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#191 Lipids Update with Erin Michos MD

The Curbsiders Internal Medicine Podcast

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Secondary Prevention - What's the Difference?

In secondary prevention, how intense we do the therapy is based on the absolute risk of the patient. The 2018 guidelines give a much stronger recommendation for individuals who are at very high risk. And so if you have one of these major events or multiple high risk conditions, we want to be even more aggressive with our therapy. We're in a very high risk patient. It's reasonable to start a Z-Mide on top of a maximal statin if the LDL is above 70.

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