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Final Advice

Develop a system to incorporate niacin into routine use. It can be utilized effectively in patients with both mild and severe lipid disorders!

Use low dose sequestrants freely in appropriate patients, adding to other lipid lowering drugs to achieve goal levels.

Set realistic goal lipid levels with your patient (based on NCEP recommendations). Consider multiple drug strategies, if necessary, to achieve these targets.

Identify a local "expert" in your area who is willing to informally discuss your problem patients. Consider referral if targets not achieved despite his/her advice.

Good luck!

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