Hello and welcome to the forum! Thank you for your question. Familial hypercholesterol is so tough. When your own genetic make up works against us, it's discouraging, isn't it? Infants can be born with high cholesterol due to genetics.
It sounds like you have a plan to try to naturally combat this issue of high cholesterol. I would imagine that your doctors are encouraging you to take action on those numbers. You will find out if you can control cholesterol through diet and exercise. Cholesterol is a long game. So, you can give yourself six months or nine or a year to see what you can do on your own. If it becomes apparent that you can't get the numbers into a safe range, then you can decide whether a statin is worth it. That your total already dropped so much, that's pretty amazing! Sounds like your diet plan is good. Keep doing that and keep working on decreasing the weight and increasing the exercise. Your HDL looks pretty good, honestly. But more exercise can be helpful too for weight loss. https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/hdl-cholesterol/art-20046388
There are also holistic remedies to helping with cholesterol if you want to consider those. https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/cholesterol-lowering-supplements/art-20050980
We have another member on a similar journey. I'm going to direct them to this post. Might be nice to chat.
Let us know how it is going!