I was surprised that Nexletol worked for me. Every statin gave me trouble…it was a bit frustrating. My cardiologist gave me a month’s supply of Nexletol to try. I held off a month before getting the courage to take it…but no side effects! Relief. I have been on it for 3 years now. You do have to be careful - no Cipro…because when Cipro is added, it can cause tendon ruptures. Also, need to watch your uric acid blood tests. So far so good for me. I know everyone is a little bit different…so follow your body and intuition! Also…we have had to fight BCBS to take the Nexletol with Repatha. They only approve one or the other…I am sure it is monetary. I have a good team that works to get my approvals for prior authorization through. Hugs!