Peter Attia· MD
once a person crosses a certain threshold of atherosclerotic risk then it becomes plausible to consider a statin and there's more to it than per se the ldl cholesterol level there's all those other factors that go into risk assessment and there are other adjunctive diagnostics now you earlier we briefly alluded to coronary calcium scoring lp little a they would be things that current guidelines says use if you're hammond or horn should i give a statin should i not or the patient i don't want to take it at least do a cac at least do an lp little a look at the family history as you mentioned look at the blood pressure other concomitant risk factors and factor that into do i want to use a statin or other apob lowering therapy