{"id":5482,"date":"2026-08-31T11:38:42","date_gmt":"2026-08-31T11:38:42","guid":{"rendered":"https:\/\/interstatelogisticshubs.com\/?p=5482"},"modified":"2026-08-31T11:38:42","modified_gmt":"2026-08-31T11:38:42","slug":"who-should-go-on-statins","status":"publish","type":"post","link":"https:\/\/interstatelogisticshubs.com\/?p=5482","title":{"rendered":"Who should go on statins?"},"content":{"rendered":"<div>\n<p>Everyone has friends and relatives (and maybe themselves) who go to their primary physician, who tells them their cholesterol reading is too high and that they should go on statins to reduce the risk of heart ailments and death.\u00a0 If they\u2019re like my friends and relatives, they say, \u201cSure, Doc,\u201d and just like that, they\u2019re on statins (and maybe blood pressure medication too) for life.<\/p><p>Read more <a href=\"https:\/\/interstatelogisticshubs.com\/?p=5479\">Pastor who compared Bible to Aesop shows no knowledge of \u2018contradictions\u2019<\/a><\/p>\n<p>Earlier this year, the American College of Cardiology Foundation and the American Heart Association came out with a new, 2026 Guideline as to who should be on statins, widening the criteria (more about that in a moment) of those in the 2018 Guideline to take into account longer-term risk.\u00a0 A July JAMA study quantified the number of Americans for whom statins would now be recommended based on these new guidelines.\u00a0 It turns out to be 87.5 million Americans age 30-79, or 57% in that age range, including 21.5 million newly eligible based on the new criteria.\u00a0 The widened criteria (see Table 1 in the JAMA study) include widening the age interval from 40-75 to 30-79, stronger recommendations on borderline-risk patients and those with high cholesterol, inclusion of those with stage-3+ kidney failure and HIV, a lowering of the 10-year atherosclerotic cardiovascular disease risk thresholds, and the use of new equations deriving the risks.<\/p>\n<p>Now, I\u2019m not claiming to be a heart specialist or expert on statins, and I won\u2019t question their calculations measuring the risk; after all, when was the last time medical establishment experts collectively were wrong?\u00a0 (Oh, right, that would be COVID.) \u00a0And I\u2019m aware that there are those with physical limitations, or those otherwise in great shape but due to genetics have high readings they just can\u2019t bring down no matter what they do.\u00a0 But something sounds way wrong to me that 57% of Americans in such a wide age-group range \u201cneed\u201d to be on statins for life, and how blithely and readily the heart associations will put them on it.<\/p>\n<p>It does not inspire confidence that know-it-all public health \u201cexperts\u201d who were dead wrong about everything COVID, like CNN wellness expert Dr. Leana Wen, are all-in on this, but this is much bigger than them, as basically the entire cardiology profession is as well.<\/p><p>Read more <a href=\"https:\/\/interstatelogisticshubs.com\/?p=5477\">Whatever Happened to \u2018When in Rome\u2019?<\/a><\/p>\n<p>Aside from health behavior counseling being added to the recommendations, the above-mentioned guidelines devote just one section (4.1) to lifestyle management. \u00a0The section is just six pages long (a good chunk taken up by charts and figures), despite an admission that those with healthy lifestyle habits have a 50% relative risk reduction in adverse cardiovascular disease outcomes.\u00a0 It doesn\u2019t feel like the heart associations\u2019 \u201cheart\u201d is really into lifestyle management.<\/p>\n<p>Now, I get that most of my friends and relatives mentioned above, who often are addicted to sugar-laden and heavily-fried foods, and view a gym or a run as a foreign concept, are significantly overweight and inactive, and other than a willingness to take glp-1 drugs (which probably pay, but common side effects include nausea and vomiting, and risks include blindness and the consequences of muscle mass loss), just do not have the discipline and will to adopt a strenuous exercise program and healthy eating.\u00a0 But to just throw your hands up and say, therefore, everyone should get on statins for life (risks include muscle pain and increased incidence of diabetes) seems so wrong.\u00a0 If the main drivers of the need for statins are overweight, inactivity, and unhealthy eating habits, shouldn\u2019t the medical establishment prioritize lifestyle changes as a national health priority &#8212; even emergency &#8212; similar to the assault on smoking?\u00a0 The success of such a program would have the added bonus of depriving the pharmaceutical companies of running up excess profits on the foibles of mankind.<\/p><p>Read more <a href=\"https:\/\/interstatelogisticshubs.com\/?p=5474\">A Proper President List<\/a><\/p>\n<p><span><em><strong>W.A. Eliot is a pseudonym<\/strong><\/em><\/span><\/p>\n<p>\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" alt=\"Free image,Pixabay license.\" class=\"wp-image-5481\" height=\"427\" src=\"https:\/\/interstatelogisticshubs.com\/wp-content\/uploads\/2026\/08\/d32e3c4ea56b54011a17bb32df042fd2.jpg\" width=\"640\" srcset=\"https:\/\/interstatelogisticshubs.com\/wp-content\/uploads\/2026\/08\/d32e3c4ea56b54011a17bb32df042fd2.jpg 640w, https:\/\/interstatelogisticshubs.com\/wp-content\/uploads\/2026\/08\/d32e3c4ea56b54011a17bb32df042fd2-300x200.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n<\/p>\n<p><span><em><strong>Image: Pixabay<\/strong><\/em><\/span><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Everyone has friends and relatives (and maybe themselves) who go to their primary physician, who tells them their cholesterol reading is too high and that they should go on statins to reduce the risk of heart ailments and death.\u00a0 If they\u2019re like my friends and relatives, they say, \u201cSure, Doc,\u201d and just like that, they\u2019re [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5480,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52,2176],"tags":[2177],"class_list":["post-5482","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","category-statins","tag-related-topics-statins-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Who should go on statins? 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