hi, i am mahipal singh aged 38 year my serum cholesterol is 200 mg/dl, serum triglycerides is 450 mg/dl, hdl cholesterol 33 mg/dl, vldl 90 mg/dl, ldl cholesterol 77 mg/dl, total lipids is 850, total/hdl cholesterol ratio is 6.06 and ldl/hdl cholesterol ratio is 2.33 please suggest what precautions i will take and how serious is my report for my heart.