Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your total cholesterol/HDL ratio is 6.9 (very high), which means that you are at a high risk for cardio-vascular disease (including coronary artery disease, possible stroke, etc). Besides your plasma levels of transaminases are really high. I recommend consulting with a gastro enterologist for a physical examination, further liver and kidney function tests and an abdominal ultrasound. These changes may be related to alcohol intake. I strongly recommend you to stop taking alcohol, to prevent further damage to your liver. I recommend making some modifications to your lifestyle: -avoit fatt food and highly absorbed sugar in food (sweets, fast food) - increase omega 3 food (fish, white meat, nuts, etc) - perform a lot of physical activity (aerobics and walking are recommended) - lose weight, if your are overweight - stop smoking and taking alcohol. A stating (atorvastatin, simvastatin,etc) could be necessary to help your reduce cholesterol levels. Hope to have been helpful! Best regards, Dr. Iliri