Statins actually worsen Lp(a), do nothing to reduce particle number, it's debatale whether they reduce plaque and have a ton of deleterious side effects. The only benefit is reduction in inflammation and some anti-coagulant effects. Lowering LDL-C is not the issue. If I have to resort to pharma, there are much better drugs out now (i.e. PCSK9i, Nexleletol), but you're right; docs will dole them out like candy. But those docs aren't gurus. They are sick care docs practicing obsolete science.
1.5g extended-release niacin/day right now. I take taurine/curcumin as well, but I haven't seen any effect on lipids, though I see there is some science on it.
Genetic variants are what's left as the only factors that I can think of causing reistance to dietary/supplement/exercise intervention. That's where non-statin meds would have to play a part potentially. I still don't know how I affected that much of a drop in TC and trigs in just 30 days or so.