Hello Scott. You are so young and have your whole life ahead of you. You want it to be a healthy one. These blood test results could be a blessing in disguise. The triglycerides indicate that your body is inflamed and you are not eating a healthy diet. No junk food first of all...or maybe occasionally on a special occasion. Forget SUGAR...the worst poison for the body. Lower the meat, lower the white carbs and start a love affair with COLOURFUL berries and other fruits and vegetables. Your dinner plate...and lunch and breakfast should NOT look BEIGE. Consider it to be the ugliest colour ever. Go for circus colours; red, green, yellow, purple! Red cabbage cut finely with mayo and lemon juice, salt and pepper...yum! Anyone can make that. Cut out the beer and have a small glass of red wine every day (more red fruit) which thins the blood. That's why the French have fewer heart attacks and strokes. Replace milk with oat milk or almond milk. Snacks, if you need one (the French don't snack) can be a fruit, sugar free applesauce, nuts, a small amount of cheese. You probably eat a lot of bread/grains. Reduce drastically and replace with the colourful choices. A fruit/veggie smoothie with protein powder makes a great start to a healthy day. You will slim down to 175 in no time, feel energetic and have a high triglyceride level. Cholesterol is not considered so important anymore. It's triglycerides...which indicate inflammation in the body. Great that you take the dog for long walks 2x per week. But can you join a gym with a trainer and go another 2x per week to work all areas of your body. You will find a trainer encouraging and supportive on your journey to better health and a trim, healthy body..and heart! Good luck, Scott!