Thanks for posting on HCM,
TGH at 205mg/dl indicates you are having some risk of a cardiovascular diseases (i.e risk is there but not very high). Normal VLDL cholesterol
level is between 2 and 30 mg/dL which means you are above normal and are at increased risk of cardiovascular diseases. Your uric acid level is high meaning you can easily develop gouty crisis, kidney
stones, gallstones etc.
Hence you will require medications to lower them and also a change of lifestyle especially type of food and regular exercising.
Hope this was helpful.