At present you should first begin with lifestyle changes like -daily exercise like brisk walking for 40 mins, quitting smoking
and drinking and eating a healthy heart diet
(take a detailed diet
consult for that), if you are overweight use diet and exercise to loose weight as well. Consult a cardiologist
for baseline cardiac evaluation. Repeat tests after following these precautions for 8 weeks if cholesterol is still high you will need medications as well.