I have FH, had scan results similar to yours when I was 52-ish. I did omit most fat from my diet in March and it was a game changer for me. A friend who has a son eating the same way because of a medication he is taking sent me boxes of food once a week to get me started, so encouraging to see options and to help my husband see we can do this together (mostly :)). You can do this! http://www.thefhfoundation.org is an excellent resource if you have not discovered it yet.