###Human: Does lifestyle changes alone help in improving cholesterol level? ###Assistant: Hi. You have deranged lipid profile (attachment removed to protect patient identity). With such high level of LDL (Low density lipoprotein) treatment with drugs is necessary. I would suggest you to get fasting blood sugar, thyroid profile and ECG done. You should start on statins like Atorvastatin or Rosuvastatin. Lifestyle changes are necessary along with this, as medicine can be later discontinued and lifestyle changes can be adapted for natural control of cholesterol. I would advise you to: Get your lipid profile repeated after a month and get back with reports. This is my best opinion for you. You should discuss with your doctor before acting upon any advise. Stay healthy.