Hi doctor, l have a clear family history with regard to both hyperlipidemia & hypertension as well (all my 4 uncles and my father died suddenly with the same manner, probably a stroke, my 1 year elder brother had been on medication to lower his cholesterol & b.p for 8 years). i am 33 yrs and i used to had tests and monitoring my cholesterol level and b.p because of the above history, but unlike my brother my measurements are always borderline since 2011 till now and no physician recommended any medication but advised to change lifestyle. the problem right now is getting the same borderline levels even after diet and excersize which as follows: total cholesterol range: 213~239 HDL range: 50~60 LDL range: 130~159 Triglycerides range: 77~140 syst. b.p range: 120-140 diast. b.p range: 80-94 noting that currently i have no additional risk factors except smoking. so please advise , if i should start having medications. sorry for saying a lot and thank you so much for your patience.