HellFire said:
...it is very difficult because I am at a point where I love living and I would hate to do anything that could/would shorten whatever little bit I may have left.
Yes, it is difficult. There is evidence that statins can help certain people that are quite ill. On the other hand there is a lot of evidence that they are harming a lot of people that were not that ill. At the very least you might want to consider switching to a less toxic statin, and to investigate what you can do to improve your nutrition. You may be able, over time, be able to resolve any problems that statins may have been helping with.
While it isn't generally seen this way, Western countries (the US in particular) are malnourished, and weaker individuals (of which I am one) can find it difficult to survive. If you are in that kind of situation you may have to take dietary measures that other people you know don't have to take, just to stay alive.
Many health problems arise from various forms of inflammation. If you have these kinds of problems and want to be well, you need to find the causes of your inflammation and eliminate them. Doctors (at least here in the US) are trained to identify "diseases" and write prescriptions that do not address causes. There are financial incentives at every level to mask symptoms (using toxic drugs that create more disease) while ignoring causes, so that patients grow progressively more ill and need ever-increasing amounts of "health care."
There are a number of books you can read to help prepare to make better decisions. Here is a section of one book that may provide a useful perspective.
The Art and Science of Low Carbohydrate Living said:
Statins and Low Carbohydrate Diets
Many physicians immediately turn to statins if a patient’s LDL-C level is above standard guidelines, but the decision to begin lipid lowering therapy deserves serious thought. Without question statins markedly lower LDL-C but the impact on decreasing coronary events is less clear cut. For instance, the original Lipids Research Clinics (LRC) cholesterol lowering study with binding resin (cholestyramine) reduced the number of heart attacks but not overall mortality[16]. And a recent study with a statin (the JUPITER Study) indicates that much of the benefit with this class of drug is due to reduced inflammation rather than reduced LDL-C[46]. Therefore, if a diet could reduce your level of inflammation (discussed in Chapter 14), perhaps there’s less need for the drug.
So in the big picture, the potential benefit of a statin drug needs to be weighed against the risk of side effects and cost of medication. The number of people who experience adverse side effects is not trivial, the most common being fatigue and muscle pain, and more recently there is concern with cognitive impairment and increased risk of diabetes. Furthermore, whether or not you make a personal or professional decision to begin statin therapy, there are still unique benefits associated with a low carbohydrate diet (see side bar – Restricting Carbohydrates has Benefits Beyond Statins).
In summary, if LDL-C is your sole intended target, a low fat diet and/or cholesterol-lowering drugs appear to make sense. But there is enough doubt to question whether LDL-C is the best target for everyone. If your target encompasses a broader range of potent biomarkers like triglycerides, HDL-C, LDL particle size, insulin resistance, or inflammatory markers, then using a low fat/high-carbohydrate diet is equivalent to dancing on the edge of a mine field, whereas a low carbohydrate diet improves all these blood borne risk markers.
Phinney, Stephen; Volek, Jeff (2011-07-08). The Art and Science of Low Carbohydrate Living: An Expert Guide to Making the Life-Saving Benefits of Carbohydrate Restriction Sustainable and Enjoyable. Beyond Obesity LLC. Kindle Edition.
Here is the sidebar:
Restricting Carbohydrates has Benefits Beyond Statins
Statin therapy effectively lowers LDL-C, but if a patient presents with other risk factors the typical course of action is to prescribe additional drugs. In the case of atherogenicdyslipidemia, combining a statin with a fibrate and/or nicotinic acid is common. While this poly-pharmacy approach can be effective in reducing lipid biomarkers, there is an increased cost and greater likelihood of side effects with multiple drug use. Importantly, in contrast to the effect of a low carbohydrate diet, none of the lipid lowering drugs are effective at reliably increasing LDL particle size. Since a low carbohydrate diet does increase LDL-C size, it represents a fully rational approach to the management of Pattern B dyslipidemia. In a research study that is currently pending publication, we examined the effect of implementing a low carbohydrate diet on LDL size and other features of metabolic syndrome in previously hyperlipidemic men and postmenopausal women who had achieved a lowered LDL-C by statin treatment. After 6 weeks the low carbohydrate diet resulted in significant improvements in a number of markers while maintaining previously reduced levels of LDL-C. LDL particle size was significantly increased as measured by two separate methods (gel electrophoresis and vertical auto profile ultracentrifugation). Additionally, there were significant improvements in plasma triglycerides (reduced by 36%), insulin sensitivity (increased by 25%), systolic (-5%) and diastolic (-6%) blood pressure, and blood flow in the forearm. In summary, atherogenic dyslipidemia and other metabolic syndrome markers are prevalent in statin users despite wellcontrolled LDL-C and the anti-inflammatory effects of this drug class. Thus the addition of a very low carbohydrate diet in combination with statin therapy can significantly improve insulin sensitivity, LDL quality, and other features of metabolic syndrome.
Phinney, Stephen; Volek, Jeff (2011-07-08). The Art and Science of Low Carbohydrate Living: An Expert Guide to Making the Life-Saving Benefits of Carbohydrate Restriction Sustainable and Enjoyable. Beyond Obesity LLC. Kindle Edition.
Other authors are not so "nice" about it. The "markers," such as LDL level, may not mean all that much, at least when interpreted the way they usually are. Consider the following from
Primal Body, Primal Mind (
Deep Nutrition contains a complimentary section).
Primal Body said:
All Cholesterol Is Exactly the Same
LDL takes cholesterol away from the liver to the extremities and other organs for various purposes, including the manufacture of important steroidal hormones and vitamin D. HDL merely returns the same spent cholesterol to the liver, where it can be recycled. LDL also serves as a transport mechanism for critical fat-soluble nutrients, including vitamin D and antioxidants as well as certain fats.
There is one undesirable variation of a certain LDL carrier molecule known as lipoprotein(a), which is smaller and denser than regular LDL. Within the arterial endothelium lie spaces between cells that serve as channels for the influx and outflow of nutrients. Lipoprotein(a) can actually lodge itself in the spaces between these vascular arterial cells and shut off those natural channels, resulting in poor nutrient flow to the endothelium and triggering a damaging inflammatory response. Lipoprotein(a) is the only lipoprotein of significant consequence. The drug companies, however, would rather you didn’t know about it at all, as statin drugs do nothing to change the size of LDL particles or reduce lipoprotein(a); only diet can do this. It is high-carbohydrate diets and the presence of excess insulin that are responsible for the production of this undesirable lipoprotein. Diets rich in natural fats and moderate protein with low carbohydrates result in normal LDL. Actual levels of regular LDL and HDL are of little actual consequence, though they can serve as a relative marker for illuminating certain dietary tendencies. High fructose diets, for instance, are known to greatly increase the production of LDL. They can also in part reflect other disorders and can be useful to look at in that regard. Note that HDL levels in excess of 70 to 75 mg/dL, in people for whom there is no inherent genetic predisposition toward very high HDL, can often imply the presence of undesirable inflammatory processes and potential autoimmune issues. This is because what is termed the inflammatory peroxidase system, when activated, can actually raise HDL in excess of normally positive indication ranges, as they are formed through related pathways. Higher HDL is not necessarily better. Excessively high HDL on your lab report may not be the “bee’s knees,” but it is still only an indicator, a clue toward other things—and not a cause of anything.
Furthermore, cholesterol is the human body’s version of duct tape. It travels to areas where there has been arterial damage and patches up lesions. Higher serum levels of cholesterol can serve as a message that “something is going on” for which it is needed. Serum cholesterol is simply an indicator, not a diagnosis. Allegedly high cholesterol is in no way a form of a pathologic condition, in and of itself. But it may be telling you something, much like the engine warning light illuminating the dashboard of your car. Unscrewing the bulb (i.e., taking statin drugs) isn’t going to fix the engine. You need to dig deeper. What has been deemed high cholesterol by some, however (i.e., anything over 200 mg/dL) is an entirely arbitrary and unscientifically derived number fabricated solely by pharmaceutical interests. Levels approaching 250 to 300 mg/dL might be an indication to look under the hood to see why serum cholesterol seems to be going up. Rest assured, however, that cholesterol isn’t being sent there like an evil villain to cause you trouble; it’s simply trying to do its job. In my view, it is important to simply let it, while pursuing the trail of evidence to its more meaningful source.
Going in with statin drugs to stamp out cholesterol is the equivalent of preventing the firemen who arrive to put out a fire from doing their job—and blaming them for the fire. Elevated glucose or insulin levels, for instance, damage arterial walls and lead to an increased need for cholesterol to repair them.
Roughly 80 percent of what actually clogs arteries is not even composed of cholesterol or saturated fat but is composed of oxidized or rancid unsaturated fats (Enig 2001). Statistically, individuals whose blood cholesterol levels are low develop just as many plaques in their blood vessels as individuals whose cholesterol is high (Ravnskov 1998).
Cholesterol is no more a cause of heart disease than gray hair is the cause of old age
...
Gedgaudas, Nora T. (2011-06-22). Primal Body, Primal Mind: Beyond the Paleo Diet for Total Health and a Longer Life. Healing Arts Press. Kindle Edition.
It is unlikely that you will hear this from your doctor, and when you start to research for yourself you will -- we all do -- find yourself having to choose between alternative realities. If you dig around enough, you will find that the "alternative reality" problem actually exists on a grand scale in our world.
I highly recommend that you obtain some of these books and read the material in its entirety.