Yes, many of us have this experience because many of us have inherited part disease and have heart disease as we age as a function of not eating or exercising enough or properly. First off your LPa is indicative of inherited heart disease. So you are blessed to not have inherited heart disease! As for the rest of everybody’s comments, they lie that numbers in and of themselves are not an accurate picture of what’s going on with one’s body and they may conflict. What does not conflict is a picture and I mean a physical picture of your arteries. It would be best to ask for imaging of your arteries so you can see ”the truth.” Once your cardiologist sees the imaging then they can use the number to guide you in the proper direction. My dad was on statin’s for years and years. It did not stop his arteries from getting clogged with plaque and having manyheart bypass angioplasty and stents over 30 years. He lived a full life by managing diet, exercise, statins, other medications,and seeing a cardiologist every year for those 30 years. My dad had inherited heart disease which he passed on to me. It’s a kaleidoscope and there’s no way around having to take responsibility for our health. The numbers on the lipid test and all the tests that go into informing us about our heart health can be in conflict. A singular test can also be an aberration. Don’t stress about singular tests. There are many lipid and heart tests and numbers in and of themselves on single test. Don’t really give an accurate picture. However, a physical picture of your heart does — then the cardiologist can help with your understanding of this very complex situation. What I don’t like these days is that some of the cardiologist and cardiologist consultants rely on statistical numbers to make up one’s condition. We aren’t statistics. We aren’t numbers. They are lazy about taking the physical pictures. Demand a picture so you can see the condition of your arteries and then you will know exactly what you have to do going forward.