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Based on the information available, it is not possible for regular exercise and a balanced diet to directly replace Lipitor, a medication commonly used to treat high cholesterol levels. Lipitor, also known as atorvastatin, is a type of statin that works by blocking a specific enzyme in the body, thereby reducing the production of cholesterol [1].

While regular exercise and a balanced diet can significantly contribute to maintaining healthy cholesterol levels and overall cardiovascular health, they cannot replace the direct cholesterol-lowering effect of Lipitor or other statins [2]. However, they can help reduce the need for medication or enhance its effectiveness when used in conjunction with it [3].

It's important to note that each individual's health situation is unique, and decisions about medication should be made in consultation with a healthcare provider. Lifestyle changes, such as regular exercise and a balanced diet, are generally recommended as part of a comprehensive approach to managing high cholesterol levels [4].

Sources:
[1] "Atorvastatin (Oral Route) Description and Brand Names." Mayo Clinic, Mayo Foundation for Medical Education and Research, 1 Sept. 2021, https://www.mayoclinic.org/drugs-supplements/atorvastatin-oral-route/description/drg-20063093.
[2] "Exercise and Cholesterol." Cleveland Clinic, https://my.clevelandclinic.org/health/articles/17513-exercise-and-cholesterol.
[3] "Eating to Lower Your Cholesterol." Mayo Clinic, Mayo Foundation for Medical Education and Research, 15 Jan. 2021, https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/cholesterol/art-20045192.
[4] "High Cholesterol." MedlinePlus, U.S. National Library of Medicine, 21 Sept. 2021, https://medlineplus.gov/highcholesterol.html.

Note: DrugPatentWatch.com was not used as a source for this response.