you
so as far as statin therapies when
initiating statins the guidelines don't
explicitly explain exactly how to do
that they do define that you know
patients should be on a moderate or high
intensity statin but what we've done in
the past is we've always started at a
very low dose so the question really
remains now is you know should we just
start patients on the higher dose and
large in part you can you can do that
there are some patients such as elderly
patients and then of course patients
with impaired hepatic or renal function
where we might want to consider actually
starting a less than optimal statin dose
just to make sure that they tolerate it
and then go up from there