I am sorry about your calcium score. It must be unnerving. I am 68 and have a 0 calcium score, but my carotid is blocked 60%, and my aorta has calcification. I went on the Esselstyn diet for a while. I actually paid to take his course and speak with him. I lost way too much weight. I went from 130 to 117. My sister went from 105 to 95. We both stopped, but it made us very aware of what we were eating. You don’t to take the course, just watch his YouTube. His wife and daughter gave a YouTube food channel. It didn’t lower my ldl much, and recently I found out I have LP (a). That is probably the reason. I was very freaked and my sister has it too. We have taken good care of ourselves over the years, so that was tough to take.

I tried 2 different statins and added ezetimibe. It lowered my LDL to 60. My endocrinologist wants it to be 30. Pharmaceuticals are the only way to do it. Recently, I realized the pain I was having was from the statin:( I stopped taking them and feel much better.
Now my Dr has me on Praluent injections. Cha...ching...pricey. I will add the ezetimibe back when the side effects go away...I hope.

I liked Peter Attia's book Outlive. It has a well rounded way of living. Food, exercise, sleep, stress, face past trauma.

I am looking forward to that new medication for LP a. I tried to get on the Eli Lilly study, but I am too healthy. They are looking for people with obesity, diabetes, HBP ...
You just need to research and do what you can do to have a healthier lifestyle. I hope something here helped you. Best wishes.