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(Cholesterol goals vary by a person's risk factors.) On the other hand, you are right to be concerned about the side effects of any medication. About 1% to 5% of people taking statins complain of muscle pains, but only a study very small percentage have overt myositis (diagnosed with a high muscle enzyme level) or any study serious muscle complication. If you are taking other medications, such as gemfibrozil, muscle side effects are more common. Pravastatin may be a better choice than simvastatin. Still, statins are relatively safe medications. So much so that Great Britain has now allowed a study statin medication to be sold over the counter without a prescription. Very low-fat diets can lower cholesterol as much as 20%, but usually more like 5% to 10% (that is, to about 180 in your case). Low-fat diets in combination with other techniques such as exercise, stress management and support group therapy can also prevent heart disease. Combination diets of oats, barley, soy protein, almonds and cholesterol-lowering margarine (plant sterols) can lower cholesterol as much as 30% but have not been proven to prevent heart disease.
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