I did get my results back from my physical, but I am a little confused about what the doctor said.

I just got the results of my physical this week.

The Results:
Resting Heart Rate 66 (which is really low. It represents that I am getting pretty fit)
Blood Pressure 120/80 (pretty good)
Measured High Ketone levels in my urine. Which meant that I was in ketosis, when they did the physical. The doctor wasn't really concerned. She thought it was because of fasting before the physical, but I also know that my low carb intake also lends itself to higher ketone levels, because I am primarily burning fat for fuel.

Here is the dilema and I am not sure, why this is an issue, but then I am not a doctor.

Triglycerides = 69 (in the optimal range)
LDL (bad cholesterol) = 124 (in the near optimal range)
HDL (good cholesterol) = 85 (in the optimal range)
Total cholesterol = 223 (in the borderline high range)

How do you go from being in the optimal to near optimal range in all categories, but when it is figured together, end up with borderline high cholesterol??? The doctor recommended cutting out red meat, eggs, and limiting saturated fats and to come back and see her in three months to see if the numbers improved, but I am puzzled. I thought these numbers looked great! Am I missing something???