A 28-year-old obese woman (BMI 38 kg/m²) presents with a 3-month history of holocranial headaches worse on awakening and transient visual obscurations. Fundoscopy reveals the finding marked A in the diagram — markedly elevated optic disc with obscured margins bilaterally. MRI brain and MRV are normal. Lumbar puncture shows opening pressure of 32 cm H₂O with normal CSF composition. Which of the following is the MOST appropriate initial management strategy?

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