OTHguy,
Thanks for your interesting question. F
First of all, I think you're being treated appropriately. Fortunately, your carotid occlusion is not symptomatic. However, your lipid numbers are mildly elevated and you have arterial disease in the form of this occluded artery and some minor blockages as described in your question. Therefore, your doctor is not just treating elevated lipids (hyperlipidemia), he's treating hyperlipidemia in the presence of arterial disease. The dosage of 20 mg is not considered high by most physicians, and in view of your young age, active lifestyle, and otherwise good health, a moderately agressive approach is appropriate.
Please review other areas of this website for further educational backgroung. I hope this information has been helpful.
Thank you.
Martin Cane, M.D.