Rain, I think you and I are in the same boat. I have genetically high cholesterol, as does every female member of my family. Up to this point, diet and exercise have made no difference--and I have tried everything, except for low-carbing, before now. I finally caved in and decided to take Lipitor. The results have been remarkable--on the smallest routinely-given dose, my cholesterol is now under control, although not optimal, and my triglycerides have plunged to such a low level that my doctor was congratulating me.
I have been low carbing for about three months, and next week will find out if that has helped my numbers. If it has, I may try to get off the Lipitor--or at least ask for an even smaller dose. Then I will see what the WOE does all by itself.
Is there a strong history of heart disease/stroke/dementia in your family? At your age, I don't think you should be worried about waiting a few months to see if the WOE helps your cholesterol levels UNLESS there is a serious history of these diseases.
But you know, a rapid weight loss like yours does tend to raise LDL levels. Don't you belong on Maintenance at this point? Surely you're not trying to lose any more weight.
And it seems to me that if you're exercising, and still eating in a general low-carb way, you should be able to take in more than 1100 calories daily without gaining.
So I think my advice to you would be to wait a little while, eat more calories (though not more saturated fats), curtail the weight loss, and see whether that improves your lipid panel. Give it four or six months--whatever your doctor recommends. Then get retested. If your levels look approximately the same, I'd get on Lipitor without any hesitation.