Cleveland clinic diagnosed me AFTER stroke, apparently the labs don't even check you're LPa until catastrophic event. My 1st cousin literally had a stroke as a freshman at college, another a heart attack in 40s, my sister a TIA in 30s on and on. My sister who exercises, never overweight, has watched her diet religiously also has high LP(a) and our family has high factor VIII. Keep moving!!! Keep your blood moving! I am also on low dose aspirin with the atorvastatin 40mg. I drink a glass of red wine every evening. I haven't had anymore events, am living with completely occluded MCA and bc I kept moving no noticable deficits, only I can tell that my fingers on the other side do not work quite right. My youngest cousin recovered completely and had two healthy children. Keep moving! Find a good women's cardiologist and a lipidologist. Dr. Cho at Cleveland clinic (excellent bedside manner and awesome doc) and Dr Carranza-Leon at Vanderbilt. I haven't ever lived close enough to go to Mayo