re: Men - what do you do to lower your triglycerides & cholesterol?

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the risk of having a stroke because of high cholesterol?

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Again, this premise is being called into question.

I don't disagree with you, but Family History is a huge issue. It is more determinate than anything else in life. Given that he should do everything in his power to 1) lose weight, 2) eat better, & 3) lower his dam cholesterol.

At this point in his life, he should make drastic changes including strong consideration to a statin. If his other life changes materialize, he can try to get off said statin assuming his cholesterol and other bloodwork remains good.

Statins are massively over prescribed and pushed by doctors at the first sign of high cholestorol; however, given his family history he is a PRIME CANDIDATE. He should do everything to lower his risk of atherosclerosis.

People try to oversimplify things as statin = good or statin = bad. That's bullshite, they are a tool in the toolbox. That tool seems like a great tool for someone who is at real risk of major heart issues before 40.

He could also go pay for a calcium artery scan and get scared by the amount of calcium already in his arteries.

Good post. My point is that it is a significant factor in how serious you should evaluate statins or how serious you should try to course correct.

We are all going to die sometime and of something, but family history can help show where you are most at risk of dieing. At that point it is your decision to try to take corrective action to reduce that risk as best you can or just accept it. There isn't a right/wrong. The point I was trying to make is given the circumstances, it seems like atherosclerosis is a significant risk for him (not OP, but Doug-H).

If the only risk factor was high cholesterol and not all three of: high cholesterol, overweight, & significant family history at a young age. I could understand the anti-statin sentiment and would entirely agree with it.

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There is significant discussion regarding dementia risks linked to statin usage. If you Google this, you'll get tons of results ranging from very interesting and cautionary to straight up conspiracy. I'll just give a real study as an intro: Lots of Detail

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Okay

This is a message board and I come here for the ease of use and hope that someone can break it all down for me to understand.

A link with a ton of scientific jargon does not do that.
Does it make sense to you? If so, please translate for the message board posters that are not scientists.

For starters;
Of the people who use statins, what percentage develop dementia?

I just saw that low LDL is associated with depression and low cholesterol in general is associated with higher suicide risk.

That is wild.

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My cholesterol was also a tad high, although lower than last time. 

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Utterly useless info.

Your trigs are high just objectively.

What's your HDL?

I assume your doc didn't bother doing an NMR?

That LDL is there to fight inflammation and is neuroprotective.

Keto AF diet

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Google or watch YouTube for Dave Feldman. He has cholesterol hacks to cheat tests. Like anything else in your body, lipid production is a closed loop system.

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Dave's website

OP: Your main concern should be your TG/HDL ratio. Anything under 2 is good, anything under 4 is "ok". Your LDL is calculate the majority of the time unless you requested a direct measurement. Still, a high Total Cholesterol number with a TG/HDL ration under 1 means your LDL particle size is golden.

There is so much bullshite around cholesterol

Plant based diet!