What are your triglycerides--45 mg/dl? The LDL is merely a calculated estimate, and the commonly used Friedewald formula isn't accurate at low TGs of <100. (I got 45 by assuming this formula was used.) In that case, the so-called Iranian formula, which is designed to correct for low and high TG, would give you an LDL estimate of just 91. It's amazing how many doctors don't even realize the LDL figure is derived, not measured. If LDL is that big a concern then what you really want is an LDL particle breakdown (VAP or NMR Lipoprofile) that directly measures the amount and type of LDL. For now, in the interest of keeping the peace you could always show her that Iranian paper and point out that your LDL is most probably below her arbitrary 100 criterion already.