Hello @deena12 I am new to this discussion so introducing here rather than updating. I took a statin for maybe 12 years then began having problems we couldn’t figure out. My LDL shot up and I ended up discontinuing statins. Fast forward 15 years now. My untreated LDL reached 300, MTC calcium score is similar to yours and have been on bi-weekly LDL apheresis that acutely drops my LDL 70% only to shoot back up. Over time it has dropped my chronic LDL some (measured right before my treatments) We are recognizing systemic problems and over the past year have successfully gotten back on 5mg rosuvastatin and 5 mg ezetimibe. My chronic LDL is 150. I tried Bempedoic Acid a few days and had to discontinue it. Have you tried the PCSK9 inhibitors, Repatha or Praluent? Maybe they would drop your LDL more than necessary. They typically drop LDL 50-70% (I think). They did not have good results.

I am eating 7-8% of my calories from fat, trying occasionally to increase but I cannot tolerate it. What do you eat to get your protein? I did add UNJURY protein broth into my routine. It does not have any fat and has 21 grams of protein in a serving. I like the broth to drink in the winter. I use the vanilla flavor and add to a mashed up sweet potato along with some blended up cottage cheese (sounds strange but not bad). I am starting to branch out and try the unflavored in sauces and broths. I make some protein balls to eat at my treatments made of oatmeal, dates (or other dried fruits I have on hand), the powder, maple syrup and cinnamon.

Do you mind sharing more about your lipid clinic?