Mine was right in that range I think 220 with my LDL covering most of that when I had it measured. The Dr. said I had 2 options, drop it on my own or I get pills the rest of my life. I'm horrible at taking anything so that meant diet. Those who said a staight number doesn't tell a whole lot are right. If you LDL covers most of it then yes you definately want to do something about it soon. If your HDL is higher it's not as bad. Fish is high in cholestrol but HDL not LDL. Yours may be higher than your husbands not because of your lunch but because of genetics. I have a friend who eats things that you wouldn't believe, fried food, dairy, etc. Everything your not supposed to and her's is around 120 (I look at fried food and mine goes off the charts.... ;) ). That said my Dr. recommended flaxseed oil (comes in gel caps) and can be found at a vitamin store. I also cut out a lot of dairy switched from milk to soy milk, etc. My big weekness was/is ice cream, cutting that was painful. Once in a while I'll splurge but it's no longer an every day treat. I lost about 30 lbs and dropped my colestol to 160.