Robert Lustig argues statins work well after a heart attack to prevent another one, but questions giving them to healthy people with high cholesterol. The evidence for secondary prevention is strong; for primary prevention, it's weaker.
The fact that everybody and their mother is on statins for prevention of cardiovascular diseases, etc. Etc. And you were saying that it really doesn't work. The data doesn't show it's very beneficial.
There are two reasons for being on a statin. One is primary prevention, one is secondary prevention. Prime prevention means your LDL is high. Put you on a statin before you get a heart attack. Secondary prevention is you already had a heart attack and your LDL is high. Let's put you on a statin before you have a second heart attack. Turns out for secondary prevention, the data are actually quite good because you've already declared yourself right. You're already at risk because you already had one. Right. And there the statin data is actually quite good. And I espouse using statins for secondary.
Secondary.
For the right patients. Absolutely. Because those patients have declared themselves.