What is the lightest cholesterol medication for 42 yr old male with 156 ldl , 39 hdl , 226 total, and180 tg. after trying exercise and diet?

Treat Particles: The best indicator of cardiovascular risk is another measure of LDL and HDL quantity - LDL and HDL particle number (ldl-p and hdl-p). When tg is high and hdl-c is low it is common to have high ldl-p and low hdl-p. Treatment should focus on treating and additional contributing factors (sugar, thyroid, kidney problems), improving diet / exercise, and medication as needed to get to low ldl-p.