I am 25, total cholesterol is 278, ldl is 201, hdl is 60, vldl is 17 and triglycerides are 84. i eat very healthy and workout daily, this runs in my family. should i be worried?

High cholesterol: Your total cholesterol and ldl are too high. At your young age I would strive to make stringent lifestyle changes including ideal weight, very strict low saturated fat dieting including seeing a registered dietician at your hospital for expert dietary and ideal weight advice, Mediterranean diet is a good one, taking omega 3 fish oil, drinking green tea,healthy exercise. Get Chol under 240, LDL 130