how hard it is with HeFH
It's such a silent killer. Often with no outward symptoms, or immediate daily pain.
I think that the two major problem areas are diet and exercise. I often find it hard to stick to a low fat, low cholesterol diet and to exercise at least 30 minutes a day.
If I was a hermit, it would be easier as there is no social eating to deal with, or the time constraints of caring for others. However, being a hermit can be lonely, which can bring its own problems of mental illness which then leads to poor lifestyle choices.
The best thing I can advise is to always work up a sweat and get the heart pumping for 30 minutes a day. I do this by taking a brisk walk or two every day. (My smartphone has an inbuilt pedometer and it tells me to aim for at least 6000 steps a day.) I also achieve this in my bedroom by doing bodyweight exercises. And stick to a low-fat vegan diet, and watch your waistline and BMI carefully. I always try to cook everything I eat for myself and weigh myself daily. I aim to get my BMI down to a minimum in the healthy spectrum. Drinking water, sleeping well, and staying positive are also important.