I had no symptoms. Always had high cholesterol numbers in the 200s and overweight. I had a coronary cardio tomagraphy (CCTA) which showed 80 percent blockage in the widow maker. I immediately went on a low fat whole food plant based diet - no oils, no sugar and very low sodium (Dr. Caldwell Esselstyn plan - who was one of the first drs to show you can halt or reverse heart disease by eating this way). In four months my cholesterol went from 275 to 145 and LDL went from 176 to 80. My cardiologist put me on aspirin and repatha (I couldnt do statins cause the muscle ache). A year later Im down 50 lbs. cholesterol now 80 and LDL 25. I will get another CCTA test (and send to a company called Cleerly - which uses AI to give a report) to see if there has been a halt or improvement.