So I saw the consultant and basically nothing's changed. TC 5.0mmol/L, LDL 3.7 (target 4.2), HDL 1.0, Tri 0.3, all within 0.1 of last year IIRC. I've put on a little weight and waist and my CK (http://en.wikipedia.org/wiki/Creatine_kinase) levels are up, but I was borderline-underweight before and those changes might be attributable to actually exercising properly through the winter. The last few years, I've been ill enough or snowed in or had other stuff happen that I'd not exercised well in the weeks before the blood test. I've a retest in a month just to check CK isn't increasing.
Bottom line: the results were rather disappointing in two ways.
Firstly, it seems that the UCLP diet has produced no change from what I did before (a vague effort towards sensible eating like I've been told since the 1980s with a few changes as the advice changed). From what I've read in the past, I expect UCLP will work for some people but it doesn't work for me.
Today I think I'll probably stop most of the changes because I don't feel like it. For example, soy beans are a nice snack but I don't like them that much and they're rather irritating to find in shops. I'll probably continue with the oat bran because I feel that my digestive system works more consistently (you know what I mean, statin and sequestrant users). The consultant expressed doubts that any diet would produce much change and when I asked about other diets, I was offered an appointment with the dietician, but I declined because I'm not keen to spend more time in that hospital. I don't like it. It's a nasty building and once again, I've a headache after visiting it.
Secondly, I was disappointed that neither the oat bran nor the increased exercise has moved my HDL at all.
I did ask about relative risk, but (my understanding of the conversation - errors will be all mine) my treated risk is considered to be the same as the general population and it seems we'd only get a more precise idea if I have genetic testing, which he doesn't want to do unless I'm going to have children imminently because it's unlikely the findings would change my treatment from what we've arrived at through experimentation over the last 25 years.
The clinic was running late and I'd slightly overrun my appointment, so I didn't ask about polypill or anything else.
Treatment continues as before: 80mg simvastatin daily. Retests next month, then next year.
In a word: NYARGH (is that a word? oh well). Life goes on...