Two years ago I was diagnosed with erosive RA. I was a competitive elite endurance athlete most of my life. I've never smoked and was never overweight and my diet was always really clean.
My first Rheumatologist two years gave these blood results to me and never mentioned the need for statins:
I've since changed Rheumatologists and asked the new one if he would check my cholesterol again. This was prompted by me, not him.
The results were very close to the ones taken 2 years prior with only a slight increase in LDL. 4.5
This doctor wanted me to go on 10 mg of Crestor.
I said I would try 5mg and it brought my LDL down to just under 3 which he was happy with. I am very reluctant to take statins as I have enough with my RA meds. I decided to take 5 mg Monday, Wednesday and Friday. We took bloods after one month and my LDL went back up to 3.79
My doctor was on vacation and I spoke to his colleague who said that I obviously have familial high cholesterol but not to worry as my sport will help protect my heart and his suggestion is not to take statins.
It's really confusing as I get mixed messages from three different doctors and I really don't want to take statins. There is nothing more I can do with diet and exercise and I understand if it's genetic then statins are the only way to control it. Is this true?
I know I have an added issue as CVD is a higher risk if you have RA but why would two Rheumatologists not be concerned and one is who didn't call for the cholesterol test until I asked?
Is the treatment of high cholesterol really that controversial?
Any insight is very welcome and thanks for reading.