Statin Intolerance: What did you do?

You are doing everything right. Our bodies naturally make cholesterol.
Stick with your diet, try not to worry too much.

I have high LDL cholesterol and my doctor has prescribed several different statins for me, all of which I could not tolerate. The latest one he's prescribed is ezetimibe which I have yet to try.

I feel like a guinea pig with all these tests. The side effects are not anything I care to experience, either. https://my.clevelandclinic.org/health/drugs/20153-ezetimibe-tablets. They include skin rash, face, lips and throat swelling, joint pain, diarrhea, and possibly others not mentioned.

I'm trying to find a natural alternative. The high LDL cholesterol is the only negative in my labs. Everything else is normal. After losing 60 pounds over the course of a year, I had to go back on 1 50mg Losartan tablet daily for blood pressure. My BP is now very good - in the 116/74 range daily.

I exercise an hour daily walking and stationary bike and have a good diet eating mostly chicken, turkey, and fish and lots of fruits and vegetables. I cook from scratch, use avocado oil and ghee, and read labels. Even my husband does since I am gluten intolerant and have some food sensitivities. We don't buy products (condiments, etc.) with unhealthy additives or that are high in saturated fats. I'm reducing my salt intake even though it's normal (140 and the range is 135-245) which may help according to my doctor. My glucose is 83. My calcium is 8.9 (range is 8.7-10.4). So all labs are good except this high LDL. My father had blocked carotids due to triglyceride build-up, but he had a high fat diet, which I don't.

Any suggestions about natural alternatives to reduce high LDL are welcome.
Thanks!

I have high LDL cholesterol and my doctor has prescribed several different statins for me, all of which I could not tolerate. The latest one he's prescribed is ezetimibe which I have yet to try.

I feel like a guinea pig with all these tests. The side effects are not anything I care to experience, either. https://my.clevelandclinic.org/health/drugs/20153-ezetimibe-tablets. They include skin rash, face, lips and throat swelling, joint pain, diarrhea, and possibly others not mentioned.

I'm trying to find a natural alternative. The high LDL cholesterol is the only negative in my labs. Everything else is normal. After losing 60 pounds over the course of a year, I had to go back on 1 50mg Losartan tablet daily for blood pressure. My BP is now very good - in the 116/74 range daily.

I exercise an hour daily walking and stationary bike and have a good diet eating mostly chicken, turkey, and fish and lots of fruits and vegetables. I cook from scratch, use avocado oil and ghee, and read labels. Even my husband does since I am gluten intolerant and have some food sensitivities. We don't buy products (condiments, etc.) with unhealthy additives or that are high in saturated fats. I'm reducing my salt intake even though it's normal (140 and the range is 135-245) which may help according to my doctor. My glucose is 83. My calcium is 8.9 (range is 8.7-10.4). So all labs are good except this high LDL. My father had blocked carotids due to triglyceride build-up, but he had a high fat diet, which I don't.

Any suggestions about natural alternatives to reduce high LDL are welcome.
Thanks!

Hi @cindyt63,

There is no denying that many of the statin trials are funded by pharmaceutical companies, but it does raise the question if we are seeing the whole picture.
I thought it might help to post a few key notes from the most recent guidelines, (ACC/AHA), which emphasize that having high cholesterol “at any age” significantly increases the risk of cardiovascular disease. http://www.onlinejacc.org/content/73/24/e285?_ga=2.18947835.275792085.1564661742-2093008911.1564661742

– There is now a class I indication for reducing LDL cholesterol levels by 50% or more with a high-intensity statin (atorvastatin 40-80 mg and rosuvastatin 20-40 mg), or a maximally tolerated statin dose, in all patients with clinical atherosclerotic cardiovascular disease (ASCVD).

– For ASCVD patients at very high risk, such as those with a history of multiple events or one major ASCVD event and multiple high-risk conditions—and with LDL cholesterol ≥ 70 mg/dL—the guidelines recommend adding ezetimibe to maximally tolerated statin therapy in order to lower LDL levels.
If LDL still remains ≥ 70 mg/dL, adding a PCSK9 inhibitor such as alirocumab (Praluent; Regeneron/Sanofi) or evolocumab (Repatha; Amgen) is reasonable although the long-term safely of PCSK9 inhibitors is unknown.

– In the patient 40 to 75 years with diabetes, the guidelines recommend starting treatment with a moderate-intensity statin without assessing the 10-year risk of ASCVD (class I). If the diabetic patient has multiple high-risk features, or is 50 to 75 years old, consider using a high-intensity statin.

– For the first time, the new guideline also includes a Value Statement that underscores the need for clinicians and patients to factor in the cost of drugs in determining the most appropriate treatment rates.

With regard to Repatha (thanks for the suggestion), it is more often used to treat patients with heterozygous familial hypercholesterolemia, or with homozygous familial hypercholesterolemia (HoFH), who need additional lowering of their LDL cholesterol. https://www.mayoclinic.org/drugs-supplements/evolocumab-subcutaneous-route/side-effects/drg-20152627?p=1
Unfortunately, the cost of this drug (and others in the same class) is prohibitive – which is why the new guideline about statins includes a Value Statement.

I certainly don’t mean to inundate you with more reading:) but I’m hoping this article might shed some more light on the statin debate:
"AHA’s Statement on the Safety Profile of Statins: Big Benefit with Low Risk” https://professional.heart.org/professional/ScienceNews/UCM_503181_AHAs-Statement-on-the-Safety-Profile-of-Statins-Big-Benefit-with-Low-Risk.jsp

The treatment for high cholesterol is not one size fits all, and I wish we could get a conclusive answer. But it’s absolutely okay to question and disagree –as long as we do it in a way that is based in science. I hope to hear more from you and fellow Connect members - continue to further the conversation.

I felt the same way. I tried all the oral Statins and ALL gave me muscle cramps. I was offered Repatha when it first came out and thought like you. But my self and my doctor agreed to give it a try and low and behold no issues at all. I understand your concern but Statins have along with all drugs a whole list of POSSIBLE side effects. If you try it and it works you will be glad you used it to lower your cholesterol. Personally, for myself it was worth the gamble. Best of luck and keep us posted on your progress.

The Repatha side effects look pretty bad. Once you have the injection how do you deal with side effects for the two-four weeks before it leaves your system? Did you have any side effects? Thanks.

Red Yeast Rice has the same chemical structure that is used in prescription Statins thus explaining our same symptoms when using prescription statins. You might want to look into Repatha to avoid the muscle cramps. It cut my cholesterol almost in half and not muscle pains. It works a little different than oral statins and that is why it does not cause the muscle issues and frankly works much better. Best of luck!