A 9-year-old boy is brought in for a well-child visit. His BMI is at the 97th percentile. Fasting glucose is 112 mg/dL and fasting triglycerides are 185 mg/dL. What is the most appropriate initial intervention?
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A
Intensive lifestyle counseling targeting diet and physical activity
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B
Initiate metformin immediately
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C
Refer to bariatric surgery evaluation
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D
Recheck labs in 6 months without intervention