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Metformin causes diarrhea due to increased bile acid excretion, altered gut microbiota, its osmotic effect, and its impact on gastrointestinal motility
For secondary prevention, especially for individuals at high risk for ASCVD events, an LDL goal of at least less than 70 mg/dL is recommended 2 References Foundations of Cardiovascular Prevention Arnett DK, Blumenthal RS, Albert MA, et al

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