What are the goals of therapy? We want to achieve a (over a long period of time) cholesterol level that will lead to the longest possible healthy survival of the patient. After much research over many years, starting with the Framingham study and ultimately involving millions of people all over the world, it has become apparent that total cholesterol of under 200mg/dl, and an LDL (the bad portion of cholesterol) under 100 mg/dl should be our goal. In patients however who already have significant arteriosclerosis our current goal is to drive the LDL cholesterol down to 70mg/dl.

So how do we get the price down? Unless the government changes the regulation of drug companies, we try to switch to the least expensive generic equivalent alternative, and have an earnest discussion with your physician about your diet. Losing weight is not expensive, and it works to lower the cholesterol in everyone. Portion control is also less expensive. Yes, you can eat at a good restaurant, take home the food and enjoy it for another meal. That cuts the price in half, and you get twice the enjoyment, and down will come the cholesterol. Really, that is the best way to cut the cost of your medical care.