At 396 you should be fine. Change nutrition immediately, exercise more than you are (cardio), and maybe a statin to lower your cholesterol. I am at 1500 and not happy. Cardio doctor wants to perform an angiogram - young doctors I am finding out are pros at invasive procedures (whether you need it or not). My PCP put me on 10mg. of Rosuvastatin for now until I do my stress and nuke test. I believe he will increase the dose, I have told him I rather not do invasive. My PCP says I should do it so I am having a lot of pressure from this medics to go to the hospital. It even feels they manipulate fear. Having said that I have not discarded the idea yet. I am going to get a second opinion from an older cardiologist with perhaps a more homeopathic approach. Neither doctor has mentioned the word "nutrition" so that pretty much tells me what their approach is. Just eat properly for starters. I just purchased "Low Cholesterol Cookbook for Dummies" and "Beat The Heart Attack Gene". All of this is new to me and I cannot just let this doctors send me to the hospital right away. Information is key. Best wishes.