you need to get your cholesterol down, none of the over the counter/natural stuff actually works well youll probably need a prescription unless you can get it down by reducing cholesterol in your diet and exercising regularly. garlic and fish oil can help a tiny bit but probably not more than a few points, exercises and reducing cholesterol intake (hich chol. foods include dairy products, eggs, and meats read the labels on stuff you eat) or prescription drugs like zocor, lipitor, etc. are much more effective. anyone who touts homeopathic remedies other than that doesnt know what they are talking about is full of crap. they dont work period. your arteries are clogged if you develop blood clots. people with high cholesterol are at higher risk for atherosclerosis which basically means your blood vessels narrow and harden which greatly increases your risk of heart attack, stroke, etc. so your arteries may or may not be clogged but you should get your cholesterol down to reduce the risk of atherosclerosis. atherosclerosis cant be healed once the damage is done, so its best to prevent it before it happens. if doctors already think you have atheroschlerorsis or are at risk for it, asprin can help prevent clots. if you wanna do that talk to a doctor or pharmacist before starting though to make sure you dont have a health condition or are taking a medication which asprin could interfere with so if i confused you with technical terms there, basically high cholesterol leads to atheroschlerosis, atheroschlerosis leads to clots, and clots leads to bad stuff. high cholesterol doesnt mean youre a heart attack waiting to happen, but it is good to keep it lower. as a rough estimate of benefits, for every 2 points of total cholesterol a person is over 200, their risk of a heart attack in the next 10 years increases by about 1%. so reducing your cholesterol from 260 to 200 would reduce your chance of having a heart attack by roughly 30% just try to follow your doctor s recommendations on the matter