38yr old female 5' 1" 136lbs total lipid panel 236 trig 82 HDL 76 vldl 16 LDL is 144↑ I avoid fried/greasy foods & most sugar water/coffee only. Why?

Lipid panel. Blame it on genetics. Unfortunately many lipid panel abnormalities are difficult to pin down as to root cause. Good dietary analysis of other foods, like protein and carbs is also in order. Sometimes simple adjustments to diet can make the difference. But pretty good HDL on this report.