Worried about high total cholesterol: Should I seek doctor's advice and consider medication?

I hope this message finds you well. I recently received my lipid profile results, and I wanted to seek your guidance on the next steps. Here are the details: TOTAL CHOLESTEROL Method: Enzymatic - Cholesterol Oxidase Result: 289 TRIGLYCERIDES Method: Colorimetric - Lip/Glycerol Kinase Result: 605.2 NON HDL CHOLESTEROL Method: Calculated Result: 223.7 LDL CHOLESTEROL Method: Calculated Result: 141.3 V.L.D.L CHOLESTEROL Method: Calculated Result: 137.02 I would appreciate it if you could suggest appropriate medication based on these results and provide insight into the reasons behind the recommendation. Additionally, I am curious to know whether I should be concerned about these results or if dietary adjustments alone could be beneficial. Thank you for your time and assistance. I look forward to your guidance. Best regards,