46 year old male, with 220tc, 170tg, 140ldl, 39hdl.tried diet and exercise without other risk factors for2 years,is it time to start niacin or statin?

Diet or meds lipids: 46 year old male, with 220tc, 170tg, 140ldl, 39hdl.Tried diet and exercise without other risk factors for2 years,is it time to start niacin or statin? ANS: My recommendation is the that you use Dean Ornish or Seattle Sutton's which will be delivered to your home and only eat that for 1 month. Recheck lipids. If you followed diet and lipids did not change they will need meds.