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A 53-year-old Caucasian male returns to your office after having bloodwork completed to discuss therapy options. His past medical history includes pre-diabetes (HgA1C 6.4); Class I obesity (BMI 31), a family history of premature CAD, daily tobacco smoker (1/2 PPD for 35 years), with blood pressure of 145/60 on today’s visit as well as last visit, and a cholesterol panel as follows: total cholesterol 189; HDL 31; LDL 141; triglycerides 87
1) What is his risk for cardiovascular disease?
2) Do you think he should be treated for hypertension at this visit?
3) What other counseling should occur at the time of his visit?
4) What other behavioural modifications should he make?
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