Idk how I'm twelve years too late to this thread. The above is one of those topics that get myself and my brother-in-law extremely riled up. I'm definitely upset that I missed the party. Anyways, I randomly found this when searching for a spot to ask a question about cholesterol and statins...It ties in well with America's Health Crisis so here goes...
I'm 41 years old, BMI 27. I clearly need to lose some pounds, no question, but I'm not severely obese. I try to eat relatively healthy. My issue is lack of time w/ a busy family so we eat out more than we should. Also, I don't workout as hard or as much as I used to (history of multiple back surgeries and severe nerve damage in my legs). During a routine physical, doc pointed out that my Total Cholesterol, LDL, and triglycerides are all high. Accounting for family history, he said my physical health has room for improvement, but not so much that statins won't be in my future. (Note: He is not recommending them now, but said if diet and exercise don't drive these numbers down significantly, genetics may convince him to get me started on them in the next 5 years or sooner.) My gut reaction to this methodology is two-fold and I'm wondering if any doctors or health nuts on this board can tell me if I'm wrong in this thinking.
First and foremost, this is likely a nothing burger and diet and exercise will in fact drive these numbers down. We also can agree that lowering my numbers is a good thing, in general. Don't take the following cynicism as a scapegoat for not getting those numbers in check the natural way.
With that said, as mentioned, I can't help but be slightly cynical of Big Pharma. Whenever a lifelong dependency of a drug is prescribed, alarm bells go off in my head. Back in the 1960s, the New England Journal of Medicine stated overall cholesterol goals as <280. However around 1988, that range decreased to <200. Again, it should be noted that research shows lower risk of CVD when these numbers are lower, so I'm not saying this is bad. But, that decrease in "normal range" just so happened to coincide with the invention and prescription of statins. Lowering the normal range opens up a broader market of people who could get prescribed this medication. Obviously, statins have helped save a ton of lives. I'm not against them. What I'm questioning, however, is their usage in my situation. Don't get me wrong, I plan to utilize a better diet and more exercise to achieve the current recommendations based on the modern scientific data. I'm just wondering if I should be hesitant about statins and push back against the notion that I need to be on them given the shift in normal ranges that happened right around the time statins became a thing. I'm usually around 200 total cholesterol with elevated LDL and triglycerides that are borderline "acceptable." I'm just not sure I share the same concern as my doc. Am I wrong here?