Review Question - QID 217146

A 52-year-old man presents to his primary care physician for a routine annual wellness exam with no symptoms today. His medical history is significant for type 2 diabetes mellitus which is well-controlled with lifestyle modifications and metformin. He has no known allergies. He has no family history of coronary artery disease. The patient occasionally drinks 1-2 glasses of wine on weekends and does not smoke cigarettes. He denies illicit drug use. His temperature is 98.6°F (37.0°C), blood pressure is 110/85 mmHg, pulse is 70/min, and respirations are 16/min. Serum laboratory studies show:

Total cholesterol: 210 mg/dL
Low density lipoproteins (LDL) cholesterol: 140 mg/dL
High density lipoproteins (HDL) cholesterol: 35 mg/dL
Triglycerides: 150 mg/dL
25-hydroxy vitamin D: 35 ng/mL (normal 20-40 ng/mL)

The patient is counseled on lifestyle changes and started on an appropriate medication. Two months after beginning treatment, the patient returns to the physician complaining of muscle pain and proximal muscle weakness. Which of the following would be most beneficial for this patient's new symptoms?