You might want to ask about your cholesterol numbers. Not playing doctor here, but both your LDL and total C are higher than recommended, and since you’re having symptoms, I’m surprised you’ve not been put on some aggressive therapy.

I have a calcium score nearly twice yours with no symptoms, exercise and diet are by the book, and my LDL goal, from my cardiologist, was to get the number under 50. I am considered high risk due to family history, so a statin, Zetia, and Repatha got it all where it’s supposed to be.

Good luck in your journey