Your HDL is very good. However both trigs and LDL are high. This is a bad combination. You need to work on lowering the trigs. LDL is generally a bit of a mystery. It is not clear that high LDL by itself is a problem, but it definitely is with high trigs. High LDL can have genetic causes, dietary causes and is associated with hypothyroidism. Definitely get your thyroid tested before considering statins.
And eat clean paleo to lower the trigs. At the moment, you can't afford to cheat
Four years Primal with influences from Jaminet & Shanahan and a focus on being anti-inflammatory. Using Primal to treat CVD and prevent stents from blocking free of drugs.
Eat creatures nose-to-tail (animal, fowl, fish, crustacea, molluscs), a large variety of vegetables (raw, cooked and fermented, including safe starches), dairy (cheese & yoghurt), occasional fruit, cocoa, turmeric & red wine