Hello and welcome to HCM,
HDL levels of 53 is desirable.
HDL is good
cholesterol and its level above 40 is good for health thus you do not need to reduce it.
LDL is the bad cholesterol and its level should be below 100 mg/dl.
LDL level up to 244 is quite high and not good for health.
Life style modifications are required to reduce LDL levels.
Regular exercise, fresh fruits, fresh vegetables, high fiber diet, less fatty foods, plenty of fluids are the basic life style modifications which will help to reduced LDL levels.
However, consultation with a cardiologist is required.
If the life style modifications are not able to reduced LDL levels, medication may have to be started after a month of trial of life style modifications alone.
However, life style modifications have to be continues even after taking medication.
Thanks and take care
Dr Shailja Puri