You sound a lot like me with the hyper lipidemia and the inability to tolerate medicines and especially statins! My dad tolerated statins exceptionally well for 25 years! So you are correct one size does not fit all even with inherited disorders.let me give you A couple things I didn’t see covered in what you wrote that worked for me that might work for you as well:
Fish. I landed onto this because I took in a Ukrainian refugee who ate lots of fish. After actively trying to lower my cholesterol, my cholesterol dropped in three months by 40 points when she left so did most of the fish and my cholesterol bounce back up I resumed, including more fish. Be careful you don’t add fish that has purines in it. If you were gout prone, I do tilapia, salmon, Tuna, cod, things that are wild and not formed. My cholesterol which reacted to nothing is sits now at 186!
The second thing that I’m doing is LEQVIO. It is a twice a year injection, gluten and lactose free, which was how I access it. It has zero side effects and it controls the laying down plaque in my arteries. The plaque will go up a little bit in the first year if you test, because it’s being loosened, but after that, it gets stable and starts to go down. I feel really confident about that one. I take vitamin D for my A1c. It stays right in the middle of where they are both supposed to be they Does have to be adjusted every decade.