, laboratory test, injection, or specialty workflow is available at every site. Confirm the exact service before travel.
Bronx
174th Street
932 E 174th St, Bronx, NY 10460
A place to begin evaluation and care coordination near West Farms, Crotona Park East, and nearby Bronx neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Queens
Astoria
37-15 23rd Ave, Astoria, NY 11105
A place to begin evaluation and care coordination near Astoria, Ditmars, East Elmhurst, and nearby Queens neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Bronx
Bartow Mall
2063A Bartow Ave, Bronx, NY 10475
A place to begin evaluation and care coordination near Co-op City, Pelham Bay, Baychester, and nearby Bronx neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Brooklyn
Crown Heights
341 Eastern Pkwy, Brooklyn, NY 11216
A place to begin evaluation and care coordination near Crown Heights, Prospect Heights, and nearby Brooklyn neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Long Island
Hicksville
232 W Old Country Rd, Hicksville, NY 11801
A place to begin evaluation and care coordination near Hicksville, Plainview, Bethpage, and nearby Nassau County communities. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Queens
Jackson Heights
80-10 Northern Blvd, Jackson Heights, NY 11372
A place to begin evaluation and care coordination near Jackson Heights, Elmhurst, Corona, and nearby Queens neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Queens
Jamaica
90-18 Sutphin Blvd, Jamaica, NY 11435
A place to begin evaluation and care coordination near Jamaica, Briarwood, Richmond Hill, and nearby Queens neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Queens
Long Island City
30-07 36th Ave, Astoria, NY 11106
A place to begin evaluation and care coordination near Long Island City, Astoria, Sunnyside, and nearby Queens neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Long Island
Mineola
135 Mineola Blvd, Mineola, NY 11501
A place to begin evaluation and care coordination near Mineola, Garden City, Westbury, and nearby Nassau County communities. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Manhattan
StuyTown
259 1st Ave, New York, NY 10003
A place to begin evaluation and care coordination near StuyTown, the East Village, Gramercy, and nearby Manhattan neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Brooklyn
Williamsburg
308 Graham Ave, Brooklyn, NY 11211
A place to begin evaluation and care coordination near Williamsburg, Greenpoint, Bushwick, and nearby Brooklyn neighborhoods. Call first to confirm the right visit. This card does not confirm product stock, testing, teaching, dispensing, or administration capability.
Related care and next steps
Use these focused pages to compare options, prepare for an evaluation, and connect medication questions with broader care.
Heart health and cholesterol care
Explore broader cardiovascular prevention and cholesterol care at Nao Medical.
Advanced lipid testing
Review measurements that may refine risk without substituting for an FH assessment.
Statin intolerance evaluation
Document prior statin problems carefully when treatment choices are limited.
Leqvio evaluation
Review a product with labeled HeFH and HoFH populations without assuming eligibility.
Repatha evaluation
Review a self-injected product with labeled familial hypercholesterolemia populations.
Frequently asked questions
Answers reflect the current official sources and the limited evaluation-and-coordination scope described on this page.
FH is an inherited condition that causes high LDL cholesterol from birth and increases the chance of early cardiovascular disease.
Clinicians use LDL results, personal and family history, prior treatment, physical findings, and sometimes genetic testing. The exact approach depends on age and clinical context.
Not always. Genetic testing can confirm a cause and help family assessment, but some patients receive a clinical diagnosis without an identified variant.
Yes. FH begins at birth. Children with a concerning parent, family history, or cholesterol result should receive age-appropriate evaluation.
Cascade screening means offering cholesterol and sometimes genetic evaluation to close relatives after FH is identified in a family.
No. Treatment depends on age, risk, LDL level and response, prior therapy, safety, patient preference, and the current label for each medicine.
Bring current and older lipid results, prior medication details, records of cardiovascular disease, and a family history of high cholesterol or early heart disease.
Official sources
These sources support product identity, approval, current labeling, availability, and clinical boundaries. They do not prove Nao Medical site capability or health-plan coverage.
About familial hypercholesterolemia
Inherited risk, signs, diagnosis, treatment, and family screening context.
Open official source2026 guideline on the management of dyslipidemia
Current risk assessment, LDL-lowering treatment, Lp(a), ApoB, and monitoring guidance.
Open official sourceTop things to know: 2026 dyslipidemia guideline
Patient-selection principles and the roles of Lp(a), ApoB, and nonstatin therapies.
Open official sourceSource and label check completed August 1, 2026. Named clinical and operations review is still pending.
Health information notice
General information only. This page is not medical advice and does not replace diagnosis, treatment, or guidance from a licensed clinician.
Content was updated August 1, 2026 from the sources cited on this page. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.