Our expert says:
Your LDL ("bad") cholesterol is very high, but may be partly offset by your favourable (high) level of HDL ("good") cholesterol. You probably have a condition called FH (familial hypercholesteolaemia) which is genetic.
Usually this requires drug treatment, as even the best diet - eg a vegan diet - will not get your LDL cholesterol level anywhere near normal.
You don't mention your age, (or your family history). If you are a young woman and intending to have children then one might defer drug therapy till after pregnancy, but if past child-bearing we would usually recommend you start drug therapy and continue it indefinitely.
My advice would be to see a cardiologist who can confirm the diagnosis and advise you on the best way of dealing with the problem.
I hope this helps. Best wishes
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