PLE-2428

PLE-2428

A 52-year-old woman with alcoholism comes to the physician after a serum cholesterol level of 290 mg/dL was found on a routine screening. She drinks a pint of vodka daily. She takes captopril for hypertension and glyburide for type 2 diabetes mellitus. She also has intermittent episodes of gout. Fasting serum studies show: Total cholesterol: 252 mg/dL, HDL-cholesterol: 80 mg/dL, Triglycerides: 300 mg/dL, Glucose: 118 mg/dL, Thyroid-stimulating hormone: 4.5µU/mL. Which of the following is the most appropriate next step in management?