Can I drink caffeine if I have high cholesterol?

December 17, 2025 •

4 min read

According to a 2023 study, there is a suggested link between higher coffee consumption and increased levels of LDL cholesterol. However, individuals with high cholesterol can still drink caffeine, provided they are mindful of their brewing method, moderation, and what they add to their beverage.

Quick Summary

The impact of caffeine, primarily from coffee, on cholesterol levels is dependent on the brewing method and amount consumed. Unfiltered brewing methods release natural oils called diterpenes that can raise LDL cholesterol. Moderation and healthier add-ins are key for managing your cholesterol.

Key Points

Brewing Method is Key: Paper filters trap cholesterol-raising diterpenes, making drip coffee and pour-over methods safer for high cholesterol than unfiltered options like French press or Turkish coffee.
Moderation is Important: While coffee may have health benefits, heavy consumption, especially of unfiltered varieties, can increase LDL cholesterol.
Watch Your Add-Ins: High-fat ingredients like cream, butter, and sugary syrups can significantly impact cholesterol levels, often more than the coffee itself.
Consider Heart-Healthy Alternatives: If concerned, opt for green tea, black tea, or chicory coffee, which offer benefits without the diterpenes found in unfiltered coffee.
Focus on Broader Lifestyle Choices: Diet, exercise, and overall fat intake have a much greater impact on cholesterol management than moderate coffee consumption.
Consult a Professional: Always discuss dietary concerns, including caffeine intake, with a healthcare provider, especially if you are managing high cholesterol or have other heart conditions.

The Connection Between Caffeine, Coffee, and Cholesterol

For those with high cholesterol, the relationship with caffeine requires a nuanced understanding. While caffeine itself does not contain cholesterol, the way it is delivered, particularly through coffee, can influence blood lipid levels. The key players in this equation are the naturally occurring oils found in coffee beans, known as diterpenes—specifically cafestol and kahweol. These compounds have been shown to increase LDL (“bad”) cholesterol levels by inhibiting the body's natural cholesterol-regulating processes. However, the good news is that the amount of diterpenes that end up in your cup is heavily influenced by how you brew your coffee.

How Brewing Method Affects Cholesterol

One of the most critical factors for people with high cholesterol is their coffee brewing method. Paper filters act as a barrier, effectively trapping the cholesterol-raising diterpenes, preventing them from ending up in your drink. This is why brewing methods that rely on a paper filter are generally considered the safest options for heart health.

Conversely, methods that bypass a paper filter allow these oils to pass directly into your mug. Drinking unfiltered coffee frequently can lead to a notable increase in LDL cholesterol, especially for those who consume large quantities. For those concerned about their lipid levels, switching to a filtered option is a simple yet impactful change.

Mindful Consumption: Quantity and Additives

Beyond brewing technique, the amount of coffee and the add-ins you choose also play a significant role. Studies suggest that moderate coffee consumption, typically defined as 3 to 4 cups per day, is generally safe for heart health and may even offer benefits. The risk of elevated LDL cholesterol increases with higher intake, especially when consuming unfiltered varieties. For individuals already managing high cholesterol, staying within a moderate range is a prudent approach.

The ingredients you add to your coffee are arguably more impactful on cholesterol than the coffee itself. High-fat dairy products like heavy cream and certain specialty coffee concoctions laden with sugar and whipped cream can significantly increase saturated fat intake, a known contributor to high cholesterol. Choosing low-fat or plant-based milks and limiting added sugars are healthier alternatives for your heart.

Comparison of Coffee Brewing Methods


Brewing Method	Cafestol Content	Recommended for High Cholesterol	Notes
Drip Coffee (Paper Filter)	Low to Negligible	Yes	Paper filter effectively removes most diterpenes. A very heart-healthy choice.
Pour-Over (Paper Filter)	Low to Negligible	Yes	Also uses a paper filter, making it a safe and popular option.
French Press	High	No (Use sparingly)	Unfiltered method allows diterpenes to remain in the coffee. High risk for raising LDL.
Espresso	Moderate	Yes (in moderation)	The brewing process is not filtered, but small serving sizes typically limit diterpene intake.
Boiled/Turkish Coffee	High	No	Unfiltered and prepared by boiling, resulting in very high diterpene content.
Instant Coffee	Low	Yes	Processed in a way that leaves negligible amounts of diterpenes in the finished product.
Cold Brew	Varies	Depends on filtration	If filtered through paper, it is low in cafestol. If only a metal mesh is used, it can be higher.

Beyond Coffee: Alternative Caffeinated Drinks

If you have concerns about your coffee intake or are simply looking for variety, there are many caffeine-containing alternatives that are often safer for cholesterol levels.

Green Tea: Contains catechins and other antioxidants that can help lower LDL and total cholesterol.
Black Tea: Also contains antioxidants and may have positive effects on cholesterol.
Matcha: A powdered form of green tea with a smoother caffeine boost and high antioxidant levels.
Yerba Mate: A South American beverage that contains caffeine and antioxidants.
Kombucha: A fermented tea drink that can contain small amounts of caffeine along with probiotics.

Living a Heart-Healthy Lifestyle

While managing caffeine and coffee intake is a smart move for those with high cholesterol, it should be part of a broader, heart-healthy lifestyle. Factors like diet, exercise, and genetics have a more significant overall impact on lipid profiles. Focus on the fundamentals:

Eat a Fiber-Rich Diet: Soluble fiber from foods like oats, legumes, fruits, and vegetables can lower cholesterol.
Exercise Regularly: Aim for at least 150 minutes of moderate aerobic activity per week.
Monitor Add-Ins: Be mindful of the saturated fat and sugar in your favorite coffee drinks.
Prioritize Sleep: Quality sleep is crucial for overall health and stress management.

Conclusion: The Bottom Line for Caffeine and Cholesterol

In summary, the answer to "Can I drink caffeine if I have high cholesterol?" is a resounding yes, but with caveats. The primary risk comes not from caffeine, but from the diterpenes in coffee's natural oils. By prioritizing filtered brewing methods, moderating your overall intake, and making smart choices about your add-ins, you can enjoy your favorite morning beverage without undue concern for your cholesterol levels. However, it is vital to remember that coffee is just one small piece of the puzzle. The most significant improvements to your lipid profile come from comprehensive lifestyle changes, including a balanced diet and regular exercise. As always, consult your healthcare provider to discuss your specific health needs and ensure your diet supports your cardiovascular health goals.

Expert Guidance on Coffee and Heart Health

For more detailed information on cardiovascular health and managing cholesterol, consider exploring resources from the American Heart Association. American Heart Association: Know Your Fats

Frequently Asked Questions

Yes, it can. The diterpenes (cafestol and kahweol) that raise cholesterol are found in the natural coffee oils, not the caffeine itself. Therefore, the brewing method remains the most important factor, even for decaf coffee.

While it varies by individual, many studies define heavy consumption as more than 4-5 cups per day. For most people with high cholesterol, staying within a moderate intake (1-4 cups), particularly of filtered coffee, is considered safe.

Espresso is an unfiltered coffee and contains diterpenes. However, because it is typically consumed in small quantities, its effect on cholesterol is often considered negligible compared to larger cups of unfiltered coffee. Moderation is still advised.

Moderate consumption of filtered coffee is generally safe. However, you should discuss your coffee and caffeine habits with your healthcare provider to ensure there are no potential interactions with your specific medication or health condition.

Green tea is an excellent choice. It contains catechins and other antioxidant compounds that have been shown to help lower LDL and total cholesterol levels. Other options include soy drinks and oat drinks.

Yes, instant coffee is a relatively safe option. It is processed in a way that results in very low levels of diterpenes, the compounds linked to raising cholesterol.

The evidence on whether roast level significantly impacts diterpene content is currently conflicting. Focusing on your brewing method is a more reliable way to manage cholesterol-raising compounds.