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Jul 17, 2022Liked by William H Bestermann Jr MD

I have confirmed CAD, but I have been refusing statins for 15 years due to the outcome stats for women (Irvine study), my own gene marker for statin myopathy (23Me), a disturbingly high correlation with diabetes and possibly dementia, and the shared skepticism/resistance of well respected academic physicians such as JAMA lead Rita Redberg. I have felt even better about that decision since this editorial of hers some years back. Your comments welcome: https://www.nytimes.com/2013/11/14/opinion/dont-give-more-patients-statins.html

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There are 80,000 articles on statin therapy in Pubmed. The preponderance of evidence proves the risk benefit ratio of statin is one of the best in medicine. I have prescribed enough statin to fill a railroad boxcar. I have never seen a lasting side effect of a statin in all of those patients. In patients with coronary artery disease like you, optimal medical therapy at the Kaiser Collaborative Coronary Care Service that included a statin reduced mortality by 70-90%. I take 40 mg of atorvastatin a day. I have no side effects. I would not think of missing it. Statins are antioxidant, anti-inflammatory medications that are an essential part of optimal medical therapy protocols that prolong healthy life.

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