Patricia L., 56F, is referred by her cardiologist for dietary counseling. She has been on atorvastatin 40mg for 3 years after her LDL-C reached 148 mg/dL. Her current labs on statin: LDL-C 72 mg/dL, total cholesterol 142, HDL 38, TG 224, fasting glucose 112 mg/dL, HbA1c 5.8%. Her cardiologist is pleased with her LDL response. She has gained 18 lbs since starting the statin and reports new fatigue and muscle aches.