Healthy 37 year old guy with high ApoB (115) and LDL (156), pcp thinks I’m fine and don’t need statins, but open to statin if I insist. Need advice 🙏
Over the years my LDL has always trended higher but my doctor always said not to worry because my weight and other bloodwork always great. I’m a healthy guy that exercises and am careful about what I eat. I do have family genetics for high cholesterol (23 and me verified and multiple family members on statins). 6ft 160 5.4 A1C all other bloodwork came back great for liver kidney glucose etc.
This week my bloodwork came back and we tested ApoB for the first time, and I’m not happy with the result. 115
The good news is Lipoprotein (a) came back excellent as did C reactive protein (cardiac)
I am tempted to start pitavastatin 2mg immediately since I don’t think there’s much lifestyle change I can do. I already take psyllium and exercise regularly and also a Mediterranean diet.
My pcp said based on all the factors I don’t need to start status and am low risk now, but if I would like to she will happily send in the script. I feel weird making this decision myself and my friends think I should trust her. But I feel like what I’m seeing online is that the ApoB is a big problem even with all the other healthy factors.
Any wisdom would be appreciated 🙏