This patient carries an increased risk of chronic inflammation. From a cardiovascular perspective, this patient could potentially be at an increased risk of atherosclerosis and even an acute cardiac event such as a stroke or heart attack. Approach extensive and intensive periods of physical activity recommendations with increased care.

Youtrients - Omega 3 Fish Oil (Total Omega 2g)
Youtrients - Detox Optimizer
NAC
Milk Thistle
Selenium
Manganese
Alpha Lipoic Acid
Vitamin C
Magnesium
Sulforaphane
Youtrients - Methylation Optimizer
Vitamin B12 (methylated form if optimal MTR, adenosyl form if suboptimal MTR).
Vitamin B12 dosage based on further objective test results of levels in urine or serum.
Vitamin B9 (methylated form is optimal SHMT1, non-methylated forms such as folinic acid or folic acid if suboptimal SHMT1).
Vitamin B6
SAMe
Youtrients Mitochondrial Optimizer
Tocotrienols
Acetyl L-Carnitine
Ubiquinol

Prioritize sleep. Help your patient understand why improving sleep is important to reducing inflammation.
Take and track relevant biomarkers of cardiovascular health: cholesterol panel, homocysteine, HbA1C, vitamin D, hs-CRP
Prioritize foods rich in B vitamins (fish, eggs, spinach, yeasts), anthocyanins (plums, cherries, red cabbage, eggplant), and reduce/avoid fried and sugary foods.

This patient carries an increased predisposition towards higher levels of cholesterol. Even with healthy lifestyle and dietary choices, it's still possible that they may present with higher than normal cholesterol levels.

Fiber (be it increased plants in diet or as a supplement)

If your triglycerides are below 90 mg/dl, we suggest you eat two tablespoons of oat bran each day for 12 weeks, two times a year.
If your triglycerides are above 90 mg/dl, we suggest you eat these foods on a daily basis:
8 almonds with skin dry roasted as a daily snack
200g of dark green leaves consumed throughout the day
Include 2 tbsp of a quality, raw extra-virgin olive oil into diet

This patient carries an increased risk of hypertension. Other than direct factors like ACE or NOS activity, cursory factors like anxiety and insulin resistance can also initiate periods of increased blood pressure readings.

Magnesium

Encourage physical active every day and integration of physical activity into the day. Beyond fitness, think about adding movement throughout daily routine to get more time outside and increase baseline activity levels.
Find a mindfulness or meditation technique one enjoys and start practicing it for 5 minutes every morning.
Especially for those with suboptimal ACE, identify sodium sources and reduce all packaged, processed, and restaurant foods.
Reduce caffeine.

This patient is more likely to have a suboptimal response to statins such as lipitor or crestor. Symptoms generally manifest as muscle pain as well as other forms of myalgia. Symptoms may not necessarily show up right away but can crop up a few weeks or months into the prescription regimen.

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Avoid statin drug use where possible
If required, consider other cholesterol management drugs first