Forrest: I hope you recover soon.
Everyone needs to take this diet, exercise, medication thing to heart.
1. Reduce your risk factors as much as possible: stop smoking, eat a healthy diet, exercise, keep your blood pressure under control (watch sodium intake)
2. Take a statin like pravastatin (generic, cheap) or Crestor if your cholesterol is high and you have risk factors (all of the above plus being a male, or over 50, and most importantly, have a family history of heart problems). These drugs even reduce risk if your cholesterol isn't high.
Everyone says "I'll just do what I want, enjoy life, and if I die, I die. Hasta la vista." However, it's not so simple, ask Forrest or Jim. Plus these cardiac things are expensive and painful. And many times you don't die...you're just maimed or a veggie (stroke).
Plus as you approach death, you realize how much you like to live in many cases.
Long live Crestor.
PS An LDL of 150 is pretty high in someone with a family history and who is a smoker. The goal should be less than 100-110 is someone with those risk factors.
...and in my medical career of 21 years, I've only seen one or two folks with a cholesterol over 400 and both had had heart problems.