My total fasting cholestrol is 281mg/dl pls give me an advice?

Life style change: You may try the following and re do the test in 6-12 months. If it does not help, please see a doctor for consideration of drug treatment. Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex.