Recent Cholesterol numbers after stopping Statin - Advice?

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I would listen to the medical professional and not these posters here. This is a topic not to be fricked with.

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Medical professionals don't know everything. Not that the posters here do either, but many doctors are still using what they were taught in medical school 20 years ago.

Give Keto a run. And congrats on getting of statins and the dementia that comes with them!

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Medical professionals don't know everything. Not that the posters here do either, but many doctors are still using what they were taught in medical school 20 years ago.

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Yeah this is kinda my thinking also. Although I’d take popping a pill everyday over heart disease I reckon.

Will definitely do, thanks.

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Medical professionals work off of facts

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No they don't, they work off of evidence. There are rarely facts in science.

Novela below:
Tigeroot, I am not a prescriber but am an RN, CDE. I used to take a statin... I have type 1 diabetes, had fatty liver, and perpetually high lipids: high LDL/low HDL/off the charts triglycerides and high total cholesterol. I can tell you first hand that "evidenced based medicine" would lead any practitioner to prescribe statins very conservatively, yet they are handed out like candy, #1 prescribed medication in the world. Odd thing is people taking statins still die of CVD at the same rates of non-statin takers regardless if the statin lowered LDL and total cholesterol. The older you get, the more important cholesterol is to your overall health- low cholesterol (<110 and LDL <90) are highly associated with cognitive decline. In America, we worry about dieing of a heart attack. On paper, statins lower CVD risk by 20%- that's on paper done by the company making the medication. In reality, if we do the math ourselves, there is an actual 2% reduction in MI, not 20. what your doctor and the pharmaceutical companies failed to tell you is that your risk of congestive heart failure, or your heart felling is a pump, increase four-fold that's 400% when you're on a statin. So you get a 2% reduction and having a heart attack get a 400% increase in your heart feeling is a muscle. Bet you've never heard this before. Statins inhibit the conversion of cholesterol in your liver by interfering with enzyme co q 10. The reason so many people get cramps and the risk of congestive heart failure increase is because of the tampering with the natural cycle of cholesterol production and coq10 production. For those of you that believe doctor's practice evidence-based medicine, then why did nearly 90% of people post on statins do not get placed on a Co q 10 supplement? This would be common sense, even though it still doesn't make the statin safe. If you truly want to reduce your risk of heart disease, MI/CVD then the only medicine I could recommend is an SG lt2 inhibitor, the only medication on the market with both cardiac protective in kidney protective properties. These still are not safe medications

OleWar is correct with cutting the carbs or even a ketogenic diet. Your main risk factors for a heart attack are a coronary calcium score, and your triglyceride 2 HDL ratio. Your ratio is 1.5, which actually is not bad at all. I agree with LSU 7 7 7, you would benefit by the front lowering your triglycerides. The easiest way to do this is cutting back on carbs or eliminating them as much as possible. Your evidence based medicine practicing expert of a doctor probably does not know what a coronary calcium score is. it is a test that can be ran here in the baton rouge area for around $100. Every system in your body works on a feedback loop, when you screw with the loop you screw with your body. This might sound like hippie tree hugger s*** but it is the truth. If I give you testosterone injections it will raise your testosterone levels, but it will inevitably screw up your body's ability to make the testosterone on the on its own. The same goes with a statin, and almost any other medication out there

Sorry for the novel, downvote away, the truth sucks sometimes that's why it's called the truth.

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Medical professionals work off of facts, not internet blogs. It is about increasing your P-values for living. Nothing is perfect.

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Wut? My former PCP literally didn't know what NMR was.

are these people "bloggers"?
Ron Krauss
Thomas Daysrping
Peter Attia
Peter Phinney
Dom D'Agostino
Jeff Volek
Robert Lustig
Malcolm Kendrick
Jason Fung
Valter Longo
Bret Scher
And your p-value argument is circular (and that's apart from relative v absolute risk reduction claims by statin cos, but we don't even have to go there because you beg the question in the first place--LDL associations are so simplistic as to be not-very-useful at best. And given the neuroprotective qualities of LDL, the "bad cholesterol" dogma could be harmful.)

Those are just a few off the top of my head who would look a lot more closely than a basic lipid panel. Especially an occasional one.

If you understand the basics of lipidology, then this isn't remotely controversial.

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You are an idiot

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So you have nothing, great.

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 You are an idiot

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I'm willing to accept that with respect to many things, but can you show me why exactly in this instance? Your post about doctors v blogs has many baked-in assumptions and presumptions, and I pointed out how it might not be very useful advice. And then you called me an idiot.

You suggested (again baked in) that lowering LDL-C via statins is important because a) the typical doctor will tell you so, even without considering LDL-P and size, and even if trig:hdl ratio is 1:1 or better, and there is no actual heart disease diagnosis and b) you throw out the term p-value without saying p-value for what. I'm not even sure how that furthers this discussion.

Yes, statins lower LDL-C and if you already have heart disease, then they've been shown to reduce CVD-event- (not all-cause) mortality but that data is not convincing for numerous reasons (see some e.g.s why in these doctors' responses in BMJ: LINK, and c) related to the all-cause mortality analysis is the fact that LDL has neuroprotective properties and is obviously a key lipoprotein, so just willy-nilly lowering it with drugs may not be the best idea. And d) statins do have serious side effects that have to be factored into the cba.

I'm not dogmatically stating statins have no purpose. And Attia and Krauss, whom I mentioned, particularly prescribe and/or promote Rx of them in certain instances. But those doctors know their shite and use statins as tools in very specific cases, and understand a lot more than your average doctor about the role of very specific dietary habits (not: cut SFA and "cholesterol") and other lifestyle choices and factor many things into their overall cardiovascular analysis.

I'm not going to waste my time with further analysis here, because you don't appear interested in a serious discussion about lipidology and its relation to CVD. It's a truly fascinating arena that has been dominated until recently by blind followers of the woefully outmoded cholesterol hypothesis.

Eta: this is pretty nuts, I just updated some of my podcast feeds and realized non-blogger Dr. Bret Scher (cardiologist) had done a Ron Krauss episode a few weeks ago. Listening now. Dr. Scher's intro is basically what I just said. He's probably an idiot too. And so is Ron Krauss, the guy who basically discovered half the shite we're talking about here.

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LDL cholesterol is one of the most controversial topics in the low carb world. On the one hand, conventional teaching is that elevated LDL is dangerous and needs to be lowered. On the other hand, otherwise healthy individuals following a low carb lifestyle have not been represented in our available data. How do we reconcile what to do? Dr. Ron Krauss helps us understand the nuances beyond LDL-C and how we can use all the available data to help us better understand what we know and do not know about cholesterol, including LDL, HDL, triglycerides and Lp(a).

* Episode Download link (51 MB): https://mcdn.podbean.com/mf/web/g6riiq/Diet_Doctor_Podcast_with_Dr_Ron_Krauss_Episode_9_-_128_kbps_podbean_.mp3

* Show Notes: https://dietdoctorpodcast.podbean.com/e/9-dr-ron-krauss/

* Episode feed: Diet Doctor Podcast - https://dietdoctorpodcast.podbean.com/feed.xml

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Eta: YouTube of the above interview with Dr. Krauss. It is uncanny how they address everything discussed in this thread. A must listen.