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@gloaming

Yes, several. Reduce carbohydrate intake to less than 130 grams daily. If at all possible. Less than 100 would be great. Also, increase aerobic exercise, again if possible, to get into zone 3-4 several times each week, and the ideal duration is at least for 30 minutes 'at pace'....that is, at the upper sustainable rate. This means excluding warm-up and cool-down, both of which should be part of your routine...along with some modest stretching.
Limit alcohol to one or two drinks each week. And, for some, take a statin.

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Replies to "Yes, several. Reduce carbohydrate intake to less than 130 grams daily. If at all possible. Less..."

I would argue the only way you will reduce your lipid profile sufficiently that your doc will buy into foregoing statins, you will have to work hard. And that means drastically monitoring all fats - with heavy focus on saturated fats and cholesterol. No red meat, no egg yolks, no butter or margarine, no cream, on and on.. really only grilled or Baked poultry and fish. Nothing fried. Steamed veggies.
And when you get the hang of that, turn your attention to carbs that will convert to fat if eaten in excess. I would say for a dude that means less than 50 grams of carbs. Not that hard these days that there are more “keto” options. But.. minimize white - wheat flour, white rice, white bread, or sugar of any color - unless you get the couple of good low carb options on the bread aisle. Nature’s Own brand has a white bread and a whole grain - very low carb.
And then there’s shifting to plant based options whenever you can - Violife makes awesome cream cheese (awesome) and cheddar slices (better melted) and onion dip. And I found a recipe that’s easy for plant based butter that’s good.

If it were easy millions of people wouldn’t be on statins. I’ve followed what I described reasonably well and am taking my 10mg Of same generic crestor you’re on every other day now. Doubtful I would ever be disciplined enough to overcome genetics. So that may be as good as I can do.

But there may be other brands your doc will
Want to try. You can’t go around filling out.

Good luck!!