Considering the history that you have given, I would recommend that you start exercising regularly for an hour a day, 30 minutes of aerobic exercises and 30 minutes of resistance training exercises. The dietary restrictions that you need to follow are – avoid bakery items. avoid sweets, avoid oily and deep fried items and lastly, avoid red meat. You may do these lifestyle modifications for the next three months and you can recheck your fasting lipid profile levels after three months. Based on the report, we can decide whether you have achieved your necessary targets or now you need medications.