My total cholesterol number is always above 200 but below 240. Triglycerides are always high (too much sugar).
I had my doctor do a differential diagnosis with a SED rate and CRP (C-reactive protein) test. Turns out I have chronic inflammation (which I know now since I have inflammatory arthritis). My liver and kidney function is compromised due to the inflammation so of course my cholesterol count is high (inflamed livers produce more cholesterol because the body is trying to heal damage.)
Lower the chronic inflammation, lower the threat of heart disease and stroke.
I refused cholesterol lowering medications because they damage the liver further and I need my liver.
Milk thistle supplements should help heal the liver. I try that first.
Limit sugar. Eliminate products with high-fructose corn syrup. Eliminate hydrogenated oils (read all nutrition labels, they are getting sneaky). Get more exercise. You have to be careful when you're a vegetarian. Some veggies eat the highest fat diet I've ever seen.