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Full Clinical Guidelines - Community First Health Plans.

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No CHD; 0 to 1, or 2+ Risk Factors<br />

Initiate TLC diet and exercise<br />

6 wks<br />

If LDL-C goal is not achieved, initiate LDL-C<br />

- lowering drug therapy<br />

6 wks 6 wks<br />

If LDL-C goal is not achieved, intensify therapy with higher dose<br />

or add-on therapy<br />

6 wks<br />

If LDL-C goal is not achieved, intensify therapy or refer<br />

to a lipid specialist<br />

Every 4 to 6 months<br />

Periodically monitor response and adherence to therapy<br />

CHD or CHD Risk Equivalents<br />

(Baseline LDL-C ≥ 130 mg/dL)<br />

Initiate TLC diet and exercise. Simultaneously<br />

initiate LDL-C lowering drug therapy (if LDL-C<br />

< 130 md/dL, simultaneous drug treatment<br />

may be considered)<br />

10.3 Progression of Therapy to Achieve LDL-C Goals<br />

H EALTH PLANS<br />

www.cfhp.com<br />

87

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