A 68-Year-Old Man Reports Myalgia and Fatigue During a Follow-Up

A 68-year-old man reports myalgia and fatigue during a follow-up office visit.  The patient has been taking high-intensity statin therapy since he had an acute myocardial infarction several weeks ago.  His other medical problems include hypertension and type 2 diabetes mellitus.  On examination, there is mild generalized muscle tenderness.  Serum creatine kinase level is 456 U/L.  Vitamin D and TSH levels are within normal range.  The patient's statin therapy is discontinued, and he is started on a medication that inhibits cholesterol absorption at the brush border of the small intestine.  Which of the following drugs was most likely started in this patient?

A) Colesevelam
B) Ezetimibe
C) Fenofibrate
D) Nicotinic acid
E) PCSK9 inhibitor

Correct Answer:

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