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210 A multicenter well-controlled trial which compared a red yeast rice extract called Xuezhikang to placebo demonstrated a 27% decrease in LDL

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[1] [2] While no dose adjustment is required for renal impairment, patients with kidney issues should be monitored for potential dehydration and kidney injury, especially if experiencing severe gastrointestinal adverse reactions

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Qazmooz HA, Smesam HN, Mousa RF, Al-Hakeim HK, Maes M