If you cannot take statins or experience side effects, there are several alternatives that can help lower your cholesterol levels. Here are some options:
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Fibrates: These are mostly used for lowering triglyceride levels in patients whose levels are very high and could cause pancreatitis.
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Ezetimibe: This is a tablet that lowers cholesterol. It may be prescribed if statins cannot be taken, or alongside a statin for extra cholesterol-lowering.
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Bile acid-binding resins: These include cholestyramine (Locholest, Prevalite, Questran), colesevelam (WelChol), and colestipol (Colestid). They stick to cholesterol-rich bile acids in your intestines and lower your LDL levels.
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Bempedoic acid: This is a newer medication that can lower your cholesterol and reduce your risk for heart attack and stroke without causing muscle pain. It is already approved by the Food and Drug Administration.
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Omega-3 fatty acids: These are found in fish oil supplements and can help lower triglycerides.
Its important to note that these alternatives may not work for everyone, and you should always consult with your doctor before starting any new medication or supplement. Additionally, lifestyle changes such as a healthy diet and regular exercise can also help lower cholesterol levels.