So far the only thing that works to keep it below 200 is lots and lots of exercise and being sickly skinny. Until my foot is usable again, exercise is out. In order to get below 120 pounds without hard exercise I have to literally starve myself. We have resorted to Metamucil twice a day.
Your LDL is over 200? That is quite high. I think >70 triggers medication. Perhaps ask your Doc about low carb? Low carb is what helped me get lipids under control. My total cholesterol is 97 and LDL is 45. Those numbers have not varied for over 3 years now.
IMO, the medical community is still clinging to the fallacy that dietary fat = high cholesterol. Every time I go to the Doc, they still ask me “do you eat a low cholesterol diet?” “No ma’am.” Funny thing, they are all about lab numbers until you achieve them without following their advice.