Cholesterol can come from both exogenous (dietary) and endogenous (produced by the liver) sources. Dietary cholesterol is found in foods like eggs and animal fats, while the liver produces cholesterol endogenously. Oxidized cholesterol is especially harmful and can damage blood vessels. High levels of homocysteine in the blood can also damage blood vessels and increase heart disease risk. Homocysteine levels are affected by nutrients like folate, vitamin B6, and vitamin B12. Caffeine intake should be limited as it can raise blood pressure and homocysteine.