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Combined hyperlipidemia
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==Diagnosis== === Types === The two forms of this [[lipid]] disorder are: * Familial combined hyperlipidemia (FCH) is the familial occurrence of this disorder, probably caused by decreased LDL receptor and increased ApoB. * Acquired combined hyperlipidemia is extremely common in patients who have other diseases from the [[metabolic syndrome]] ("syndrome X", incorporating [[diabetes mellitus type II]], [[hypertension]], [[central obesity]] and CH). Excessive [[free fatty acid]] production by various tissues leads to increased VLDL synthesis by the [[liver]]. Initially, most VLDL is converted into LDL until this mechanism is saturated, after which VLDL levels elevate.
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