Got blood work back today and my Dr is freaking out at my numbers

Total over 400

LDL over 300

I have been on strict low carb for 16 months, eating less than 10 g carbs a day, usually less than 5.

My numbers were close to half before LC

I don't smoke or drink

Won't and can't take Statins

Any suggestions on what I can do?

Dr acts like he doesn't know what a particle test is

Won't check thyroid other than TSH and T4

I am very frustrated