<s>[INST] i am 51 years.I am pre-diabetic since 7 years.My HbA1c is 6.1.total cholesterol is 261.hdl   38,ldl  169.vldl  38.2,            triglycerides  191.I regularly warmup for 15 mts and do brisk walk for a distance of 6 km.My B.P. is 110/72.myheart beat is 70-75pm..What i have to do to reduce total cholesterol.My serum creatinine is 0.63mg and my testosteron is 653.23 ng/dl and all other blood tests reveal quiet normal levels. is it o.k. What has to be done to lower my total cholesterol ? I am worried about my T.C. Please answer me. [/INST] Both your cholesterol and triglycerides are elevated, the LDL is also well over the optimum mark of 100. It would help to go on a low fat diet, mainly poly saturated fats need to be avoided. Use of Vibrates/Nicotine Acid/Statins/omega 3 fatty acids will help reduce the triglyceride levels, Losing weight if obese, ruling out hypothyroidism, checking that certain medicines which affect triglycerides are not being taken will help. Stopping smoking and limiting alcohol will also help. Your exercise levels are good, a healthier diet will help. </s>