USMLE High-Yield Questions on Instagram: "Gyaldem ate one Wagyu ribeye and her LDL said “rise n grind” 😭🥩 Statins make her muscles feel like they’re in the UFC — so what’s the NEXT MOVE?? ⸻ Explanation For LDL >190 mg/dL, first-line therapy is normally a high-intensity statin. But since Gyaldem is statin-intolerant, the next best option is ezetimibe, which reduces cholesterol absorption at the intestinal brush border. Ezetimibe is recommended before PCSK9 inhibitors because it’s: • cheaper • o