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Hello everyone, I recently received some blood work back, and I would like some opinions. To preface, I am between primary care doctors, but as soon as I get one I'll be getting an expanded lipid panel for details. Anyway, my total cholesterol is 245, which is fairly high for me. For the last several years, it's normally been between 190-200. However: Triglycerides: 46 LDL: 125 HDL: 112 (that is not a typo!) Part of me thinks that because the LDL/HDL ratio is the same as its always been (around 2.2), I shouldn't worry. On the other hand, there's an obvious fallacy to "If some is good, more must be better". Sadly there are no definitive studies on the impacts of very high HDL -- apparently there just aren't a lot of people in that category. Genetically and from all non-cholesterol type tests (blood pressure, CR-P levels, BMI, etc) I'm believed to have a fairly low risk of heart disease, but I do have a higher risk of developing Alzheimer's. I'm "skinny fat" (good BMI, but ~31% body fat) and could probably stand to lose 10-15 lbs. I eat 80% paleo, usually 40-50% fat with the occasional cupcake/doughnut at work, and work out 3-5 times per week (strength training and running) So my question is, should I: 1) Ignore it 2) Keep eating the same types of food, but try to lower my body fat 3) Try to lower the LDL only via adding some whole grains to my diet (apparently they are highest in naturally-occurring plant sterols) 4) Try to lower both LDL and HDL by eating less fat overall 5) Something else? Any and all opinions greatly appreciated!