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There are several alternatives to Lipitor (atorvastatin) for managing cholesterol levels. These alternatives include both prescription medications and lifestyle changes.

Prescription alternatives include other statins such as Crestor (rosuvastatin), Zocor (simvastatin), and Pravachol (pravastatin) [1]. Additionally, non-statin medications like ezetimibe (Zetia), bile acid sequestrants (e.g., cholestyramine, colesevelam), and PCSK9 inhibitors (e.g., alirocumab, evolocumab) are also available [1].

Lifestyle changes are crucial in managing cholesterol levels and should be used in conjunction with medication. These changes include:

1. Eating a heart-healthy diet: This includes limiting saturated and trans fats, increasing fiber intake, and consuming more fruits, vegetables, and whole grains [2].
2. Regular exercise: The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week [2].
3. Maintaining a healthy weight: Losing weight can help lower LDL cholesterol levels [2].
4. Avoiding tobacco: Smoking damages the walls of the blood vessels, making them more prone to accumulating fatty deposits [2].
5. Limiting alcohol: Excessive alcohol consumption can raise triglyceride levels, another type of fat in the blood [2].

It is important to consult with a healthcare provider to determine the best treatment plan for managing cholesterol levels.

Sources:
[1] Drugs.com. (n.d.). Atorvastatin. Retrieved from <https://www.drugs.com/atorvastatin.html>
[2] American Heart Association. (2018). How to Lower Your Cholesterol. Retrieved from <https://www.heart.org/en/healthy-living/healthy-eating/how-to-eat-healthy/the-american-heart-associations-diet-and-lifestyle-recommendations>
[3] DrugPatentWatch.com. (n.d.). Atorvastatin. Retrieved from <https://www.drugpatentwatch.com/drugs/atorvastatin>