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Lifestyle, Lipids, and Cardiovascular Risk Reduction in a Woman With Metabolically Unhealthy Normal Weight

1. She is concerned about cardiovascular risk. Her cholesterol has been as high as 270 mg/dL in the past. Five years previously she was told she had no evidence of coronary plaque by ultrafast computed tomography. Her father is alive at 86 with a history of both cardiovascular disease diagnosed in his 60s and prostate cancer. Her maternal grandfather died in his 50s of unknown causes, and her paternal grandfather died suddenly at the age of 40. She is an only child and there is no other family history of coronary artery disease. She does not want to take medications for her cholesterol. 2. She has symptoms consistent with restless legs. Although present for several years, they have worsened over the last year and are now interfering with the quality and continuity of her sleep, waking her up as much as 4 to 5 times nightly.