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  • Title: Statins and elevated liver tests: what's the fuss?
    Author: Onusko E.
    Journal: J Fam Pract; 2008 Jul; 57(7):449-52. PubMed ID: 18625167.
    Abstract:
    Order liver function tests before starting statin therapy, 12 weeks after initiation, with any dose increase, and periodically for long-term maintenance therapy. Mild elevations of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) (<3 times the upper limit of normal [ULN]) following statin therapy do not appear to lead to significant liver toxicity over time. Other medications that lower low-density lipoprotein (LDL), and might be substituted for statins, may not improve morbidity and mortality.
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