The sheer lack of mention of exercise as the medical science developed hand-in-hand with the drugs is startling. Today, of course, I consistently feel that we pay too much attention to BMI and/or weight and not enough to waist circumference -- and we really don't pay hardly any attention to how adding even small amounts of low-intensity exercise can improve numbers.
I did a little googling, and once again, I'm annoyed at how little this has been researched. I know why -- there's no easy big money to be made out there by proving that the right kind and amount of exercise is as good as taking a statin -- but it is sad nonetheless.
It's particularly sad when you realize that everyone seems to be taking drugs for cholesterol and high blood pressure (sometimes in the same pill), and at least in some formulations, both of these increase the risk of problems in the liver and/or rhabdomyolosis. And on top of it, it's far from clear what the win is in these drugs for women anyway, in terms of hard outcomes.