Do your best with diet/exercise to reduce your numbers.  If you cannot, and diabetesor other genetic predisposition? Take your damn statin.  Standard of care.

If you're the poor souls with FH of CAD, elevated lipids, DMII and find yourself with acute MI; take apabetalone... (hopefully soon!)

It's not big pharma vodoo... it's why we no longer die in our 40's.

Sorry, personal opinion based on my background... dyodd, do what you want, but don't bash science  batman  :)