@kisu my numbers have been rather constant but went up at last test. The test can be indicative of what is in your bloodstream at a given instance. It also can go up in your first year as it loosens stubborn plaque. My other numbers are normal - to great - so all I need to know is I have the disease and I must be vigilant! Which I have since 18 years of age and it has paid off. I have started exercising much more in the last two months because of neuropathy pains, and it is paying off in spades. I have reduced my consumption of processed foods and refined carbs, and that has paid off in spades with triglycerides dropping 50%. Even my glaucoma pressure went down 5 points! You might not expect your LPa to move much as it indicates the presence of disease. And, if it eventually doesn't, you might think of layering nutrition and exercise (one at a time and retest so you can see the proof of your efforts). HRT helps, and supplements rounds it all out. I am on Gout medication too now. We'll see if that has any kind of effect. I go to the cardio dr. in July to see how I'm doing and will ask questions!