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3rd April 2024
A 60-year-old gentleman is reviewed as part of his chronic disease monitoring.
A 60-year-old gentleman is reviewed as part of his chronic disease monitoring. He was diagnosed with type 2 diabetes mellitus six years ago and ischemic heart disease three years ago when he required two stents in his LAD and RCA. He is currently on metformin 1 gram BD, atorvastatin 80 mg ON, ramipril 5 mg OD, and bisoprolol 7.5 mg OD. His main concern is increasing myalgia, and his most recent blood tests are shown below.
| Total cholesterol | 7.1 mmol/L | (<5.2) |
| HbA1c | 49 mmol/L | (<48) |
| ALT | 68 IU/L | (0-35) |
| ALP | 110 IU/L | (30-130) |
What is the most appropriate next step in the management of this patient?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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