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A combination therapy consisting of cholestyramine, gemfibrozil, and niacin used primarily for treating dyslipidemia and metabolic syndrome. This triple drug combination works through multiple mechanisms to improve lipid profiles. Gemfibrozil activates PPARα to increase HDL and reduce triglycerides, niacin influences VLDL metabolism to reduce LDL and increase HDL, and cholestyramine binds bile acids in the intestine to reduce cholesterol absorption. Clinical studies have shown this combination significantly reduces metabolic syndrome components and prevalence when added to lifestyle interventions.
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