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  • 1. By the way, doctor. My cholesterol numbers are as follows: Total-220; HDL-82 (it's been anywhere from 75 to 85 for the last 20 years); LDL-150; total-to-HDL ratio-2.7. I'm 85, and the heart doctor wants to put me on a statin. I feel great; I'm not overweight, and I don't have any heart problems. I don't take any medications except a daily 81-mg baby aspirin. Do I need to take a statin?
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  • 2. I'm a postmenopausal woman. My doctor wants me to take a statin to lower my cholesterol. Is it safe for me to take statins?
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  • 3. My cholesterol was on the high end of normal, and my doctor put me on a statin. My cholesterol is now rock-bottom low! But the last blood test said my liver enzymes were elevated. She wants me to get another test in a couple of months. I'm worried these pills are damaging my liver. Is there anything I can do to protect it so I can continue taking them?
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  • 4. By the way, doctor. I'm 84 and had a small heart attack last year. My kids tell me I should be taking a statin. But at my age, I don't see how any medication is going to clean out my arteries and get rid of my atherosclerosis. What do you think?
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  • 5. I've heard that statins can can help lower C-reactive proteins (CRP) levels. I'm 65, but I don't take a statin because my cholesterol is low. Should I be concerned about CRP? I have a family history of heart disease.
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  • 6. By the way, doctor...I'm a few years past menopause, and I take a statin because of high cholesterol. My doctor has broached the subject of whether I might need to take something else to lower my risk for osteoporosis, but I've read that statins help prevent that problem. Can't I tell the doctor I don't need another pill?
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  • 7. Ask the doctor. My doctor and I are confused by my cholesterol levels. My good cholesterol is extraordinarily high, at 94, but my bad cholesterol is on the high side, too, at 154. To resolve this good news/bad news story, my doctor ordered a C-reactive protein test which, of course, came back right in the middle of the normal range. I don't smoke or have other factors for heart disease. Would you advise me at start a statin or some other drug?
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  • 8. On call. I've been taking Zocor since my heart attack in 2006. My cholesterol count has come way down, and I haven't had any heart problems. In the past few months, however, I've had some muscle aches. My blood tests don't show any muscle damage, but my doctor says Zocor may still be causing the problem. He wants me to stop Zocor for a while, but I'm worried about my heart. Is it safe for me to stop?
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  • 9. Ask the doctors. I am a 62-year-old female with no chronic health problems, but I am about 10 pounds overweight. My new doctor wants to put me on a statin immediately. My total cholesterol is 187: my LDL is 129, my HDL is 47, and my triglycerides are 55. He is concerned because my father died of a heart attack from coronary artery disease. The doctor wants my HDL to be above 60 and my LDL to be below 100. Could this result be achieved by weight loss, dietary changes, and exercise alone? If not, which statin would you recommend?
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  • 10. I had a mild stroke two years ago, but recovered completely and am now healthy and active. After my stroke, my doctor prescribed a statin medication, even though I don't have heart disease. The medication gives me indigestion. Can I stop it without any problems?
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  • 11. I had an ultrasound of my heart recently, and the technician performing it wouldn't tell me anything about what he saw. He said I would have to wait for my doctor to call me. It's been two days now, and I'm still waiting. Don't you think patients should be able to get a least some preliminary information sooner? The same thing happened to me last year when I had an MRI.
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  • 12. Ask the doctor. My doctor put me on a statin and told me to take it after dinner. I would rather take it with breakfast. Does it matter?
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  • 13. Ask the doctor. I'm a 42-year-old man with no health problems, except for the fact that I'm a bit overweight. I recently had an exercise test because of some chest pain. The good news is that it showed no evidence of heart problems, but during the test my blood pressure quickly shop up to 190 mm Hg. Usually, it's about 35/90 mm Hg. The doctor doing the test didn't seem too alarmed, but I'm concerned.
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  • 14. Several people I know had terrible leg cramps when they took statins. I also read in the paper that statins can cause memory loss. My doctor wants me to start taking statins, but I'm scared. How real are these concerns?
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  • 15. On call. I've always been completely healthy. At my last check-up, my cholesterol was 295. I'm worried, but my doctor tells me I don't need treatment. What do you suggest?
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  • 16. On call. I was recently diagnosed with gout. I'm feeling well with medication, but my doctor want me to take drugs for my cholesterol and blood pressure because gout will raise my risk of heart attack. I don't want to take more pills. What do you think?
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  • 17. By the way, doctor...I read about Baycol, the cholesterol-lowering drug being taken off the market because it caused fatal muscle damage. I don't take it, but I do take another statin. Should I be worried?
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  • 18. Ask the doctor. At age 62 I'm a bit overweight and have diabetes. I take a statin, and my LDL cholesterol is good (84 mg/dL). But my HDL is low (30 mg/dL) and my triglycerides are above 300 mg/dL. Are high triglycerides a problem?
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  • 19. Ask the doctor. I have just stopped taking a statin drug because it was causing muscle pain. To control my cholesterol I'm now taking ground flaxseed and a daily red yeast rice pill. Are these supplements effective for lowering cholesterol?
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  • 20. By the way, doctor... Exercise: nothing to fear. I'm 62, pretty trim, but I don't particularly enjoy exercise. My wife keeps telling me I need to be more physically active. But I've heard of several people who died during or shortly after exercise. If I don't need to lose weight, why should I expose myself to danger doing something I don't enjoy?
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