ricahard moro there are many options to get ldl to less than 55 in vascular reoccurrence;statins,pck 9 inhibitors benzoic acid to lower cholesterol

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pt with stroles,cva stents and MI's try to maintain ldl chholesterol 55 and ubder with statins,pck9 inhibitors with zetia if needed,also benzoic acid to lower options are available

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Start high intensity statin at the hospital then aggressively titrate it to bring LDLC to less than 55, or add additional medications if not at goal or cannot tolerate a high dose statin

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