The Cholesterol data point is a manipulation designed to sell you on a statin. The value of a patient on a statin of the course of their life is $250,000 US.
Its a perverse outcome from a perverse incentive to monetize our health.
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Doctor: "Your LDL is still high. I'm adding a second statin."
Patient: "I'm already on one. My legs ache."
Doctor: "That's a known side effect. I'll add CoQ10."
Patient: "And I'm tired all the time."
Doctor: "Fatigue is common. I'll add modafinil."
Patient: "My memory is foggy."
Doctor: "Cognitive effects can occur. Donepezil should help."
Patient: "I have a cough now."
Doctor: "That'll be the ACE inhibitor I prescribed last visit. We'll swap it for an ARB."
Patient: "I'm not sleeping."
Doctor: "Zopiclone."
Patient: "Heard that's addictive."
Doctor: "We'll taper you with mirtazapine when the time comes."
Patient: "My blood sugar has gone up."
Doctor: "Statins can do that. Metformin."
Patient: "I get diarrhoea on metformin."
Doctor: "Loperamide."
Patient: "I've gained weight."
Doctor: "Ozempic."
Patient: "I feel nauseous."
Doctor: "Ondansetron."
Patient: "I don't want to be on twelve medications."
Doctor: "Anxiety is common at this stage. I'll add sertraline."
Patient: "What if I just stopped the statin?"
Doctor: "Absolutely not."
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