u/CouplesWithoutCar

So the lipidologist doesn’t recommend a statin because of my elevated Lp(a) (165), especially since my ApoB has stayed below 80. My general cardiologist, however, wants me to start rosuvastatin now. I pointed out the conflicting advice, and both essentially said the decision is mine. The lipidologist favors continuing ezetimibe and/or adding Repatha (if i can afford it even), at least until Lp(a) reducign medications become available.

I’m feeling conflicted and frustrated. Is this a known conflict of thought? Has anyone else been in a similar situation? Both of these doctors are well esteemed and part of major health care systems in NYC-- no chiropractor wackery.