A"my grandpa drank a gallon of Wild Turkey every day, ate 64 ounces of prime rib for lunch, never exercised a day in his life, smoked five cigars before noon, and had sex with Thai hookers he picked up in Bangkok bars for 60 years and he died at the age of 95 in an accident when he was skydiving."
- We must have been in the same unit in the Army!
To the original post - I wouldn't give up on your doctor. But I would try to have a 2-way conversation with him. What I mean is, sometimes that is harder than it seems - we get information that catches us off guard, or we aren't really able to process the implications of what is thrown at us in the office. Then when we are driving home we think, "I shoulda said... or asked..." Then we get home and the wife says, "What did he say when you asked him..." -oh we forgot that one too. etc.
I'd schedule an appointment to get back in and discuss these things:
1. Over the counter cholesterol meds. Specifically red yeast rice and slow-release niacin. It is possible you can improve your numbers without the potential side effects of the heavy hitting pharms. But discuss it with your doc before you go that route. And if you do, you have to be diligent. For whatever reason it is harder to remember to take a pill 2/day when you are just buying it in Wallyworld and you don't actually see the effects.
2. Specific diet changes that aren't totally earth shattering but can really help. Cutting red meat sounds drastic, but doable without much mental effort. I know. Cutting eggs and other high "bad chol. foods, cutting processed starches and sugars (as previously mentioned). Sodas, white bread, white pastass - they should be outta the question, period.
3. Easing into a realistic exercise program. I know you said you don't have time. But in most cases, we all do have time just don't want to make the effort to get started. Funny thing is, as soon as we do, we wonder what took us so long because every aspect of our lives improves.
4. Easing back on the number of beers. 4/day, especially if they are home brews/craft beers, then more on weekends is even more than me! I'm not at all suggesting you quit (although a 2-week "beer cleanse" would not hurt, if for nothing else just to make sure you CAN. [If not, that might reveal a more serious issue.]).
Circling back around, I'd include your doc on these ideas. I am a test case too. My recent blood work was not good, and I can say with honesty that I exercise more than most, and eat better than most. My BP has been slightly high all my adult life but has actually been better lately. But I am a LDL cholesterol making machine. PLUS, the doc did something called a lipid genome series or somesuch, and suggested that I won't respond (probably) to pharms. So that leaves me with more strict diet rules, more exercise, etc. The single good point on that lipid genome thingy was that "moderate alcohol" will help reduce the plaque building cholesterol, so while I try to keep it to 2 or less during the week and maybe one weekend day with bender-like stupidity, I don't have to quit. But when the doc said, "You are going to be that guy that everyone said was 'so healthy' and next thing you know it, you're going to die, very very young." I was waiting for the punch line. No such luck.
It's been a month since I've ramped up the diet/exercise, and have been taking red yeast rice plus slow release niacin very regularly. Another month and I'll see where I stand. For what it's worth, I feel better, think a little more clearly, sleep better, and therefore don't regret trying to improve without pharms. But I take my doctor's advice seriously, and I suggest you do to.
-and don't argue with people on internet boards!!! It will only make your BP get worse. take it all with a (single) grain of salt.
Good luck,
Brett