[Answered]: A 15-year-old girl, with a BMI in the 97th…

A 15-year-old girl, with a BMI in the 97th percentile, presented with elevated triglycerides (TG) and low-density lipoprotein cholesterol (LDL-C), and occasionally complains of abdominal pain. Her total cholesterol was 6.9 mmol/L (normal: <5.2 mmol/L), TG 4.4 mmol/L (normal: <2 mmol/L), LDL-C 3.9 mmol/L (normal; <2.6 mmol/L), and high-density lipoprotein cholesterol (HDL-C) 1.1 mmol/L (normal : >1.3 mmol/L for women). She led a generally sedentary lifestyle. Her family history is significant for obesity, hypertriglyceridemia, and myocardial infarction in her father at the age of 43 years. Her paternal grandfather died at 55 years of age from a myocardial infarction. After identifying her symptoms, her doctor implemented therapeutic lifestyle changes. After 6 months, she lost 6.5 lb. The repeat lipid profile revealed a total cholesterol of 5.5 mmol/L, TG 2.5 mmol/L, LDL-C 4.8 mmol/L, and HDL-C1.2 mmol/L