Your Cholesterol is high. You should start with lifestyle measures along with medicines and a few tests like BP, Echo, LFT, TSH. In lifestyle measures you should 1) Exercise daily for 40 mins 2) Diet
change (take a detailed diet consult) 3) Diabetes Control
if you are diabetic. You can initially try lifestyle changes for 4-6 weeks then repeat cholesterol levels if still high, consult a local cardiologist
to start low dose statins.