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This much of report indicates hyperlipidemia
.and it is responsible for further delopment of certain disease like ischemic heart disease
This requires immediate medical management at age of 32.for medical management you have to consult physician, otherwise start exercise like brisk walk.swimming,cycling.take more fruit juices,boiled vegetable,suops,salads. avoid fatty food,dairy products,icecreams and white flour items like pizza,sendwich,burger.
Count your BMI according to your height and weight,try to keep it around 25 if it is high.repeat the test after 3 months.