Nilemdo, known generically as bempedoic acid, is a medication used to treat certain types of high cholesterol, specifically in individuals who cannot control their cholesterol levels through diet and exercise alone or who cannot tolerate statin therapy. It works by inhibiting an enzyme involved in the body's synthesis of cholesterol, thereby reducing the levels of low-density lipoprotein (LDL) cholesterol, often referred to as "bad" cholesterol. Nilemdo is typically prescribed as part of a comprehensive treatment plan that includes dietary changes and exercise. It is taken orally, and its use is aimed at reducing the risk of cardiovascular events such as heart attacks and strokes in patients with elevated cholesterol levels who are at high risk of such events.