Hello! I read your query in details. The normal range for Triglycerides is under 150 mg/dl and a number of 350 mg/dl is considered high. A normal VLDL cholesterol level is between 5 and 30 mg/dl and a number of 70 mg/dl is high. A high level of triglycerides and VLDL means you may have an increased risk of coronary artery disease, which can lead to a heart attack or stroke. Alanine aminotransferase (ALT), a sensitive indicator of liver cell injury. Serum levels of ALT normally are low 10 to 40 U/L in most laboratories; however, normal values may vary greatly among laboratories.So a value of 45 U/L is normal,that means you don t have liver injury. I suggest to consult a physician and also to test your complete lipidic profile that include Total cholesterol,LDL cholesterol and HDL cholesterol. You should make lifestyle changes and probably need a medication to lower the concentration of lipids in blood. Try to follow the following guidelines. Then get your cholesterol checked again. -High fibre diet, green leafy vegetables, fruit. -Cut down the processed food. White bread, doughnuts, white sugar, pizza should be completely avoided. -A 40 minute physical activity every day like morning walk, evening walk or a visit to the gym or swimming pool. Hope my answer has helped. Take care. Dr.Rovena