Reduce body weight. Lifestyle modifications Start T Rosuvas 20 mg daily. Any symptoms?

If he has no symptoms and no other risk factors, this needs aggressive lifestyle changes like daily exercise, weight reduction,  dietary modifications. No need of medication at present

Strict dietary modification. Walk daily 45 min , brisk walk. Low fats in diet- avoid fried foods, avoid saturated fats. Increase fibre In diet. Stop addictions if any. If strictly all this is followed- we may not require to start drugs unless he has risk factors like BP, Diabetes. Repeat fasting cholesterol reports after 6 weeks. If lifestyle changes improves these values, we can avoid taking drugs .