<s>[INST] I am a Latino woman age 59. pernicous anemia dx about 20 years ago. used to do shots now I do sublingual 2000 mcg. My level is 1500. high total cholesterol. but HDL are high so MD does not worry. daily alcohol consumption (1) drink. MCV always high. albumin a tad low. chronic asthma..lots of maintenance meds. Mom died of CLL at age 59. I have no other symptoms. BMI 26. [/INST] Hello, Considering the fact that as long as the Total cholesterol/HDL ratio is less than 4.5, it is OK to continue your current diet and not take statins. I would just recommend avoiding alcohol intake. There is no reason to worry about your family history as it is usually not hereditary. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist </s>