My father has a total cholesterol of 277. tryglycerides 230. and ldl 185! and hdl 80 is this ok? he is taking fish oil and omega 3. should he take med

Consider Statin: As the primary target, the LDL ("bad") cholesterol is well above the target for even the healthiest patients. Fortunately, a very high HDL (>60) is preferred and is a negative risk factor, or protective. The tgs and total are secondary targets, but also high. Several cholesterol drugs are available, but only the statins have good, consistent data that they save lives. Discuss w/doc.

Non-HDL, TG & LDL: Non-hdl cholesterol (total cholesterol-hdl) is better than LDL cholesterol alone at predicting cardiovascular risk, especially in people with elevated triglycerides. Your father's LDL is 185, tg 230, and non-hdl 197, which are all high. High HDL >60 is good. Statins should be strongly considered to target LDL & non-hdl. The goals for LDL and non-hdl would depend on his cardiovascular risk factors.

Yes! & GetBetterData: Cholesterol & triglycerides, different fats, have never been the correct issue, promoted because ↓ cost. Correct issues: LDL & hdl: proteins which transport all fats in the water outside cells, known since before 1950, see image. Get NMR particle test for much better info, ≤$100 private pay, covered by medicare: directly measures the protein particles. Optimal LDL ≤700 nmol/l & HDL >40 µmol/l.