In 2013 the European Atherosclerosis Society came out with a consensus statement on the need for increased cascade screening of families at risk of Familial Hypercholesterolemia (FH). Because FH affects individuals from birth, these people have elevated cholesterol levels all their life. As a result, they are at a much greater risk to develop heart disease or have a heart attack early on. Dr Joshua Knowles, Chief Medical Officer of the FH Foundation, has written an article for Endocrine Today to share his physician perspective on the differences between FH and lifestyle-induced high cholesterol, and the important consequences of being exposed to inherited high cholesterol. You can find his account on the 2nd page HERE.