On the contrary, considering how high his total was a year ago, the diet seems to be working great for him. And since it looks like it dropped from 198 to 178 in a year, then three years from now his total level will be at yours, ~118. I'd call that a success.
Fats are not the issue. It's all about the sugar.
I'll forget more about VLDL than you will ever now.
