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Different factors that can cause or increase your risk of high cholesterol include: having a family history of high cholesterol smoking eating an unhealthy diet high in unsaturated fats and cholesterol lack of exercise having other illnesses, such as diabetes taking certain medications, including steroids and progestin being obese age (as you get older, your cholesterol level tends to rise) gender (LDL cholesterol rises more easily in women, though they tend to have lower bad cholesterol until around the age of 55) Too much LDL cholesterol can increase your risk for heart disease