Nothing wrong with your numbers at all. You have an ideal hdl value, your HDL to total cholesterol ratio is ideal as well. I would not adjust your fats, but focus on cutting the processed carbs, added sugar etc. Check out this article: http://suite101.com/article/how-to-lower-cholesterol-naturally---cut-carbs-a152875 it's really interesting. Research shows that intake of good fats, such as the Paleo diet, and the reduction of bad carbs puts you in a more ideal state than reducing cholesterol intake and fat alone.

I've been paleo for about 2 years, and last year my boyfriend went paleo because he found he felt better eating my food. His cholesterol was out of whack when I met him...a worry since his father died young. He was afraid to get his results after he had been eating so much meat and fat (and no "healthy" grains). Imagine his surprise when every level improved. He's been monitoring his levels over the past year and just got back his last set today. (Note that we are very strict paleo.) Check it out:

Vegetarian Diet (April 6, 2011) Total Cholesterol - 218 (HIGH); HDL Cholesterol - 45 (Normal); Tryglicerides - 187 (HIGH); LDL Cholesterol - 136 (HIGH); CHOL/HDLC - 4.8 (Normal);

After Starting to Change to Paleo Diet (December 22, 2011) Total Cholesterol - 196 (Normal); HDL Cholesterol - 49 (Normal); Tryglicerides - 103 (Normal); LDL Cholesterol - 126 (Normal); CHOL/HDLC - 4.0 (Normal)

After More Strict Following of Paleo Diet (February 10, 2012) Total Cholesterol - 182 (Normal); HDL Cholesterol - 48 (Normal); Tryglicerides - 82 (Normal); LDL Cholesterol - 118 (Normal); CHOL/HDLC - 3.8 (Normal)

After More Strict Following of Paleo Diet (February 10, 2012) Total Cholesterol - 199 (Normal); HDL Cholesterol - 55 (Normal); Tryglicerides - 82 (Normal); LDL Cholesterol - 128 (Normal); CHOL/HDLC - 3.6 (Normal)

After Continued Following of Paleo Diet (Sept. 14, 2012) Total Cholesterol - 189 (Normal); HDL Cholesterol - 55 (Normal); Tryglicerides - 62 (Normal); LDL Cholesterol - 122 (Normal); CHOL/HDLC - 3.4 (Normal)

Your numbers are quite decent, and not high at all. Epidemiologically, mortality is lowest in the 220-230 range (although total cholesterol alone is a rather weak predictor). Your total-to-HDL is pretty good but could still be improved. You don't know particle size, which might be worth having checked next time with a test like Berkeley, NMR LipoProfile, or VAP.

You really have very little to worry about based on those numbers, although you may try reducing dairy fat or fructose if you are concerned.

In fact, other than slightly lower numbers, you and I have very similar results. My TC is about 30 points higher, but the ratios are all the same. I personally am exploring whether mild hypothyroid might be happening in my case, but that's due to some other symptoms and family history so it probably doesn't apply to you.

Umm, I'd kill for those numbers. Tit396, HDL58.4, LDL317.8, Tr99.2.

If you eat lots o'butter, I'd say cut back. I've read several cases on this site where decreasing butter consumption coincided with lower LDL #'s.

I would watch these videos posted by Chris Kresser to understand more about cholesterol, what it means, and the true risk factors to be worried about: http://chriskresser.com/i-have-high-cholesterol-and-i-dont-care IMO everything about your panel is decent but your HDL/LDL ratio can be better by introducing some intensity interval training if you do not incorporate that already. This will raise your HDL (which is what you meant I think by you saying your LDL is too low) and lower your LDL. Evidence that you are already on the right path is that your overall inflammation is lower than before (lower CRP) and your TG are at a great range.

Your total cholesterol is fine, though your LDL numbers aren't that good. I would try to reduce the ldl to less than 100, plus raise a little bit the hdl