Happy Wednesday!
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1. Counselling Conundrum: a real question from a patient
2. Concise Conclusion: a straight-forward patient-friendly answer
3. Quick Wrap-up
Clearly, there are nuances that may not be captured in this format. The goal here is to provide you with helpful counselling tips which often draw from multiple sources or those which are not commonly accessed by busy healthcare providers serving the community.

Counselling Conundrum: "My Physician Assistant said to take my atorvastatin at bedtime, but when you just counselled me on it, you mentioned it doesn't matter. Which way is right?"
Concise Conclusion: Your Physician Assistant has the right idea; your body makes more cholesterol early in the morning. However, atorvastatin is long-acting and so this is much less important. Take it whenever, just make sure you take it!
Quick Wrap-up: Should all our patient's meds be in the morning, it may not be convenient or feasible for them to add a statin in the evening, especially for no clinical gain; adherence is clearly king. Our approach is to be nuanced when it matters to the patient, and statin administration is a great example. Due to shorter half-life, certain statins should ideally be taken in the evening, to match peak cholesterol synthesis. This means atorvastatin, rosuvastatin, and pravastatin ("ARP", if you will) can be taken any time, and the rest should be in the evening.
Dive Deeper
We hope you have found this useful. Would appreciate your reply to this email with any feedback or topic suggestions you can; it will be the key to making this newsletter the best it can be.
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