I was in the same boat with genetics and cholesterol. It is all the diet.
At some point I realized I had to stop eating cheese completely. No pizza, no nachos, no tacos with cheese. I can stay in good shape with a once a week cheat night but I don't have the genetics to deal with the cholesterol like that.
It sucked at first but the things I do enjoy now, I enjoy them just as much.
Consuming cholesterol, like in cheese, has little effect on serum cholesterol levels. Almost all of the cholesterol in your body is endogenously produced.
Also, wasn’t cholesterol that thing where there’s no actual scientifically proven “good” value but the margins were decided on assumptions (and to sell medication)?
It sucked at first but the things I do enjoy now, I enjoy them just as much.