A 55-year-old man with a history of hypertension comes to the clinic to establish care. The patient has a history of hypertension and hyperlipidemia.

A 55-year-old man with a history of hypertension comes to the clinic to establish care. The patient has a history of hypertension and hyperlipidemia. He is currently taking hydrochlorothiazide 25mg PO daily and amlodipine 5mg PO daily for hypertension. He has been working on lifestyle modifications to help normalize his cholesterol level. The current lipid panel shows that this patient’s total cholesterol is 200 mg/dL and HDL is 40 mg/dL. The patient does not drink alcohol but smokes a pack of cigarettes per day. His vital signs today are as follows: BP 134/88mmHg; HR 74bpm; RR 18/min; T98.2F; BMI 31/kg/m2.