Newbie Mortgage question – Cash out?

Dont make me feel stupid but I have a question.
I have a 50% LTV value first mortgage on my primary residence.
I was lucky to get it because I have low fico & was no doc.
Probelm is I need to cash out someof it. Say make loan to value 65%.
Can I do that with my current mortgage company ? Or do I need to refiance with a new mortgage company ?
I have only had this mortgage 6 months.

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