I feel your pain. Standard of care is broken, and I'm married to a gastroenterologist! Been told for years by doctors that I didn't have to worry about my cholesterol because I had high HDL and because it was the men in my family who dropped dead. Now I'm looking at a 256 CAC score at 64 years old. Thought I was in great shape, now feel like the "walking time bomb" because that score puts me in the 92 percentile which is considered high risk for heart attack. Saw a cardiologist who gave me the same standard of care BS so had my husband order all the tests that tell you what you need to know- LPa, APOB, fasting insulin, etc. and repeating lipids, etc. On a very low carb diet and doing my own research to stop the progression. Seeing one of the top researchers at UCLA tomorrow. Will report back to see what he has to say but statins do raise CAC scores so I'm not sold on taking them yet.