Cholesterol guidelines changed again

On March 13, 2026, the American College of Cardiology and the American Heart Association published the 2026 Cholesterol Guidelines for managing what they regard as high cholesterol levels in the blood. To understand why this is important, we need to start at the beginning with the ICD-11, the EMA, and the pharmaceutical industry.

The International Classification of Diseases-11 (ICD-11) is the World Health Organisation’s (WHO) primary reference for physical illnesses and diseases. We could call it their diagnostic and treatment “bible” for all physical conditions. Medical professionals, institutions, associations, medical boards, and councils across the EU, including your doctor, adhere to these standard treatment protocols.

The Gates Foundation, led by Bill Gates, is the WHO’s primary donor, providing $761 million in 2024-2025, prompting questions about Gates’s influence and the reliability of the WHO’s ICD-11 guidelines.

The European Medicines Agency (EMA), established in 1995, was financed by the European Union, the pharmaceutical industry, and contributions from member states. Its aim was to harmonise existing national medicine regulatory agencies. The intention was not only to reduce the €350 million annual expense that drug companies faced from obtaining separate approvals in each member state, but to eliminate the protectionist tendencies of sovereign states reluctant to approve new drugs that might compete with those already produced by domestic companies.

Engaging with pharmaceutical companies is its core focus. The EMA offers scientific and regulatory information, compliance standards, and incentives for specialised medicines to medicine developers.

Since 2022, it’s collaborated with medical device companies to manage public health emergencies. The EMA and the Medicines Regulatory Network (EMRN) control all regulatory aspects of medicines within the EU.

The pharmaceutical industry funds the WHO through Bill Gates’ $761 million for 2024/2025 and donates substantial amounts to various health organisations in the EU. It also funds the EMA. Details of specific amounts donated by Big Pharma are not publicly available, but EMA’s 2024-2025 budget of around €478.4 million, funded by the EU and Big Pharma, is.

All this Big Pharma funding includes significant donations to the American College of Cardiology (ACC) and the American Heart Association (AHA), and influences decision-making. These new cholesterol guidelines focus on prescribing statins to healthy people and screening every nine to 11-year-old. 

In their Huffpost.com article on what furious doctors are calling “insane guidelines”, Barbara Roberts, M.D., and Martha Rosenberg point out that these guidelines are an egregious example of many issues in medicine today. They suggest increasing statin use in healthy people, recommending them for 44% of healthy men and 22% of healthy women aged 40 to 75 years, which means 13,598,000 healthy individuals would be advised to take moderate-to-high doses of statins, and this number is only for the US. How many healthy people in the EU will also be prescribed statins?

Supposedly a non-profit organisation, “the AHA reported $521 million in donations in 2011-2012, including $1 million individual donations from well-known drug companies, some of which make and market statins. While many in the medical community suspect these guidelines are a ploy to benefit AHA’s drug partners in selling statins, it’s been revealed that the online calculator used to assess cardiac disease risk overestimates risk by an astonishing 75-150%, yet these guideline authors still defend their faulty calculator. Seven of the 15 authors disclosed ties to Big Pharma. The panel chair declared no ties to Big Pharma since 2008; however, prior to 2008, he accepted funding and fees from AstraZeneca, Pfizer, Merck, and Schering-Plough, but now promises not to accept any Big Pharma funding for two years.”

The financial ties between the AHA and Big Pharma are extensive and highly profitable, including donations from Abbott, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb (BMS), Eli Lilly, Merck, and Pfizer.

Meanwhile, BMS, Merck, and Pfizer sponsor their ‘Go Red for Women’ heart disease awareness campaign. The AHA also generates millions from food companies paying between £5,490 and £7,500 per product to secure the “heart-check mark” — an official approval paid for yearly.  

Cholesterol is an essential fat produced by your liver based on your body’s demand. It’s in every cell, and is a building block of hormones, a key ingredient in vitamin D production, and strengthens all cell membranes. Without cholesterol, your body and brain cannot function. Eighty percent of cholesterol is made from glucose, and 20% is made from fat.

There are two types of cholesterol: High-Density Lipoprotein (HDL) and Low-Density Lipoprotein (LDL). Your body takes in hundreds of chemicals every day from eating, hygiene products, mould, smoking, drinking, and breathing. These chemicals damage the small cells in the lining of the edges of your arteries. Because of its low density, LDL clings to the walls of your arteries, waiting to repair holes and rebuild cells, while it feeds your brain the cholesterol it needs to function properly. HDL flows through the middle of your arteries, where it removes excess cholesterol from your bloodstream and transports it back to the liver, where it’s broken down and disposed of. There is no bad cholesterol.

The old guidelines for adults aimed for LDL cholesterol below 100 mg/dL, with a target of less than 70 mg/dL, while total cholesterol levels for children were set below 170 mg/dL, with LDL less than 110 mg/dL.

These 2026 guidelines recommend universal screening for children aged nine to 11 years, which means your doctor may want to screen your child and prescribe statins. Adults’ LDL should be below 100 mg/dL for those at borderline, below 70 mg/dL for high-risk individuals, and below 55 mg/dL for very high-risk individuals.

Any level below LDL 100 mg/dL may potentially cause damage to nerves, liver and kidneys, cognitive dysfunction, muscle pain and weakness, memory loss, depression, dementia, and Alzheimer’s.

Your brain needs fat; statins are dangerous drugs with severe side effects. Never assume your doctors have your best interests at heart; they must follow their “bible”. Take your health into your own hands and only give fully-informed consent for every treatment you are offered.

Read more of Joan Maycock’s articles on health: Sleep problems and melatonin or Your Lymphatic System

Joan Maycock
Joan Maycock

Joan Maycock MSc Health Psychologist specialises in Stress and Burnout Education. Stress and Burnout Educational Retreats, Workshops and 1on1 Sessions for private and corporate groups. In Ireland and Portugal.

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