A patient with familial hypercholesterolemia is reluctant to start statin therapy due to fear of muscle side effects. What is the most evidence-based response?
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A
Discontinue statin consideration and use diet alone
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B
Reassure that myopathy risk is low (~1 in 10,000) and offer lowest effective dose with monitoring
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C
Immediately prescribe a PCSK9 inhibitor instead
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D
Refer the patient to psychiatry for medication phobia