You are so welcome.

Glad you enjoyed it.

You're so welcome!

Awesome questions!! Thank you so much. Excellent point about childbearing women. It's so important to be cautious about medications that can be teratogenic, and I recommend it be a frank conversation with patients, but we don't necessarily withhold them altogether UNLESS they are trying to conceive. I.E. Acutane -- plenty of women of childbearing age take this medication, we just have a conversation about the risks of teratogenicity and advise reliable contraception (using tiered recommendations, LARCs first, then the less effective, etc etc.). That said, if someone is high risk for unintentional pregnancy, in my personal practice I'd advise them that I don't recommend taking it. Another thought is that it's all about the long term risk -- the effects over the course of 10 years, so if they are seeking pregnancy, it's not necessarily going to be harmful to NOT take a statin for that year + where they are pregnant/breastfeeding, etc. Also, if they need statins, they are likely high risk pregnancies anyway, and I tend to rely on maternal fetal medicine team for support around medication decision making (because they likely have DM , HTN, or smoke to put them in a statin-qualifying category). Under 40, it's a bit of a complicated discussion -- has to do with: is it familial? Is it because of DM 1 or 2? Is it dietary? Typically I always start with identifiable causes (DM, obesity, lifestyle) and take it from there if it's still high-- it's not super common, I'd recommend consulting with your supervisor if it comes up (I do!!)

You're very welcome!

I am glad it's helpful!

Thanks for your feedback.

Hi there! There is a ton of resources in the lab course under lipids.

I have been using a risk calculator that doesn’t ask for LDL.

Hmm, this is the risk calculator that I use, I'd argue the LDL is the MOST important! tools.acc.org/ASCVD-Risk-Estimator-Plus/

Hey! For the guide, you can go to realworldnp.com/guide, and if it's still not working, send an email to support@realworldnp.com The main reason to remove a statin is risk/benefit -- they're having severe side effects, or their life expectancy and risk of side effects is supportive of continued use! It depends on the person but typically those are lifelong aside from when you're thinking about taking off of medications related to life expectancy

@@RealWorldNP that’s what I thought I was really wondering on the reasons for taking someone off the medication as this person suggested ? Thanks a lot I will send an email now . Haven’t been able to get it

Yes!! I've got a whole bunch in the free resource guide: realworldnp.com/guide