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Yes, there are over-the-counter (OTC) options available for individuals with high cholesterol who are seeking alternatives to Lipitor (atorvastatin), a prescription medication. These OTC options typically include nutritional supplements and vitamins that have been shown to help manage cholesterol levels.

One such OTC alternative is products containing plant sterols and stanols, which have been clinically proven to lower cholesterol levels. The National Institutes of Health (NIH) recommends consuming 2 grams of plant sterols and stanols per day as part of a heart-healthy diet [1]. Examples of these products include Benecol and CholestOff.

Another OTC option is red yeast rice, a dietary supplement that contains monacolin K, which is a naturally occurring form of lovastatin, a cholesterol-lowering medication [2]. However, it is essential to consult a healthcare professional before starting red yeast rice supplements, as they can interact with other medications and cause side effects.

Fish oil supplements, rich in omega-3 fatty acids, are also commonly used to help lower triglyceride levels, a type of fat found in the blood [3].

Lastly, CoQ10 (coenzyme Q10) supplements may be recommended for individuals taking statins like Lipitor, as these medications can deplete the body's natural levels of CoQ10 [4]. CoQ10 supplements can help reduce muscle pain and weakness associated with statin use.

It is crucial to remember that OTC options should not replace a healthcare professional's advice or a prescribed medication. Always consult a healthcare provider before starting any new supplement or making significant dietary changes.

Sources:

1. National Institutes of Health. (2021). How to Lower Cholesterol With Therapeutic Lifestyle Changes. Retrieved from <https://www.nhlbi.nih.gov/health-topics/high-blood-cholesterol/prevention-treatment-and-lifestyle-changes#TherapeuticLifestyleChanges>
2. National Center for Complementary and Integrative Health. (2018). Red Yeast Rice. Retrieved from <https://www.nccih.nih.gov/health/red-yeast-rice>
3. Mayo Clinic. (2021). Omega-3 fatty acids, fish oil, alpha-linolenic acid. Retrieved from <https://www.mayoclinic.org/drugs-supplements-omega-3-fatty-acids/art-20364775>
4. National Institutes of Health. (2021). Coenzyme Q10 (CoQ10). Retrieved from <https://ods.od.nih.gov/factsheets/CoQ10-HealthProfessional/>
5. DrugPatentWatch. (n.d.). Atorvastatin (Lipitor). Retrieved from <https://www.drugpatentwatch.com/drugs/atorvastatin>