Hello, I believe you should get a CAC scan. This will show for certain "if" you have plaque & how much. Cholesterol numbers are constantly debated, but there's no arguing with a CAC score. I'd also recommend getting a LP(a) & ApoB test. At least you'll know from imaging where you stand & can make an educated decision based on clear evidence moving forward. BTW, I had a CAC scan done in 2014 that was zero & just had another one done in 2024 that is positive. I've changed my diet & lifestyle even more to mitigate my risk. I recommend you do everything possible to find out where you're at, change what you know will make a difference, take meds if necessary & then "hope nothing bad happens". Then, you can say you've done all you can & see where the chips lay. Good luck & hope that helps.