[Should we prescribe statins for primary prevention of cardiovascular risk? Rather no]

Should we prescribe statins for primary prevention of cardiovascular risk ? Statins have their place in primary cardiovascular prevention but lifestyles changes are quite efficient and therefore are more important. However they are often neglected due to a lack of adherence by the patient and/or the physician. Drug therapy could be frequently avoided. In other cases it is still necessary but the adherence to a good nutrition allows to decrease the statins dosage: that induces a decrease in adverse events risk: muscular injury and dysglycemia. So the cost of the statin treatment is directly lower. The two, statins and lifestyle, are complementary, but the second must be the first. We have to convince everyone.