My Lp(a) is 220 nmol/L since the first time I had it measured in 2007. That’s high risk and is in the 95th percentile of the measured Lp(a) population. It causes me no issues.

I control what I can control. I keep my LDL < /= 70 mg/dL, triglycerides below 50, A1c between 4.8 and 5.2%, BMI at 25, blood pressure < 120/80. My last total coronary artery calcium score was only 135 which is within the 50th percentile of people matched for age, gender, and race/ethnicity. That’s decent for a 70 year old male with high Lp(a).

I was able to reduce my Lp(a) from 220 nmol/L to 44 nmol/L (80% reduction despite dogma that states only a 20-30% reduction can be expected) using 2,000 mg/day of extended release nicotinic acid. While it worked, it caused me an absolute myriad of health issues that fortunately were reversible after stopping Endur-Acin.