Healthy Hiker Doesn’t Need Statin

Q. I read your column about a healthy patient who was “ordered” by her doctor to take statins because her total cholesterol was 240. I am 56 and also healthy. I walk or run every day and love hiking and skiing in the mountains.
My total cholesterol is hovering just above 200, but my HDL is 130. Several doctors have told me that I should not worry even though my LDL is nearly 90 because the HDL helps clean it out. One person told me high HDL is common in runners and people who do a lot of cardio workouts. Do you have an explanation for high HDL?
A. Your good HDL cholesterol level is fabulous! Your doctors are right that you do not need to worry. Naturally high HDL seems to reduce the risk of heart attacks, either because, as your doctor put it, HDL “cleans out” LDL cholesterol, or possibly because the exercise that raises HDL strengthens your heart and circulatory system.
Even your LDL cholesterol number is admirable. We suspect your excellent HDL level is due to both your genes and your physically active lifestyle. Keep hiking, skiing, running and having fun.