Hello Thank You for contacting HCM. Welcome to Health Care Magic. My name is Dr Muhammad Ahmad & i will look into your problem. I have gone through your query and would try to help you in the best possible way. Normal chol must be less than 200 but for your age experts and some literature shay it should be less than 180 or even if you can maintain it around 160 it would be great.. other indicators in the report are great infact your good cholesterol HDL is 99 that is really great and it is really protective for you.. WHY TOTAL CHOLESTEROL IS MORE : All types of lipids are normal by why total is more that;s because there are many more types of lipids in body like low density lipids,very low density and very very low density and high density lips and many more 1-Machines only show reports of significant fractions of cholesterol and then they give a total. Some people lead a very healthy life but still their cholesterol is high,thats because of their family history and their liver,,,liver of some people produce less colesterol and liver of some produces more and your case looks like the later one. Suggestions: If i were your doctor i would suggest you. (1) Life style changes: Reducing fat in your food,switching to vegetable,white meat,fish,chicken,you can have boiled eggs without yolk,red beans salads,and you can learn recipes with low fat and high protein.Avoid PIZZAS fast food and reduce you weight,,,add a 30 minute walk daily in your life style with a rest day after three days of walk. (2) One capsule of cord liver oil (3) Green tea in morning in the end (4)10mg Rosuvastatin once daily in night Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health