Even his LDL-C is bad. 116/119 are both out of range by most lab testing standards and the top end of range already allows for plaque deposition.

That LDL-C is considered normal, what are you talking about. 160 is when doctors start being concerned.

That is an out of range value for the two largest testing labs in the USA - Quest and Labcorp. Their upper end is 100.

https://testdirectory.questdiagnostics.com/test/test-detail/...

https://www.labcorp.com/tests/120295/low-density-lipoprotein...

If you think a 100+ LDL-C is normal you're basing things off of significantly outdated information.

Expect the normal range to drop in the coming years as well - the AHA and NLA have both been talking about how this needs to go lower, and the science is robust. See my other comments for study links, the NLA's latest guidance, etc.

If your doctor is only getting concerned at 160+, find a new doctor.