@paxmundi I hope you do- mitigating all the other risk factors (Mediterranean diet, regular and daily exercise, statin, Zedia, and Repatha) will give you all the chances. Although elevated Lp(a) is not a welcome gift, I have read of people with less than half my level who have had a major cardiac event so there is more to this. Now measuring Apo B has been recently added. There is much that is not known and I include the role of genetics in there.