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(TIF 13224 kb) Rights and permissions Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made

Statements Author contributions XD: Writing original draft

Among the published RCTs, many were negative trials

The large-scale randomized clinical trials targeting pharmacological agents such as niacin and cholesteryl ester transfer protein inhibitors have shown that rising endogenous HDL-C does not improve cardiovascular outcomes or all-cause mortality 100,101,102