3 doctors weighed in:

Tc 240, trig 45, HDL 85, LDL 146. Intolerant of statins, fibrates, Zetia (ezetimibe) and niacin.Diet good, exercise and take fish oil. Any other therapies?

3 doctors weighed in
Dr. William Cromwell
Clinical Lipidology
1 doctor agrees

In brief: Find and Fix Causes

High LDL levels may result from overproduction of LDL particles, decreased clearance of LDL particles, or both.
In some cases common LDL lowering medications are not sufficient to control high LDL levels. Consideration should be given to identifyihng genetic causes (familial hypercholesterolemia), or acquired medical problems (thyroid, renal, liver, glucose related disorders) that could be present

In brief: Find and Fix Causes

High LDL levels may result from overproduction of LDL particles, decreased clearance of LDL particles, or both.
In some cases common LDL lowering medications are not sufficient to control high LDL levels. Consideration should be given to identifyihng genetic causes (familial hypercholesterolemia), or acquired medical problems (thyroid, renal, liver, glucose related disorders) that could be present
Thank
Dr. Gurmukh Singh
Pathology

In brief: Depends on risk

Factors.
You may not need any more treatment if you do not have risk factors. How much do you weigh? Do you smoke? Do you have a family history of heart disease? Are you diabetic? It would be prudent to consult your doctor for treatment specific to your circumstances.

In brief: Depends on risk

Factors.
You may not need any more treatment if you do not have risk factors. How much do you weigh? Do you smoke? Do you have a family history of heart disease? Are you diabetic? It would be prudent to consult your doctor for treatment specific to your circumstances.
Thank
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