Your LDL may not be what the corrupt pharma-cartel-sponsored mainstream medical system calls “good” but it is not as “bad” as it looks (and, please research the cholesterol myth – it was all a scam to push statin drugs etc. cholesterol is not the root-cause of heart disease).
LDL here is actually 160.47 mg/dL.
This is because the typical estimate (the LDL on this type of report was not actually measured; it was just estimated) on bloodwork in the USA use the Friedewald equation which assumes high triglycerides; the typical American estimate is NOT accurate when triglycerides are below 100.
References:
Novel Method vs Friedewald Equation for Estimating LDL-C
and
Is Friedewald formula a good estimation for low density lipoprotein level in Iranian population?
I do agree that your HDL needs to rise.
Keep in mind that estrogen may promote better HDL values (less estrogen may correlate to less HDL so do not drop your E2 too low).
I think, if i remember correctly without looking it up, testosterone promotes an enzyme that breaks-down HDL; so HDL may be inversely correlative with testosterone level.
Make sure your fish oil is a high-quality brand such as Omegalyze.
I also like NOW food DHA500. Take to two servings of Omegalyze each day (one serving per meal) and then at the other meals take one NOW dha500 cap.
I recommend the following supplements to raise your HDL:
Fish oil serving at each meal as mentioned above.
Jarrow Citrus Bergamot (start at one cap a day; then adjust based on the next blood work).
NOW Psyllium husk powder (take a one table spoon 15 mins before a meal, twice a day).
LEF Niacin (you want a high quality, plain old nicotinic acid) work up to 2.5g a day all at once late in the evening (it will cause strong flushing effect but should also relax you once flushing passes so I take pre-bed). Niacin, take 500mg the first day until you can tolerate the “flush” then up to 1000mg, then 1500mg etc. and finally when you can handle 2.5g a day it will start to raise HDL over the course of about 3 months treatment.
Optional additions to add to the protocol listed above (the entire stack really helped me take my LDL from 170s-190s down to about 80s-90s, which is much too low for optimal health, and I have seen the same remarkable results in clients).
Olive leaf extract twice a day.
Policosinol may also help and I take 20mg twice a day.
Berberine HCl ~500-600mg twice a day with a meal (if you have carbs, have it with your two highest carbs meals).
Diet: if you are eating a lot of carbs (especially simple carbs and sugars) remove those from your diet.
Lifestyle: make sure to add some cardio, lower overall stress, and get PLENTY of high-quality sleep.
I hope some of this info may be helpful.