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Another novel orally available LDL-C-lowering drug is bempedoic acid, which lowers LDL-C by approximately 2025% by inhibiting the ATP citrate lyase [74] and is now, after the positive CLEAR outcomes trial has demonstrated cardiovascular benefit, also recommended by the recently updated ESC guidelines for the management of dyslipidaemias for patients with statin intolerance or those not at LDL-C target [39, 74]

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