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Medication plan First-line A high-intensity statin is the standard starting point: Rosuvastatin 2040 mg daily, or Atorvastatin 4080 mg daily Expected goal: LDL reduction by at least 50% ideally much lower than current 209 If LDL is still above goal after 412 weeks Add: Ezetimibe 10 mg daily If still not controlled Consider: PCSK9 inhibitor or other advanced LDL-lowering therapy, especially if: LDL remains clearly elevated despite statin + ezetimibe there is suspected familial hypercholesterolemia coronary calcium / vascular disease is present statin intolerance occurs This escalation sequence is consistent with current guideline-based lipid management

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The peptide appears to protect neurons through multiple mechanisms including antioxidant effects, anti-inflammatory action, and prevention of excitotoxicity

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