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Physicians used to have mixed feelings about the treatment of hyperlipidemia. They knew that high lipid concentrations cause heart disease, but they also knew that the lifestyle changes required to correct hyperlipidemia could be difficult to implement and that the available drugs were of doubtful safety and effectiveness, poorly tolerated, or both.
The arrival of the 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors, or statins, has changed all that. Statins lower cholesterol concentrations, the risk of cardiovascular disease, and total mortality rates; they are easy to take; and up until now they have been remarkably free from side effects. However, putting a
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