Statins work by blocking cholesterol production in the liver, while ezetimibe blocks its absorption in the gut, PCSK9 inhibitors increase liver receptors to clear LDL from blood, and inclisiran silences the PCSK9 gene for a lasting effect. In our corporate hospital, we push the newest, most expensive injections like inclisiran, but I see my village relatives cannot afford even basic statins. So, while the science differs, the real difference is who can access it.
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