If a doctor really wanted to "game" the system. for $15 lunches he could keep telling each pharma salesman that his drug is interesting, but he his not sure about proscribing it. So they would keep coming back to "sell" him.
If he worked it right he could go through is whole career without every having to buy lunch <G>
Between the statins, blood thinners, BP meds, arrhythmia meds, etc, he there might even be fights in lobby between the different sales persons.View Thread
In many things the reward/risk ratio is so high that you do it without thinking.
And in others the reward risk is so low that you don't do the activity.
But other activities both the risk and the reward can be high. And the doctors are used to dealing with people that have a high potential reward on statins and relatively low risk. But that is only know on a population basis.
But in your case, with the low risk from the advanced test, the risk from the diabetes, and the pain problems with from the fybro and your reaction to the statin personally I don't think that it is unreasonable to not take it.View Thread
I had started my other reply earlier, but just posted it so I did not see this reply.
Optimum LDL is below 100, and people at very high risk - previous CVD or diabetes - is below 70.
But non-HLD, total minus HLD, goal is below 130 optimum, 100 for very high risk.
Yours is 41. Non-HLD is though be to a good surrogate for ApoB100 which is related to particle count. But does not always correlate.
However, not all HLD is protective. One of the measurements from the advanced test breaks down the sub-fractions of HLD.
With your numbers and diabetes I think that you are an ideal person to get the advanced test.
If you do need to go back on a statin there are several different ones and some people can tolerate one, but not another one. Also in some cases they end up with a lower dose and only take it every 2 or 3 days.
While the low dosing might not lower the cholesterol that much, it still help lower the inflammation and stabilizes the plaque.View Thread
She said and I have read that there is a protection against inflammation which is what really may help,
I am not sure what you mean here.
Inflammation is one factor CVD. And one of the "side effects" of statins is to reduce inflammation.
High levels of cholesterol is only one of the factors that influence CVD.
And another is a high level of blood glucose.
There are some test that help better determine your risk.
Coronary calcium scan shows if plaque is starting to form.
Cholesterol test that measure the number of particles in the cholesterol. That is more sensitive to risk than the absolute level of the cholesterol. Those test also indicate some other factors than shown in the basic cholelsterol pannel.
You might want to look for a preventive cardiologist.View Thread