Abstract

M Americans take statins daily, but adverse effects—including muscle pain, fatigue, and gastrointestinal upset—limit their use in 10% to 15% of patients, according to an international lipid expert panel.1 One report has estimated that an additional 12.8 million adults would be eligible for statins based on the 2013 American Heart Association/American College of Cardiology lipid guidelines.2 Red yeast rice (RYR) has been used in China for cardiovascular disease and has been recommended for patients who cannot tolerate statins.

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