Controlled Ldl-c in Medicine / Internal Medicine — 50yo Man | Cardiology | SMLE Q#19029

SMLE Question #19029

Medicine / Internal Medicine Cardiology

Objective: OBJ-HTG-001

Last updated: March 2026
A 50-year-old man attends primary care for routine follow-up. He has no history of ASCVD, diabetes, chronic kidney disease, hypertension, or smoking. He reports no abdominal pain and takes a maximally tolerated high-intensity statin. Secondary causes of hypertriglyceridemia have been reviewed (alcohol excess, hypothyroidism, and triglyceride-raising drugs). A fasting lipid panel shows persistently elevated triglycerides with controlled LDL-C. What is the most appropriate next step in management of his hypertriglyceridemia?

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