In primary prevention, for someone like me, for example, who has relatively high cholesterol but is otherwise fit, we think that the overall harms may well exceed the benefits.
There's no question. I'm sure you've seen this as well, as has Dr. Carrie, probably. Anyone who has been in clinical practice with their eyes open, including the nurses here, will know that statins frequently cause very severe muscle damage, weakness, and pain.
The official experts, even in Britain at Oxford University, still insist this is exceptionally rare. They're completely out to lunch on that. The reason they are out to lunch turns out to be the way they define muscle disease, or myopathy, with a crazy elevation of the CK. If you or I have statin myopathy but don't have a CK at least 10 times the upper limit of normal, according to them we don't have anything wrong with our muscles, even if I can't walk back to my hotel today.