No it's not. A tablespoon of Shrimp paste has around 200 mg of Cholesterol. Most of that though is the HDL version, which is good and it also has quite a bit of Omega 3 and 6 fatty acids, as well as, EPA and DHA which are all conducive to cardiovascular and neurological health. So if you don't have high cholesterol it shouldn't be a concern in regards to cholesterol. However the fermentation process converts salts into monosodium glutamate which gives shrimp paste it's salty flavor and it's umami flavor enhancing properties when heated. It's the MSG that concerns me more than the cholesterol, so I use it in small doses. Same with fish sauce which I love.