Would you prescribe any medications at this point? Why or why not? If so, what?

Would you prescribe any medications at this point? Why or why not? If so, what?
What would be the choice for second-line therapy?
What are the parameters for monitoring success of the therapy?
Discuss specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for second-line therapy?
What lifestyle changes would you recommend for this patient, in addition to medication?
Describe one or two drug–drug or drug–food interactions for the selected agent.