Stress test, ultrasound arteries, carotid, legs, cath, everything is clear, last ldl 113, family history of heart disease. hbp, cholesterol med?

Focus on lifestyle : I wonder why all of that was done? Was it for symptoms or anxiety over potential symptoms? What was your risk factor status beyond the family history? If all of these studies were negative and your LDL was 113, you could either consider lifestyle modifications alone (if no other risk factors), or lifestyle modification plus a low dose statin if multiple other risk factors present.

Hypertension: If you have hypertension you need to be treated and with LDL i would also advocate diet/exercise or statins to get that lower.