I am 42 years my ldl is 216 . and i don't want to take meditations.what should i do?

Cholesterol: Most likely you need cholesterol lowering medications. But, you failed to give us the full panel of results. There are five types of cholesterol troubles. I need the other results to give you a valid opinion.

Cholesterol levels: A low density lipoprotein (ldl) level should be < 100 mg/dl.  lose weight (if over-weight), exercise regularly, no saturated fats, don't smoke, no > than 2 alcoholic drinks/ day, ^ fruit, vegetables & whole grains. See your dr. To discuss your desire to be treated without medications.