1) I am telling you that diet and exercise WILL bring your numbers down. I was replying to this: "Talking about diet is not helpful with genetic LDL and Lp(a). " We are a support group and I was offering support and first hand experience.
2) I was only speaking to my tactics dealing with anxiety as a CONSIDERATION - not to be condescending or insulting. I apologize for triggering you.
3) We are here because we all want help. I don't know everything about you and it takes many messages to sometimes hit the nail on the head. So, for example, you've just provided more information. Its important to know what you ARE doing and what you have done. I had university nutritional chemistry and I speak from understanding digestion and how lipids are broken down. Plus, inheriting CAD, plus negotiating my father's CAD for 25 - 30 years.
people tend to eat "low saturated" fats but don't realize that the other stuff they eat provides the COMPONENTS to make cholesterol MORE READILY. You might want to check into that science.
For some people statins do nothing. They will continue to build plaque even when the numbers are good. The doctors give them out like candy.
Climbing stairs is good - but the cardiologist told me that resistance/strength training is better.
There is a great book by Peter Attia my doctors all recommended it. "Outlives." Its like 600 pages and quite technical but does a wonderful job of thouroughly explaining heart and artery disease.
Now - you may not want to read what I took the time to write but it would be selfish to think someone else may not want to benefit from the info.
Inherited heart and artery plaque disease has to do with WHY the body is laying down plaque in the arteries not so much the cholesterol numbers.
You had said you didn't want to hear a lot of "bad stuff" so I was telling you the GOOD stuff. I am alive and beating the odds. I was trying to comfort you that there are options. And the more prepared you are before you get to to your cardiologist the better visit you will have.
4) Make sure you ask for all the tests - the calcium scores, the photographs of your heart and arteries. That is important. You don't have, and neither does your doctor, have enough to give you a good visit until they actually SEE the conditions of your artery walls. If you don't like my post, just pass it by.

Hi, In August `21 I had a severe heart attack, it started +- 2 years before as angina which I misinterpreted as heart burn until the near fatal day. I am not going to go into my life story but just to give you some insight what I learned afterward. Any person developing a disease after two years old got the disease from what we did to our bodies, in most cases it is what we eat. As a child my parents would promise you a good hiding if you don`t it all your vegetables. And I grew up loving vegetables. After the heart attack I did some research and realized not every one s body can handle the same vegetables, but everyone can eat meat. During my you-tube searches I stubbled on what is called a carnivore diet, initially i dismissed all these carnivore you-tube clips and oneday curiosity overwhelmed me and I wanted to listen what these "stupid" people I thought can come up with. Today I am greatfull for curiosities sake. I advice you to visit the following you tube channels "Dr Ken Berry, no carb life". Here you will find shocking wonderful life chats regarding the carnivore diet telling you how this diet cured people with various diseases. It helped me with the truths and I am on no medication. Hope it helps. Greetings.