@dianempx // my Lp(a) was never that high, but I nearly halved mine from 92 nmol/L to 49 nmol/L by adopting a very low carb / keto diet. 10 mg rosuvastatin, 10 mg ezetimibe daily for 15+ years.

So high levels of Lp(a) might be hereditary but perhaps they can vary somewhat according to lifestyle?