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Question: A 54-year-old South Asian man with diabetes mellitus, HTN, dyslipidemia, and gastroesophageal reflux disease (GERD). He is a current smoker. His current medications include lisinopril 20 mg/day, amlodipine 10 mg/day, pravastatin 40 mg/day, and omeprazole 20 mg/day. Fasting laboratory results show glucose 109 mg/dL, TC 197 mg/dL, LDL-C 128 mg/dL, HDL-C 37 mg/dL, and TG 166 mg/dL. His non-HDL is 160 mg/dL. His systolic blood pressure is 130 mmHg and the PCE (pooled Cohort Equation) estimates his 10 year risk of ASCVD to be 26.8%.
Based on currently available guidelines and patient specific criteria given in the case, what is your plan for this patient? Be sure to include:Lifestyle modificationsDrug, dose, rationale and monitoring (including what should be done if there are complaints of SAMS)Patient education
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