my lipid levels are: tot cholesterol 121; Triglycerides 114; LDL calculated 72 and the loser HDL 26. A year ago my HDL was 36 - still a bit on the low side. since a year ago I have increased my exercise to a 3 mph hilly walk 6 - 7 days a week. I eat a relatively low fat diet. I have had paroxysmal AF which is controlled by the sotalol and lots of pacs from time to time which limits my alcohol intake. My cardiologist has suggested Niaspan. However I also suffer from gout and Myelodysplastic Syndrome which depresses bone marrow (anemia and low platelets). Possible side effects of Niaspan include gout and anemia. I feel between a rock and a hard place. Risk of further artery problems caused by low HDL vs possible gout and bone marrow problems with the Niaspan. Any thoughts? I take 20mg Zocor, 180 mg Diltiezem, 120 mg of Sotalol b.i.d., 300 mg allipurinol, 81 mg aspirin daily. resting bp generally runs 115/65. I also take folic acid, B6, B12 and a one a day vitamin. I have 4 stents in the LAD and one in the circumflex. the most recent stent in the LAD was deployed inside of another that had restenosed. both of these are the new sirolimus stents. I also have had brachytherapy on one of the other LAD stents whcih restenosed. My body doesnt seem to like these things but aside from the time off for all the plumbing work I feel fine and am very active.