High risk americans already have higher risk. LDL is part of high risk. But lowering LDL is not really the solution.
It can be a useful indicator.
What to do?
I'm not a physician and I don't make recommendations. However, I do read a lot.
First, folks should consider making certain that they do not have sleep apnea. Epidemiologists have shown a clear relationship with OSA and high cholesterol (and cardio disease).
Next, some suggest easing back on carbohydrates. Might help more with HDL.
Also, Vitamin K (1 and 2) plus d3 and Mg could be useful.
Exercise, hydration, don't smoke, all the usual advice.
Never take health advice from anyone online (including me). Do your own DD.
Me?
Total cholesterol 170, ldl 70, triglycerides (underrated in relative importance) 77, and hdl 65. I've never taken a statin and I eat meat and eggs daily.