I posted something similar about a month ago. In short, my results seemed great except for a high LDL (low trigs, good HDL etc.) but the high LDL which drives the total number up freaks out most docs.
I went to see a Paleo dietician afterwards and his advice was to titrate back some on the pure saturated fat (e.g. full fat dairy, 100% chocolate etc.) and do a bit of a ramp up on the fish and perhaps a tad of a scale back on the red meat (I was eating red meat, coconut oil, 100% chocolate etc. like it was going out of style). Lastly, that I should keep my fat content up, but swap get more monos and polys where I had pure saturated before. He wanted me to try to keep my really good HDL (85) and low trigs (39) but bring down the LDL, mainly because I want to get life insurance this year, not because he thought my total number was all bad. :)
My doc was clueless, we talked about my diet prior to my bloodwork and she said she totally understood, then when I got my results she gave me the same "this is unacceptable, eat more grains" speech, much to my chagrin.
I'm about a month or so into the changes, we'll see how my body and labs respond in a few months.
I'm not a doc, but from everything I've read on this website and in books etc, for being in your late fifties your results seem good.