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Cholesterol treatment guide

Cholesterol (statin) treatment online in Virginia and West Virginia

This guide is for starting or continuing a statin with a lipid panel result from within the past 6 months — every visit is reviewed by a cardiology-fellowship-trained physician. Not for pregnancy/trying to conceive/breastfeeding, active liver disease, prior statin-related muscle breakdown, current muscle symptoms, or a triglyceride level over 500.

Start online

Start a $59 online review for Cholesterol treatment (statins).

Statins remain the most effective and best-studied medications for lowering LDL cholesterol and reducing cardiovascular risk. If you have a lipid panel result from within the last 6 months, a physician with cardiology fellowship training can review your history and start or continue an appropriate statin online — matching the medication and intensity to your risk profile.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • A recent lipid panel showing elevated LDL cholesterol or total cholesterol
  • Wanting to start a statin recommended by a prior clinician or based on your risk factors
  • Continuing a statin you already take and need refilled with current labs
  • No symptoms at all — most elevated cholesterol is found on routine lab testing

May fit online care

  • Adults 18 and older
  • A photo of a lipid panel (cholesterol blood test) from within the past 6 months
  • No pregnancy, no plans to become pregnant, and not breastfeeding
  • No active liver disease, heavy alcohol use, or prior statin-related muscle breakdown
  • No unexplained muscle pain right now, and no triglyceride level over 500

Look for another care setting

  • No lipid panel from within the past 6 months
  • Pregnant, trying to conceive, or breastfeeding (statins are contraindicated)
  • A prior episode of statin-related rhabdomyolysis, or unexplained muscle pain/weakness/dark urine right now
  • A triglyceride level over 500, or chest pain/symptoms of a heart attack or stroke

What to have ready

  • A clear photo of your lipid panel lab report (name, date, and values visible)
  • Whether you are pregnant, trying to conceive, or breastfeeding
  • Any liver disease, alcohol use, or past muscle problems with a statin
  • A list of your current medications, especially cyclosporine, gemfibrozil, azole antifungals, or HIV medications

What happens next

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Recognized with the Act Fast Award for the fastest physician stroke-treatment times (2019–2022) and as the most efficient, highest-rated physician in the HCA LewisGale Alleghany emergency department (2018). Licensed in Virginia and West Virginia — your care is never handed off.

Why do I need a recent lipid panel to get a statin?

A current lipid panel confirms your cholesterol and triglyceride levels so the right statin and intensity can be chosen for your risk profile, and it rules out a very high triglyceride level, which changes what's safe to prescribe. Results from within the last 6 months are required.

What does 'reviewed by a cardiology-fellowship-trained physician' mean?

Every cholesterol visit through this lane is reviewed by a physician who completed additional fellowship training in cardiology, on top of standard medical training — bringing specialized experience in cardiovascular risk assessment to your treatment decision.

Where can I get a lipid panel?

You can get a lipid panel at most labs, urgent care clinics, or your primary care office — some labs also offer walk-in or self-ordered testing, often fasting is preferred but not always required. Once you have a result, take a clear photo of the lab report and use it for your visit.