Hi, your blood
lipid (fat) levels are elevated. You will have to modify your diet asap and get some exercise. Beyond that you will need cholesterol lowering medication. You also need to check your blood sugars, bp and
thyroid levels and other routine blood tests for hemoglobin and such. As for the ALP elevation it's not elevated to a significant level. After getting your lipid levels down you can repeat it and check.
Next Steps
Complete Medical check up