Advice on statin v/s lifestyle changes ?
Hello All !
Thanks to this sub I was able to see substantial differences in my reported cholesterol numbers. If you're interested this was my first post and I'm back after six months with an update while seeking some advice.
I'm a 31 yo male, South Asian. Father is on medication for Cholesterol (never had any heart conditions)
Here are my older numbers 👇
I. Numbers from March 31, 2026 :
- Cholesterol, Total 247 mg/dL
- Cholesterol, HDL 61 mg/dL
- Triglycerides 230 mg/dL
- Cholestrol, LDL (calculated) 149 mg/dL
- Cholestrol / HDL ratio = 4
- LDL/HDL ratio = 2.4
- Non HDL cholesterol = 186
And then below are my more recent numbers 👇
II. Numbers from Oct 4, 2026:
- Cholesterol, Total 191 mg/dL
- Cholesterol, HDL 59 mg/dL
- Triglycerides 163 mg/dL
- Cholestrol, LDL (calculated) 109 mg/dL
- Cholestrol / HDL ratio = 3.3
- Non HDL cholesterol = 137
Additional Numbers from Oct 4, 2026 to evaluate risk:
- ApoB 91 (Optimal <90 and Moderate 90-129) so seems like I'm at the borderline
- Lp(a) 99 (Optimal <75 and Moderate 75-125k)
- Ldl particle number 1548 (>1409 is high)
- Ldl small 291 (>219 is high)
- Ldl medium 384 (>301 is high)
- HDL large 6436
- Ldl paattern A (Optimal)
- Ldl Peak Size 219 (Moderate)
After seeing these results purely based on diet and exercise (daily sustainable routine) and no medication, I was hoping for my PCP to give me a pat on the back and suggest that I continue with this approach.
However, they reached out saying that seeing the risk factors he'd suggest a statin and that he'd reach out for a consult about the same. This has me confused and deflated and so I'm considering a second opinion from a cardiologist (I'll ask the PCP to refer me) but I was wondering if anyone out here would know why they'd suggest so ?
Especially since in April they gave me the option of aggressive lifestyle changes or statins and I chose the former which I think worked but now in October they only recommend the statin option (even after such a drastic reduction )
I'm not against statins but i would wanna go on then if there isn't a dire need at my age.
Would love to hear thoughts on the same especially since I'm very new to this.