Hello,
Thank you for asking your query at DoctorSpring.
I congratulate you on your successful lifestyle changes resulting in weight loss and low cholesterol levels. Let me list down my opinion here for clarity.
1. You should focus on lowering LDL levels as a guideline rather than Total cholesterol. A value less than <100 mg/dL (2.58 mmol/L) is recommended.
2. Since you are almost near the target LDL , do continue lifestyle modifications
3. Nicotinic acid is a good alternative. But you might require even higher doses to have effect on LDL. But higher doses are more associated with side effects including peripheral neuropathy. Nicotinic acid improves the HDL (good cholesterol)
4. If you have started Nicotinic Acid, please continue it. See whether it improves the lipid profile without any major side effects.
5. If not I recommend Ezetimibe 5 to 10mg as the next alternative. It has a good safety profile and reasonably good effect on LDL and TC. Please consider this option in consult with your Doctor.
6. Reintroducing statin in a lower dose is also an option (as the side effect is probably dose depended) . But I would not recommend this option now.
Hope this helps
Please feel free to ask followup questions.
Regards