Brief Answer:
dietary precautions along with regular exercises.

Detailed Answer:
Hi,
Welcome to health care magic,

I have read your query and understand the concern.

First of all,I would like to say that your total cholesterol is high (271) with LDL (181) but at the same time HDL (good cholesterol) is completely normal. VLDL and triglycerides are also normal.

So the fact that merely high cholesterol value has not much significant clinically. It should be taken into consideration with HDL which is a good cholesterol in the form of TC/HDL ratio.

Means,the ratio of TC/HDL (total cholestrol/HDL) is more important that merely cholesterol value. And here it is normal (below 5.0 is considered as a normal)

So,there is no need of any medications at present and it is NOT risky.However,it is better to be concerned than being ignorant.

The probable reason for high cholesterol could be lack of enough muscular exercise or hereditary.

So,you should do regular exercises at gym or at home as per your convenience for about 30 to 45 minutes to get maximum response.

In general to reduce your Cholesterol (Total cholesterol and LDL) follow these dietary guidelines along with regular exercises.

1) Avoid direct sugars and avoid fried snacks, bakery items,

2) Take plenty of vegetable salads- at least 1 bowlful cut raw vegetables like cucumber, tomato, carrot and vegetables which you can eat raw.

3) Snacks should contain healthy nuts like almonds or walnuts and a few dry fruits but no fruit juices,

4) Avoid soft drinks as they are only for taste having NO nutritional values.
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5) Skimmed milk and milk items made up of skimmed milk are good to check on cholesterol,

6) Egg white is fine but avoid egg yellow means yolk.

You can go for yearly check up of your lipid profile and there is no need to worry at present about this high cholesterol.It is not dangerous.

Hope this answer will help you.

Regards,

Dr.Sandip Kabra

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