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Fibrate Mechanism of Action - The Center for Cholesterol Management

Fibrate Mechanism of Action - The Center for Cholesterol Management

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<strong>The</strong> VA High-Density Lipoprotein <strong>Cholesterol</strong><br />

Intervention Trial (VA HIT) Effects <strong>of</strong> Gemfibrozil<br />

Mean Percent Change<br />

40 Large LDL-P<br />

30<br />

20<br />

10<br />

0<br />

-10<br />

-20<br />

-30<br />

LDL-C<br />

3<br />

-5*<br />

LDL-P<br />

36*<br />

-20*<br />

Small<br />

LDL-P<br />

<strong>Fibrate</strong>s reduce Total LDL-P<br />

(decrease in small LDL-P and<br />

increase in large LDL-P) and<br />

also shift LDL size<br />

HDL-C<br />

6*<br />

TG<br />

-31<br />

* p

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