A 45 year-old Caucasian woman presents to your office for a health physical. She has a family history of heart disease. Her father had a myocardial infarction (MI) at age 60. She does not smoke. She works at a local bank as a manager and is often stressed with work and her two kids. She tries to exercise regularly by going for a walk with her family, but admits she does not always succeed. She and her husband each have two glasses of wine after dinner regularly. She tries to watch her diet by limiting her saturated fat intake. Upon physical examination, her blood pressure (BP) is 138/87 mm Hg; her weight is 72 kg, and her body mass index (BMI) is 28 kg/m2 (normal, 18.5 to 24.9 kg/m2). No edema or murmur is noted. She does not have an abdominal bruit. Her laboratory work up shows normal range electrolytes. Her creatinine is 0.9 mg/dL (normal, 0.84-1.21 mg/dL), and her low density lipoprotein cholesterol (LDL-C) is 149 mg/dL (desirable, <100 mg/dL). Her BP was 134/86 mm Hg one year ago, according to her chart.