Not an immediate crisis, but now is the time to make the life style changes to prevent a problem in your 40s. You should discuss diet and exercise with your doctor and discuss if meds are required as your LDL is well beyond the recommended level of 130.
You should change your lifestyle by changing your habits and take care of your health. Take the proper diet which doctor recommended you and use diet that are cholesterol free. Don't do hard work which created problem of heart.
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