Unfortunately, in cases where gentics play a role, statins are the first line of therapy. You can ask your doctor about a Fenofibrate
, they work well on TGL's and lower one's overall total cholesterol, but are not as effective on LDL. You are on one of the more powerful statins so you can ask your doctor about Vytorin which is simple Simvastatin and Zetia which works both in the liver and in the digestive tract. Simvastatin is usually better tolerated than Lipitor.