once the ambient room temperature or outdoors temperatures drops below sixty five degrees, my finger tips and toes feel very cold to the touch and are somewhat painful. I am a 68 year old male, excellent health, taking Zetia for cholesterol reduction. I often exercise for more than four hours daily playing competitive pickle ball, swimming laps, and long dog walking. Family history of type 2 diabetes and heart disease, though I have been tested and no indication as of yet.