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Statin/Ezetimbe Combination Therapy: Emerging Evidence

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INHIBITION OF CHOLESTEROL SYNTHESIS RESULTS IN A HIGHER<br />

ABSORPTION RATE OF CHOLESTEROL FROM THE INTESTINE*<br />

HEPATIC<br />

BIOSYNTHESIS<br />

INTESTINAL<br />

ABSORPTION<br />

Inhibition of<br />

cholesterol synthesis<br />

(simvastatin 10-80 mg)<br />

Food<br />

STATINS<br />

30-50% absorption<br />

synthesis<br />

absorption<br />

Cholesterol<br />

excreted in the<br />

faeces<br />

LDL-C<br />

31-46%<br />

* Measured as the ratio of serum levels of cholesterol absorption marker (sitosterol) and total cholesterol.<br />

Assmann G, et al. J Am Coll Cardiol 2004;43(5, Suppl. 2):A445-A446; Goldberg AC, et al. Mayo Clin Proc. 2004 May;79(5):620-9.

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