From: Dr. Ross Walker in ep. 45 of the Fat emperor podcasts.
I do not personally prescribe as a cardiologist fat soluble statins. Atorvastatin and simvastatin, I don’t prescribe them at all. Because I believe they penetrate through the membrane so much more because they evidently bind to a fatty membrane and in a healthy person, the membrane of the cell is 75% fat. So they’re ripping out healthy cholesterol out of the cell membranes. I only prescribed the water soluble statins, rosuvastatin and fluvastatin and only for people that have either a high coronary calcium score or proven pre existing heart disease. They are the only people I give statins to.
The fat soluable ones on another podcast mentioned they seem to be used by a lot of patients who develop cancer. Sorry I can’t locate the link right now. Lipator is a fat soluable statin.
Without having a CAC that is high or a heart attack episode, I personally would not be accepting a prescription for a statin.
It is also common for numbers to go up in the early stages of keto/lchf WOE. Work on getting the HDL and and Trig. in balance.
Good luck of sorting it out.
