That's the thing, you take a bunch of fucked up, unhealthy people and put 'em on a statin and suddenly it becomes the cause of every malady they may have. The adverse side effects for statins have been studied exhaustively and myalgia occurs in about 1 in 20.
Lp(a) is genetic. FH is a genetic. They're different set of alleles. Just because one is good, doesn't mean the other is and so I wouldn't necessarily attribute your lipids to steroid abuse. Could be, but maybe not.
There are those occasions where I find myself spending 10 minutes typing a wall of text wondering what I'm doing spilling meaningless words into the ether and then I consider that it is possible that this information could extend someone's life. I mean, it's in my head, might as well get it out.
Someone asked me this direct question in DM, here's what I wrote:
There's very little literature on the subject, but what there is can be gleaned from people with FHBL or familial hypobetalipoproteinemia which is a rare genetic disorder that causes a deficiency in cholesterol. This can cause fatty liver disease, nutrient malabsorption, and neurological issues related to a deficiency in fat soluble vitamins.
For people with this condition, ApoB below 25mg/dL becomes a concern. I've read other literature such as this study:
Low-Density Lipoprotein Cholesterol Level cannot be too Low: Considerations from Clinical Trials, Human Genetics, and Biology - PMC
Can't be too low, but if you read it, it says down to an LDL-C of 30mg/dL. Tom Dayspring suggests <80mg/dL for general population and <60mg/dL for folks with other risk factors. I've read some of the literature on regressing ASCVD which *may* occur at <60mg/dL, which is what I'm aiming for.
Well, don't need to synthesize testosterone if you're happily injecting it, but in reality at anything north of 30mg/dL I doubt any of this is an issue.