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@dadcue

It was strange when my total cholesterol was below normal. That combined with an elevated CK level made my rheumatologist stop atorvastatin. My PCP didn't like that atorvastatin was stopped. My PCP said it can never be too low. When my lipid panel was rechecked, my total cholesterol was too high again.

My endocrinolgist took the middle ground. He said it made sense to try zetia. He said he would message my PCP with his recommendation. He said cholesterol fell into the realm of endocrinology.

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Replies to "It was strange when my total cholesterol was below normal. That combined with an elevated CK..."

Statins have become controversial in many quarters. They mess with blood sugars and cause Type2 diabetes requiring medication for insulin resistance. They lower our natural production of CoQ10 (Co-enzyme Q10), an anti-oxidant that helps reduce harmful free radicals. They can harm the liver.
The sellers of statins have always expressed the miniscule benefits of taking them in terms of relative risk rather than absolute risk, to make the benefit sound bigger. It's an old trick. I dumped my statin over a year ago after reading up and discovering the benefits are grossly overstated and the harms are understated. My doctor did not object.
This article from the website of the respected RACGP (Royal Australian College of General Practitioners) says:
"Cholesterol-lowering statins are one of the world’s most commonly used medicines.
They were first approved for people with a high risk of cardiovascular disease in 1987. By 2020, global sales were estimated to have approached US$1 trillion (AU$1.35 trillion).
However, there has been an ongoing debate about whether or not statins are over-prescribed. Does everyone who takes them really benefit from them?"
https://www1.racgp.org.au/newsgp/clinical/have-the-benefits-of-statins-been-overstated