Cleveland suggested I start with high dose, high potency statin therapy.
If that fails, then go to Ezetimbe.
If that fails, go to PCSK9 inhibitors by injection
If that fails, go to Bempedoic Acid.
But as far as I can calculate, if the relative risk reduction of successful statin treatment is near 30% for heart attack risk reduction, then the absolute for me would still be almost 10%---down from 14%. So what am I gaining for all that money and misery?
It seems to me that diet, exercise, aggressive A1C management will gain me more---and I am already completely off red meat for seven years---for which no cardiologist has given me the slightest credit and I doubt they are doing so themselves. I will talk to my Endo about it, but reading up on Ezetimbe already suggested that the stuff doesnt actually help with mortality rates, just numbers. I am NOT a doctor, so please make understand that these are just my opinions as a patient, and ultimately I have to make a plan specific to my health and desires. Like everything else in life, you pays your money and takes your chances. 🙂