How to interpret a normal LDL/HDL ratio but high LDL and and low HDL levels

[Mohamm]

Hi! How can I interpret a normal LDL/HDL ratio but high LDL and and low HDL levels. Do I need medication? I am male and 48 y old. My recent tests indicated that the figures are as follow:

Cholesterol 234mg/dl

Triglycerides 160mg/dl

HDL Cholesterol36mg/dl

LDL Cholesterol166mg/dl

LDL/HDL Ratio4.6-

Chol./HDL 6.5-

Thank you in advance!

[DakCB-UK]

Divide Total by HDL. nhs.uk/Conditions/Cholester... says "Generally, this ratio should be below four" - so if you accept the Lipid Hypothesis, then action is required. I'd start with diet and exercise before resorting to medication... while I agree with Concerned that low GI carbs, reduced intake of fructose and increased natural, additive-free, unprocessed protein are good things, personally I'd go easy on the saturated fats like butter and most cheeses... and I thought there was a reason to avoid coconut but I forget what.