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A 55-year-old man transfers his care to your practice, having recently moved from another city. His current regimen consists of tenofovir (300 mg once daily), lopinavir/ritonavir (3 tablets twice daily), and efavirenz (600 mg once daily); he takes the lopinavir/r and tenofovir with food to reduce gastrointestinal upset, and he takes the efavirenz on an empty stomach before bed. He is also receiving atorvastatin (40 mg daily) and gemfibrozil (600 mg twice daily) for hyperlipidemia. He does not have other cardiac risk factors.
The patient believes that he started taking his current antiretroviral regimen in 2002 because of resistance, but the practice he was in at the time has closed, and no progress notes or resistance reports are available t…