These are my insights from reading Spacedoc and other research
Cholesterol is not a villain and we need it
Some people have livers that are particulary efficient at producing cholesterol or they eat too much food rich in cholesterol
Inflammation is most likely the root cause of CHD
With the occurrence of inflammation, cholesterol can make the situation much worse
The vast majority of the medical community in the US and the regulatory agencies such as FDA say Statins are safe; it is only a small (vocal) minority that do not
Some people because of their genetic makeup have short term adverse consequences to statins, but most tolerate it very well
Long term use consequences are not well understood by anyone
Statins, even in very low doses can help contradict inflammation just like baby aspirin
Statins block CoQ10 production and statin users need to supplement
So what should I do if I am diagnosed with high cholesterol of 300 and a ratio of 5. I have been on 20 mg Simvistatin for at least 15 years without seeing any adverse consequences (I do have a tendency to get gout if I don't drink enough water and my short term memory seems to be going, but I am now 55), but other than that I am healthy? I now take 100mg of CoQ10 per day based on this site and other research that says it brings slightly elevated blood pressure back to something considered more typical.
If you have a very efficient liver function that produces more cholesterol than what is considered the population average, is there any harm to the liver by reducing the amount of cholesterol it makes though a statin?
Given the lack of agreement, what would be considered a good "middle or safe or balanced path" towards cholesterol reduction using a drug that I tolerate well to date but has potentially long term adverse side effects? I have believed that 20mg Simvistatin to lower my cholesterol to around 210 (along with CoQ10 supplementation- which did bring down my blood pressure to a slightly elevated 132/86 average) is a balanced approach in that I am much closer to the population average than I was before instead of an extreme.