A 36-year-old woman has an LDL-C of 260 mg/dL, HDL-C of 51 m…
A 36-year-old woman has an LDL-C of 260 mg/dL, HDL-C of 51 mg/dL, and triglycerides of 102 mg/dL. She reports having elevated LDL-C levels of over 200 mg/dL since her teens and has tried various diets without success but has never taken a drug to lower her cholesterol. She is worried because her father died suddenly at age 40 and her father’s brother had a myocardial infarction at age 32. She has an occasional cigarette and says that it is “social smoking.” On exam, BP is 110/60 mm Hg and BMI is 24. Her cardiovascular examination is normal. Which of the following is the BEST answer?