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Many of the changes andactions of the twentieth century have set the stage forsenior advocacy in the twenty-first century. Thisprompts concern over a younger patient with eithera family history of premature ASCVD or with anLDL-C ?160 mg/dL or even both as can be the casein familial hypercholesterolemia (19). Some studies have also utilized sham sur-gery order priligy although this remains relatively rare in a neurosurgical context (Kimmelmanet al.