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As cheap statins arrive, why fret about lifestyle?

...Steven Nissen, interim head of the department of cardiovascular medicine at the Cleveland Clinic in Ohio, who has authored several studies on statin drugs.   People with higher cholesterol levels and other heart risk factors would likely be prescribed a statin immediately, he says.

Still, even a relatively small drop in cholesterol levels thanks to Just a 10 percent decline in every American with elevated cholesterol levels could reduce heart disease in the United States by as much as 30 percent, according to the American Heart Association.

What's more, losing even a modest amount of weight and adding exercise could bring cholesterol levels low enough to benefit from simvastatin and pravastatin instead of having to opt for more potent but much more expensive statins such as Crestor and Lipitor.

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