Hi Ldrew,

First, I recommend discussing with your physician who fully knows you health background.  Second, here's a little input based on the numbers you've shared.

Here are the recommendations of the American Heart Association:

Total cholesterol less than 200
HDL cholesterol at least > 40, ideally > 60
LDL cholesterol at least less than 130, ideally less than 100
Triglycerides less than 150

Your triglycerides are elevated.  Check out this post - http://www.healthcentral.com/cholesterol/c/42538/33326/triglycerides.

Your HDL could be higher.  HDL and triglycerides go hand-in-hand.  By this I mean, the steps you take to lower triglycerides will typically result in a higher HDL level.  Here's a post with tips on how to raise HDL - http://www.healthcentral.com/cholesterol/c/42538/42319/tips-raise-hdl.

You're LDL level is not bad.  I recommend focusing on triglycerides first.  Once triglycerides are within normal limits, move on to making changes that will lower LDL. 

Work with your physician to monitor your progress with diet and lifestyle changes.

All the best,

Lisa Nelson RD

How to Lower Cholesterol in 8 Simple Steps