FWIW I had let myself become overweight and unfit and did something about it a couple years ago. My cholesterol was pushing 300 at its worst. I can't remember the breakdown but it wasn't good. Oddly enough about 6 months, or 40 some pounds or so into my strict diet my triglycerides actually went up! It amazed me, and my neighbor (I'm a med tech, she is a nurse) because I had been eating so healthy for so long. We surmized it was my own body fat.
When I reached my goal wt, 60 lbs later my cholesterol was below 200 but my LDL was still a little over 120. I had been growing my own basil and went on a pesto making binge, which involved eating more olive oil. I had also been snacking on nuts. My other fat consumption went down. My lipid profile after that was even better!
Then I got lazy and started eating in the hospital cafeteria. A lipid profile after that showed climbing cholesterol. I got with the program again and, including things like omega 3 oils and flaxseed in my food and had another good lipid profile.
I read about benecol and smart spread margarines. They include some plant stuff that's supposed to lower bad cholesterol (LDL) and raise the good (HDL). I got some and I'll be danged if it didn't work! My HDL was almost 80 on my last lipid profile! I already eat a very healthy diet but it's still hard to keep my lipid profile good. Since I work in a lab I can check mine regularly, it helps me see what is working and what doesn't. The super low fat diet did not work for me, go figure. I think it was because the little bit of fat I ingested was not the good kind, I had read something somewhere about a balence between the omega 3 6 and 9 oils but I can't remember the details. Adding fat does add calories so I take that into account.
I did all this by changing my diet and adding a few supplements and exercizing. I try to avoid bad fatty foods as much as possible but I eat quite a bit of fish, nuts, oatmeat, peanut butter, and the smart spread stuff. I've just added lecithin as well, we'll see how that turns out.
My doctor wanted to put me on statins when it was bad. He also stated the obvious, that I was overweight, but I did not get offended
It took an old bicycle injury to make me change my ways though.
My total cholesterol is still over 160 but my HDL and LDL are good so I am happy. A lot of doctors seem to want to put people on pills that have already low cholesterols. Those things inhibit coenzyme CQ10 synthesis which seems to induce heart disease, and is also responsible for the muscle pain that some people experiance. I've read a few things about how now they have found that the statins are actually worse for you if you have diabetes, in other words they make the heard disease worse, not better.
It was hard sticking to my diet but now it's like second nature. Bad food actually doesn't taste good to me anymore! Because it's not super low in fat, and is balenced I think it's easier to stick to. For instance, I frequently have oatmeal with a banana and peanut butter in it and since I love bananas and peanut butter I dont' crave junk food, the oatmeal IS my junk food. Except it has some flax seed in it plus the PB which is "good" fat. I eat a lot of fruit which seems to have satisfied my sweet tooth. About once a week I have a cheeseburger and french fries or a rare steak.