Reba,

Thanks for your question.

When cholesterol levels are checked, this should be done in the fasting state for at least 8 hours.  I would repeat your numbers at some point before starting medication. 

The other suggestion I have is to follow a low fat, low cholesterol diet.  If on medication, you would be doing this anyway, so start now.  This could positively affect your results.  I would give it about 6 weeks and then have blood work repeated.

Of course, you should discuss this with your doctor who has the final say.  But I'm sure he will work with you on this issue, before committing to long term, expensive therapy.

Best wishes.

Martin Cane, M.D.