Problem
A 57-year-old Hispanic women is referred to your lipid clinic for assessment of ASCVD risk. Past medical history significant for hypertension, and back pain. Social hx + smoking. She reports full adherence to her diet and is followed by a Registered Dietician. Her most recent fasting lipid panel is as follows: TC 219 mg/dL, TG 286 mg/dL, HDL 38 mg/dL and LDL 181 mg/dL. Her calculated 10-year ASCVD risk is 11.3%. According to the 2018 ACC/AHA cholesterol guidelines, which is the most appropriate recommendation for initial lipid-lowering therapy?