I'm really worried about my cholesterol levels. Last year, in May, my cholesterol was at 254 with LDL at 180 and triglycerides at 180. A doctor suggested statins, but after getting a second opinion, many said I'm too young for that and should try diet control first, which I did for a bit. Unfortunately, I couldn't keep up with it and slipped back into unhealthy eating because of personal issues. It's been 8 months now, and the doctors wanted me to reduce my cholesterol within 3 months. I'm scared about whether I've caused any irreversible damage, like clogged arteries, which might have shortened my life. Even though I'm trying to get back on track now, I just can't shake off the fear. Is there still hope for me to control this situation?

Having high cholesterol levels, especially with elevated LDL and triglycerides, can increase your risk of developing atherosclerosis (clogged arteries) over time. However, it is not necessarily a guarantee that irreversible damage has already occurred. It is important to take steps to control your cholesterol levels to reduce the risk of complications. Since you have already made lifestyle changes such as diet and exercise, it is a positive step towards managing your cholesterol levels. In addition to lifestyle modifications, your doctors may still recommend starting a statin medication to help lower your cholesterol more effectively. One commonly prescribed statin medication is Atorvastatin (brand name Lipitor). The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust the dose based on your individual response. It is important to continue following a healthy diet, exercising regularly, and taking any prescribed medications as directed by your healthcare provider to help control your cholesterol levels and reduce the risk of complications. Regular follow-up with your healthcare provider is also important to monitor your progress and make any necessary adjustments to your treatment plan.