Statin Stats

You want statins with that?

Someone with math skills tried to figure out the percentage of people on the planet who have eaten a McDonald’s burger.  The figure was 61%.  I am sure that number is on the rise;  my friend Nikhil tells me he was shocked to see McDonald’s restaurants had popped up everywhere in his home city of Mumbai, India since he last visited.  Also on the rise are the number of people who take statin drugs to lower cholesterol levels.  According to the CDC, 26.9 percent of males over the age of 45 are now on statins, compared to 2.3 percent 25 years ago.  Among men 65 years old and up, 50% are now on statins.

The above numbers give me grief for a few reasons.  First, people who are on statins commonly get side effects such as loss of libido, muscle pain, drug-induced nutrient depletion and weakness; they may come to the chiropractor for relief and find none.  But more than that, the statin problem illustrates the great divide we Americans face when we must decide between health care and a healthier lifestyle.  To me, the question isn’t “should I or should I not take this prescription my doctor ordered?” The question is, “what healthier lifestyle choices can I make to protect my health?”

Recently I had a patient who decided to seek some answers for himself. He knew his cholesterol was high, but what he really needed to know was whether he was at risk of having a cardiovascular event. Besides the lipid panel, there are laboratory tests available that do a better job of telling us whether we are at risk. For about $100.00, we tested for fibrinogen, cardiac C-reactive protein, and homocysteine levels. These three tests together gave us a good picture of the level of inflammation inside our patient’s body. The results showed that he had an average risk of a near-future cardiac event. We decided that he would follow a plant-based diet, supplement with some anti-inflammatory herbs, and re-test six months from now. We’ll be able to see if these changes help him move from average to low risk of a future cardiovascular event.

It’s easy to imagine that, ten years from now, the guy behind the counter at McDonald’s could be asking, “would you like statins with that?” If you’d rather not be part of these burger and statin stats, let’s talk.

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