Kindly explain my blood test report taken in fasting.

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Yes, lipid profile is very much deranged especially LDL (low density lipoprotein) cholesterol part which is bad cholesterol. The reason for this is likely genetic with some component of lifestyle. This will need regular monitoring, and control should be strict in order to avoid the development of heart blockages. So, you need to start medicines as well as have a healthy lifestyle. You need to have a healthy lifestyle like avoiding fatty oily and a high-calorie diet. Have regular exercise like brisk walking or running according to capacity. You should also get your BP (blood pressure) checked. And if you have a family history of heart diseases or any chest pain then also other routine tests like echo and TMT (treadmill test) should be obtained. In medicine, you should get prescribed tablet Rosulip 10 mg once daily bedtime after meals for eight weeks if tolerated well without side-effects. Repeat lipid profile after eight weeks to see the response.