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Editor's Correspondence
January 11, 2010

Concerns About Heparin Therapy for Hypertriglyceridemia—Reply

Author Affiliations

Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Intern Med. 2010;170(1):109. doi:10.1001/archinternmed.2009.462

In reply

In his comments, Dr Whayne notes that the patient described was treated with intravenous insulin in addition to intravenous UFH in an attempt to prevent the development of HTG-associated acute pancreatitis and that insulin itself has LPL-enhancing activity. While both agents were eventually administered, only insulin was given for the first 21 hours, during which the serum triglyceride concentration decreased only 4.6% from baseline.

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