So are we talking FH here or not? FH homozygous we cannot be talking with you about, you'd already be dead. Those persons are often treated with plasmaphoresis, Now there are hugely expensive injections that can lower it quite a bit more than statins can. The hererozygous FH situation seems to be more possible in your case. What we know about that is that diet does virtually nothing. The genetics prevent the usual breakdown of cholesterol. Cardiac prognosis in hetero-FH is not good. Premature CAD is very common. Statins can make a difference. In fact they were originally developed to improve the rather bleak coronary prognosis in these people. I see men whose first coronary event was in their 40s, maybe a stent or 2. Bypass surgery around 55. Graft closures by age 60. Why someone like that would think eating avacados and beans was going to change anything I have no idea. Maybe more antioxidants!