Heart attack 3 months ago. Stent in RCA. immediately on self imposed strict diet - 98% vegan. No oils, modest nuts. fish oil capsules. .Among other drugs, my cardiologist has me on 5 mg lipitor yet wants me to increase to 10 mg. I asked why as my lipids are holding low (110 total and 60 LDL).. He says there are other benefits. I understand lipitor may help endothelial health, but so will a quality diet like I am on. I prefer to keep drug usage low and only as needed as lipitor has side effects as well. What is the compelling reason for being on lipitor indefinitely if I can keep lipids very low on diet only? Shouldn't we at least let me go off lipitor a week or so and see the effect?
Statin medications like lipitor seem to have benefits beyond just cholesterol lowering (anti-inflammatory and blood vessel lining function, etc) and seem to improve outcomes in people with coronary artery disease down to very low LDL levels. They also seem to work as an adjunct to dietary changes. The diet changes that you describe are very important to improvement of your cardiovascular health, though, if you are looking to maximally lower your risk of recurrent heart attack, we would generally recommend continuing therapy with a statin. I hope this helps. Good luck and congratulations for all you have done so far.
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