To the OP, I take 100mg Losartan.
You have to get that number down! You will have atherosclerosis. Not sure how old you are but if you're over 40 with cholesterol like that, it's time to get your Calcium Score! Get the CT done and see where you're at. I'm actually having mine done next week on the 30th.
I have an auto immune disease (inflammatory disease) and I'll be 52 next month. I have a friend who is 65. He's thin works out, does cardio, walks and hikes. He has Type II diabetes (inflammatory disease). In November I told him about the CT scan to get his Calcium Score. He was interested and got it done. Under 100 is normal...his score was 2,175!! One artery was 100% blocked and two others were "significantly blocked." One was a Widow Maker! It turned out they couldn't put stents in. He had a triple bypass a month ago. Had he not had the test, he probably wouldn't have made it out of this year. BTW, and this is important, he had no symptoms!! His cardiologist told him if he had a heart attack, he wouldn't have survived. They want his cholesterol between 50 and 70. His son had the test done plus blood work. His score was 0 and cholesterol was 179. The doctors also want his cholesterol to be between 50 and 70. They said at 179 you will eventually get atherosclerosis.
So, IMHO, people in this lifestyle and especially those who have inflammatory disease need to get this test done!