Too many lipids, what to do?

Diet and exercise. Statins are recommended for elevated cholesterol but if you can reduce the statin dosage with less toxic omega 3 in fish oil either dietary supplement or prescription vascepa.
Low fat diet. And exercise. Avoid junk food and fast food. Read labels and become aware of fat content of foods. Can try omega 3 fish oil and follow your doctors advice.
Watch what you eat. The only way to reduce cholesterol is watching what you eat and exercise. If you have genetic disorder then you need an expert evaluation and treatment.