I also don't believe you need a dietician.
I believe simply staying away from traditionally high cholesterol foods and increasing your activity levels an appreciable amount should be able to help you.
It's gonna be a grind though, but if you are only in your mid thirties, you should be able to pull yourself away from the edge.
It's a battle, but if you approach it in a positive way, it shouldn't be life altering (Unless playing sports, biking, hiking, etc are deplorable to you. Or eating poorly is your favourite thing in the world (note: it was for me)).
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