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I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
I understand your concerns.
Your LDL is above the goal range.
The goal is around 100.
However, you have good HDL and that is protective against the bad effects of LDL.
THis is likely genetic in your case having high HDL.
If you do not have any other risk factors like hypertension, heart disease, diabetes, stroke, then your current numbers are not that concerning.
Given the severity of the side effects with statins, it is better to stay off for now as per your doctor's advice.
Besides the statins, other cholesterol lowering agents do not offer significant benefits on cardiovascular health.
Diet, exercise, lovaza can be continued for now.
Niacin is another medication that may be considered if you are able to tolerate.
Lipid profile should be checked every 6 months for monitoring.
Usually, your cholesterol should stabilize at the current level if you continue with the healthy life style.
But, if the LDl cholesterol does go above 170, then probably low dose statin should be considered if possible.
Till then , observation should be ok.
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Thank you for your reply. I am on Toprol XL for anxiety and my blood pressure is normal. Also, it is not always easy to eat the right foods and that is why I drive myself crazy when I eat a couple of cookies. Also, I will be traveling to Europe on vacation for two weeks and will not be able to control what I eat as I do at home. Should I be so fanatic about watching what I eat in terms of cholosterol or carb intake. Everyone I know is on cholosterol medicine to "live a longer life". I just want to be on the right track and not say "I should have done something more. Also, I see that all foods have carbs in it. What foods should I absolutely stay away from? I do try to eat fruits, not so much vegetables and less meat and more fish. What else can I do.
Thank you. Do you think I should mention the niacin to my dr or wait until I see him again? Also, why is everyone on cholosterol medicine? It seems it is the norm to be on one rather than not.
Thank you very much for your helpful information. I do feel better about waiting and not taking the medication. I guess I am just one of those lucky people to get terrible side effects.