Exercise and weight loss can help big time. 3 yrs ago my LDL was 240 and doc was pushing meds hard. 18 months of playing racquetball and working with a trainer once a week and eating better it was down to 100 and doc said no need for any meds, that I never took anyway. A few months ago my LDL was 85, HDL 80 and doc says see you in 6 months. I also went from 235 lbs to 190lbs and 3 months ago got tired of racquetball and bought a road bike, road 24 miles with an A- group and getting better every week.