@myoga I thought my 2025 numbers looked pretty good, too. The internist had already mentioned that she thought the LDL would be better around 45-50. I see her as part of the survivorship program. Normally she doesn’t look at my cholesterol but the anti-cancer drug I’m on, tamoxifen, is known to raise cholesterol and I had asked her how much of an effect it would be. So she pulled up my numbers - and commented on the LDL.

My general practitioner is the one who prescribes the statin. Because she thought the numbers were still towards the high end of the range, she ran the lipoprotein A blood test and ordered a heart CT scan for coronary calcium - both to help decide statin or no statin.
(She has gotten pretty use to me, I guess! It takes a bit of convincing to get me to take any drug!!)

It’s the high Lipoprotein A that is a problem.

Lipoprotein A is mostly genetic and there is nothing to do, or take, to lower it. So the doc says the only way to counterbalance the high number is to lower the regular LDL as much as possible. Pharmaceutical companies are working on a drug now, but it’s not ready yet. Any score over 50 on the lipoprotein A is considered high.