Welcome to HCM and glad you came. First, you asked what you needed to do to get better numbers indicating your lipid panel. Let us review your bloodwork first. Your triglycerides are fine; total cholesterol is slightly elevated and a good level would optimally be 180 but certainly down below 200; HDL levels good as they are above 40-50; LDL is at 120 and needs to be below 100. To get your lipids in a healthier range you will need to make some lifestyle commitments.Diet wise I would get rid of trans fats and lower the saturated fats found in butters, cheeses, high fat meats, dressings, etc and replace them with sources of good fats such as virgin olive oil based dressings, nuts (limit portion when trying to lose weight) and olives. Increase soluble fibers found in oats, oatmeal, fresh fruit and legumes. The Mediterrean Diet is a good example of a healthy diet. Next, to get your blood healthy again, you will need to consider losing weight. Your BMI is 32 which places you in the obese range. Consider setting a reasonable and achievable weight goal and achieve this through your improved diet and the exercise program I haven t talked to you about yet. You should exercise a minimum of 150 minutes per day mixed cardio and stretching/yoga/tai chi. It is difficult for many to achieve a normal vitamin D level. My doctor was shocked to see that mine was normal. There are variables - if you are too far from the equator absorption is low; wearing too many clothes/darker skin/heridity/lack of fortification all contribute to low vitamin D levels. I have my patients taking vitamin D daily at about 1,000 IU and we consider this to be an everyday thing. I hope this helps steer you in the right direction. To your health, Kathryn Shattler, MS,RDN