At what age should men begin fasting lipid screening according to routine risk-based guidelines?

• A. At 18
• B. At 35
• C. At 25
• D. At 45

Answer: (B)

Screening for lipid disorders in men at average risk should begin at age 35. This starting point allows early identification of dyslipidemia to guide preventive steps—lifestyle changes and, if indicated by overall risk, treatment such as statins. If there are additional risk factors (diabetes, hypertension, smoking, family history of premature ASCVD), screening may occur earlier. For the lipid panel, fasting samples are typically preferred to accurately measure triglycerides, though nonfasting testing is acceptable in some guidelines. In short, 35 is the recommended start age for routine risk-based lipid screening in men.