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Familial Hyperlipidemia (FH) is a common yet often underdiagnosed genetic disorder that significantly increases the risk of premature cardiovascular disease due to lifelong elevated LDL cholesterol levels. I will highlight the importance of early identification and diagnosis in primary care, discuss practical screening strategies, and review current evidence-based management approaches including lifestyle modification and lipid-lowering therapies. Empowering GPs with this knowledge is crucial to improving patient outcomes through timely intervention and preventing the devastating consequences of untreated FH!