New Problem of High Cholesterol. Need tips to get it down

[HealthyChik]

Hello,

I have a new problem of high cholesterol, especially my triglycerides. Within 6 months I have gone from 200 to 300 on chol, and 100 to 400 on triglycerides, HDL has dropped from 70 to 40. LDL is obviously out of range too. I already have a lowfat diet and exercise regularly and even stepped it up a bit over the last 2 months. My BMI is in normal range. No blood pressure issues. I also am not a big fan of sweets and don't drink alcohol which are the biggest culprits of elevated triglycerides. I've had an autoimmune liver disease, Primary Biliary Cholangitis (PBC) since 2018 and take a maintenance drug called ursodiol. According to my tests, I have no fibrosis or liver damage so far and no physical symptoms either. I’m really trying to avoid a statin but have an appointment with a cardiologist in a few weeks. Has anyone experienced this and what did you do to get it down? I know high cholesterol can be common in PBC patients but I don't know the physiology behind it. I don't believe it's common to be as high as mine so I'm not sure that's even related at all, but suppose it could be. Does anyone have high lipids along with liver disease? How have your doctors explained this? I don't see my hepatologist for a few months. I know inflammation plays a role🤷🏻‍♀️

Any insight appreciated😊💕