Hanging around a ~60 apoB, which is at the ceiling of optimal. Anyone reach 30 or 40 without pharmaceutical interventions? There are great online clinics for cold sores or GLP-1s now — does the same exist for cardiovascular risk to evaluate those options?

Outside of diet and exercise, what solutions are you looking for?

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It wouldn’t get me there I had to go on a statin, and the statin took my cholesterol down by 85 percent.  I have a solid diet and exercise a ton, genetics hosed me.

There are newer classes of medications for lipid management, but the knowledge is not widely distributed among the average provider. A perfect diet alone won’t get a lot of people all of the way there unfortunately.