The Numbers

LDL ('bad'): under 100 is ideal, under 70 if you have heart disease or diabetes. HDL ('good'): above 40 for men, 50 for women. Triglycerides: under 150. Total cholesterol alone tells you little.

Lifestyle

Less saturated fat, more fiber, more fish and nuts, exercise, no smoking, weight loss. Expect a 10 to 20 percent LDL drop at best.

Medication

Statins lower LDL 30 to 50 percent and reduce heart attacks and strokes; the muscle-ache side effect is less common than reputation suggests. Ezetimibe adds 15 to 20 percent. Newer injectables for people who need more.

Cost

Cholesterol care (statin or ezetimibe) is $25 a month, with labs drawn at your home. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.

Common Questions

Do I need a statin at 40?+

Depends on your LDL, blood pressure, family history and a risk calculation; we run it with you.

Can I stop once the number is good?+

It goes back up. Statins are long term.

Do supplements work?+

Red yeast rice is a weak statin; fish oil at prescription doses lowers triglycerides.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.