Over 230. With a high ratio of LDL ("bad" cholesterol).
The goal with heart disease and diabetes is to keep it below 180, with higher HDL cholesterol (the "good" cholesterol). Don't want to go too low, as the body actually needs cholesterol to live. 160 to 180 would be perfect. 200 concern over diet. Above 210 changes in diet is recommended. 230 and with changes in diet, Statins are usually prescribed -- especially to high risk patients (and heredity is a key factor, too).
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