A total cholesterol level of 249 mg/dL is high, but before starting any medication like a statin, a complete
lipid profile (including
LDL,
HDL, and
Triglycerides) must be evaluated. Statin initiation depends on your overall cardiovascular risk factors, such as blood pressure, smoking history,
diabetes, and family history. Generally, a 3-6 month trial of strict lifestyle changes—such as a heart-healthy diet and regular exercise—is recommended first. If a statin is ultimately prescribed by your doctor, it is typically taken long-term to keep your cardiovascular risk low. Please consult a physician in person with a full lipid report to determine the best course of action.