How do you decide between lifestyle therapy alone and immediate statin initiation in a younger adult with LDL-C 70-189 mg/dL and PREVENT risk above 3%?

Would you opt for lifestyle changes first or immediate statin initiation in a younger adult with LDL-C 70-189 mg/dL and PREVENT risk above 3%?

• Lifestyle modification first
• Start low-intensity statin
• Start moderate-intensity statin
• Start high-intensity statin
• Other