I also have high Lp(a) also. My mother had a quadruple bypass. I had normal cholesterol for many years and good HDL. Ran regularly 20-30 miles a week for decades. During X-rays for something else, they found calcifications in the iliac arteries. So they did a CAC and I was in the 98th percentile for coronary atherosclerosis. The biggest thing a doctor would do for you is likely prescribe statins, which you are already on. But there are lifestyle changes you can make also to keep it from progressing (IF you have atherosclerosis, which you may not). So my 2 cents would be to find a preventive cardiologist and discuss it with him/her. I had the Lp(a) test at Mayo, and they gave me a letter to give to my immediate family letting them know it’s a genetic risk factor. This also, I think, is a reason to discuss it with a preventive cardiologist. No reason to panic, but not something to ignore would be my take. Good luck! BTW, I don’t think statins increase Lp(a) and you can’t lower it much. We just got bad genes.