Andrew is 50 years old and attends his medication review. Bloods taken three months ago revealed a total cholesterol of 9mmol/l and LDL 5mmol/l. He was commenced on Atorvastatin 20mg by a colleague and attends to review this today as his LDL is now 4.14mmol/l.
Further enquiry reveals he is a keen cyclist and he has no medical problems. His Blood pressure is 130/80 and BMI is 24.6. He admits his father and grandfather both died of a heart attack in their 50’s.
What is the next most appropriate course of action?