Had my blood checked and DR prescribed statins.
total = 226
HDL = 34
trig = 288
ldl = 134
non-hdl = 192
glu = 87
Ht = 71"
Wt = 185#
Run 10 miles/wk(3x3)
Recently been riding 1/wk 2-3 hrs(30-40mi)
What has been your experience on statins? There is a lot of stuff online good and bad about it.
Your total CHOL is rated – using today’s standards – as “very high” (greater than 190mg/dL) but many physicians and cardiologists with whom I’ve worked in the past find that a ridiculous standard, absent any risk factors such as smoking and/or obesity. I agree with them. Personally, I don’t believe statins are appropriate until CHOL approaches 250mg/dL or higher – along with low HDL, elevated TRIG and LDL – and even at that, if someone’s diet is good and he or she exercises enough to get their HDL into the 40s or better, I’m still not seeing why they’re prescribed.
Just looking at your lipid panel, from what you’ve posted, I see a few things:
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Diet and exercise, consistent over time, should elevate your HDL into the 40s, or maybe 50s, range. That will be very good for you (just remember; there’s some genetic basis for CHOL).
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Your TRIG is, by today’s standards, “borderline high.” Again; there’s a genetic basis to some of that, and some you can control with diet, weight loss and exercise.
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Your LDL, using today’s standards (again), is also “borderline high” at 134mg/dL. Diet, exercise, weight loss can usually lower that number until you bump up against your genetics, so give that a shot as well.
I think your physician is thinking that with TRIG and LDL where they’re at, and with HDL where it’s at, maybe statins can turn things around? I’m not a physician (I finished my Navy career as a PA, but haven’t practiced since, and that’s been years…so take what I say as being only very slightly more informed than anyone else on this forum), so I’m not going to second-guess your internist’s take on your health.
But there are plenty of things you can do to improve your lipid panel going forward, some of which I’ve discussed above. Diet, exercise, some weight loss (maybe), is a good start. And it looks like you’re doing the exercise thing, so keep that up.
If you don’t have a history of heart disease and no other risk factors such as smoking and/or obesity (or maybe a family history of heart disease combined with elevated CHOL?), maybe your time on statins will be limited? Just from the most cursory look at the data you’ve provided, I think there’s a good chance it will be, as long as your genetics aren’t turning you into a super cholesterol-producing machine. 