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SV, Age 57, a Smoker and Heavy Drinker, Has Recently

Question 20

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S.V., age 57, a smoker and heavy drinker, has recently been diagnosed with hyperlipidemia and hypercholesterolemia. His grandfather suffered a fatal heart attack at age 60. His father suffered a heart attack at age 62 and survived. S.V.'s brother also has elevated cholesterol and lipid levels and has had angioplasty. The physician recommends S.V. adopt several life style modifications as well as take the medication atorvastatin.
-At his 6 week checkup, S.V., who loves to start his day with a full glass of grapefruit juice, complains to the doctor of muscle aches that were not there before starting lipid lowering therapy. What action should be taken at this time and why?

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Decreased metabolism of atorvastatin due...

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