It sounds like your question is "Im doing everything that they have told me, but I still have high LDL" It is important for you to have a detailed cardiovascular risk assessment including family history. Additional labs should include CRP (creactive protein). Also, high cholesterol with Inc LDL can be associated with very low testosterone, low thyroid hormone or insulin resistance. These values will give insight into possible reasons for your refractory LDL and also provide an overall Vascular disease risk assesment.
Your correct that statins are the best pharmacologic agent. Discuss this with your physician. Starting it is largelydependent on your risk profile as described above. My book, Your Guide to Optimal Health (www.personalwellnesswheel.com) also describes adjunctive therapies like fish oil, coenzyme Q10 including the appropriate doses.
Your diet should obviously be low saturated fat (12 gm day).
Lastly, on my website, www.optimalhealthtoday.com, I describe a lab profile that we use that fractionates your cholesterol measurements to assess the good and bad types of HDL, LDL and triglyecerides as well as genotype testing for CAD riskk profile
You need aggressive management of this process with all of these tools
You should have CRP studied. Statin have been the best shown. Coenzyme Q10. Fish oil. Very low testosterone, diabetes or insulin resistance
Just got back results from VAP Cholesterol test
Non HDL Chol 155
Lp(a) Chol 13
Remnant Lipo 26
IDL Chol 13
Probable Metabolic Syndrome -- no
LDL1 Pattern A 16.5
LDL2 Pattern A 47.9
LDL3 Pattern B 50.9
LDL4 Pattern B 0
LDL Density Pattern A
LDL Chol 135
Cholestrol total 201
LDL-R (Real)- C 115
I did not get a true assessment of this test, other than my doctor saying overall vap profile wasn't too bad. What the heck does that mean? Is is good, bad, or indifferent? Thanks for your help. Bruce