Hi Lynda
I've bumped an old thread on this ( which I haven't read through before doing so) but it should give you a picture of some of the issues.
Basically it is not cholesterol level per se which is important but the ratio of total to HDL, as well as LDL that is important/ Some people naturally have a higher level. Mine is often at that.
As probably mentioned in the other thread the doc should take a number of factors as well as the CH and plug them into the Qrisk analysis to come up with a theoretical stroke risk - so in your case the high BP is more of a worry I would say, if it is consistently high.
I would focus on your whole lifestyle (apologies if you are already doing everything you can) - so your body weight. So for women who are very overweight, very important to reduce this so a healthy range. Exercise - very important to incrrease this if necessary. And of course diet - not necessarily reducing fats altogether, as others have said, nor even having a vegetarian diet, but reducing refined carbs (not all carbs) and eliminating processed sugars as far as possible. Should be fine to eat coconut, olive oil, avocado etc - natural fats but if you eat a lot of fried or processed foods and fatty red meat then yes reduce these - as well as alcohol and salt in your diet.
There are lots of natural ways to reduce BP but you may well not reduce your Ch - thoiugh if your BP reduces then this should reduce your Qrisk score. Also depends on your age too!
No need to completely stop your treats! A little alcohol eg at weekend, small squares of dark chocolate or really good quality expensive chocs so you don't feel tempted to eat them all at once!
Hope this helps
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Hurdity x