<s>[INST] My son is 14 years old and has been having very high pulse rates and high blood pressure. For that reason he just had a series of blood test where his moncytes count was 1296 and 1+ was the reading for occult blood in the urinalysis. His choloesterol and tsh levels were also high. He has been diagnosed with NF1. I m obviosly concerned. Is there anything we would do before the long wait to get back to the doctor? [/INST] Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. High cholesterol and ts his certainly not an emergency, so you can wait, or you get back with reports so that I can advise the dose of thyroxine which he'll need to take. For high cholesterol he should first adopt dietary changes like low oily and low fat, sugary diet. Also, regular exercises will help. If it doesn't help he may need tab Atorvastatin depending upon the cholesterol levels. Hope I have answered your query. Let me know if I can assist you further. </s>