sorry i don't know the exact medication . Does such fluctuation possible ? if yes please told me conditions and physiology !
There are only 2 possibilities 1) The patient took the a cholesterol lowering drug & then discontinued it or 2) There may be an error in the laboratory reports . Unless the drugs taken by the patient are available , it is difficult to comment further .
In my opinion, it's possible (1) the patient didn't adhere to specified nutrition regimen (2) there may be possible drug-drug or drug-nutrient interactions that could have led to inhibition of the drug's effect.
without knowing the dietery intake,life style changes and medications history durind this period exact suggestions can't be possible.
Clearly, the patient must have stopped taking his/her medication or received a very bad batch of generics. No other mechanisms seem possible.
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