Janieg, I think that mrsD and madisongrrl have provided great comments and links.

I don't know how much background you know but this might help you when you see your doctor:

Lipoproteins are particles which differ in their density - eg, LDL is Low Density Lipoprotein and HDL is High Density Lipoprotein. Each class and subclass of lipoproteins contains different proteins and different proportions of lipids, including cholesterol.

There is reasonable evidence that the amount of cholesterol in LDL ("Ldl-c" in your results) is a risk factor for cardiovascular disease. However, it has become clear that the number of LDL particles ("Ldl-p" in your results) is also important.

This is something which Dr J D Otvos and his colleagues have worked on. They developed a clever NMR method to calculate the number of LDL particles. Dr Otvos is a respected scientist with 134 papers in PubMed.

He and his colleagues looked at subjects in the Framingham Offspring Study, which is a long-term (it started in 1971) study looking at risk factors for cardiovascular disease. They found that the probability of survival was highest in people with low LDL-P and low LDL-C and lowest in people with high LDL-P. The paper is here LDL Particle Number and Risk of Future Cardiovascular Disease in the Framingham Offspring Study - Implications for LDL Management. - PubMed - NCBI - the PDF version of it is easiest to read.

Your LDL-P and LDL-C levels look high to me.

My approach to this (my LDL-C levels are fine so this is prophylactic) is to try to eat in a healthy way - lots of fresh vegetables, fish, eggs, meat in moderation, etc and minimal intake of food/drink with added sugar and foods with highly processed carbohydrates.

Your doctor should be able to advise you about this and I think that it is highly likely that mrsD and madisongrrl can be helpful as well.