The FDA approval of Lipfendra is a landmark moment in cardiology — a once-daily pill matching injectable PCSK9 inhibitors in LDL reduction while also lowering ApoB and Lp(a). Millions who refused injections now have a real option. At $315 a month, it's more accessible, and for the 9.8 million high-risk Americans still off target, this changes everything.
Excitement over Lipfendra glosses over serious unresolved questions. LDL and ApoB aren't proven drivers of heart disease, so a pill that lowers those numbers isn't fixing the underlying problem. And despite pill form, drug companies price to what the market will bear — so don't expect real affordability just because it skips the needle.
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