Lipids, Inflammation, and CV Risk in RA

Inclusion Criteria: * RA diagnosed by a rheumatologist * Fulfills the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) Criteria for RA * Age\>35 * Active RA as defined by treating rheumatologist * Biologic DMARD naive Exclusion Criteria: * Patients on statin or PCSK9 inhibitor therapy * Corticosteroid therapy \>10mg prednisone or its equivalent as a maintenance treatment * Pregnancy * Unstable angina (chest pain) or shortness of breath * Severe valvular heart disease * Myocarditis * Pericarditis * Asthma with active wheezing * History of lymphoproliferative disease or melanoma (stage two or higher), active malignancy, or cancer treatment in the last 5 years * Active infectious disease (HIV, Tuberculosis, or Hepatitis B/C)