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Where To Draw the Line against Cholesterol

Alan M. Garber, MD, PhD
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Requests for Reprints: Alan M. Garber, MD, PhD, Palo Alto V.A. Medical Center, HC, 3801 Miranda Avenue, Palo Alto, CA 94304.

Stanford University School of Medicine
Stanford, California
Palo Alto V.A. Medical Center
Palo Alto, California

Ann Intern Med. 1989;111(8):625-627. doi:10.7326/0003-4819-111-8-625
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There is no dearth of advice for physicians who endeavor to detect and treat hypercholesterolemia in asymptomatic adults. The Toronto Working Group on Cholesterol Policy recently added yet another set of guidelines (1) to the diverse recommendations in the medical literature (2-5). Their 74-page report for a joint commission of the Ontario Ministry of Health and the Ontario Medical Association merits a close look. It includes a lucid, comprehensive review of the scientific evidence supporting cholesterol detection programs. Its recommendations also deserve scrutiny. Comparison with other recommendations reminds us that differing interpretations of the same data can lead to striking




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