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Should you take a statin for heart disease prevention?

June 01, 2005

The targets for what's considered a "healthy" cholesterol level are getting lower and lower, and ads touting the benefits of cholesterol-lowering statin drugs are commonplace. So it's no surprise that many women who don’t have heart disease wonder if they should start taking a statin for prevention. On the other hand, those who have watched the ups and downs of hormone therapy may feel a sense of déjà vu about the enthusiasm for these relatively new drugs. The June issue of the Harvard Women’s Health Watch says that whether you should take a statin to prevent heart disease depends upon one thing—your risk of heart attack.

If your risk is low, taking a statin or any cholesterol-lowering drug could do more harm than good. Statins can cause liver and muscle damage, and they require close monitoring. If you’re trying to avoid a first heart attack, chances are good that some lifestyle choices—not smoking, controlling your weight, eating a heart-healthy diet, and getting regular exercise—may do the trick.

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