I wasn’t familiar with a calcium test score, but I just looked it up and can see and understand why you’re feeling so heartbroken and maybe even some guilt. It’s completely understandable to feel that way, but it’s not your fault.

As @casey1329 said, it sounds like you’re doing great, feeling good, and you’ve been on top of your regular screenings, maybe even because of your family history (?) Those are all things to be proud of; for many people it’s more comfortable to stick our heads in the sand and NOT get those early screenings or just give up and give in, i.e. “I have a family history anyway so there’s nothing I can do…” etc. But you haven’t done that.

Because you followed through with the screenings, now you’re able to have options and decide how to address it, rather than find yourself in an ambulance with a heart attack or something else…

It still isn’t ideal =( And might feel unfair, and it is. I’m not dismissing that at all.

It’s important to remember you are living a healthy life. That your heart and your risk factors need extra support—that’s not meant to be an insult or a critique about something you did or didn’t do. It’s just a fact.

Sometimes even with the best efforts things happen. And if you’re genetically predisposed to a condition, there’s only so much you could do. Plus as we age, our bodies and brains are aging with us.

I’m hopeful with the great foundation you’ve set already, adding the treatments your doctor is recommending will help even more.

(But I’d just be cautious of the Lipitor; if it doesn’t work well for you there are other statins or other cholesterol lowering medications you can ask about—my dad was also high risk for stroke but with good cholesterol and they immediately put him on the highest dose and it didn’t work well for him at all. Don’t be afraid to talk to your doctor about it if something feels off.)

Wishing you all the best.