No need for panic. Both my sister and brother had similar results at a health fair about ten or fifteen years ago. My sister still doesn't need to go on meds for high cholesterol after all these years, though she has had to alter her diet and exercise routine. My brother finally went on cholesterol-lowering meds about five years ago - but he's a bachelor who eats all his meals out. It is entirely possible that with a changed diet and more exercise, he could have avoided the meds, too.

A cholesterol test without fasting for 12-14 hours first can be totally inaccurate. It is just an indication for those with high numbers that it would be wise to get a more accurate fasting test. So plan to do so, but I wouldn't get too worked up until you see the fasting numbers. If the numbers are still high, you may need to start doing something about your cholesterol. In the meantime, I'd check out all the non-medication ways to help lower cholesterol. That way if the doctor you choose turns out to be a real pill-pusher, you'll be prepared with a "let me try lifestyle changes first" answer, if you believe the numbers and your current lifestyle allow that.