@tamig
I'm currently taking 20 mg of Crestor. I was on Repatha for a while, but my new insurance stopped covering it. While I was taking it, my Lp(a) only dropped to about 535, so not a huge change. I also developed swollen glands and lymph nodes, which may have been a side effect.

I've now had my second Leqvio injection. So far I haven't had any side effects, but I haven't rechecked my Lp(a) yet.

One thing I'd suggest is checking your ApoB level as well. That's another very important number to follow, and it's something my doctor pays close attention to.

I've also changed my eating habits quite a bit. While a healthy diet is important, it really doesn't seem to have much effect on Lp(a), since Lp(a) is mostly genetic.

For what it's worth, my mother is 88, has an Lp(a) around 435, and has never had any heart problems. So high Lp(a) doesn't necessarily mean you'll have cardiovascular disease, but it's definitely something worth monitoring and managing with your doctor.

@tamig: AI input I received suggested that taking tocotrienols together with other Lp (a) meds could result in further lowering of Lp (a), in instances where the reduction of Lp (a) is by a different path.

This may be an option in your case, but you should only do so with guidance from a physician.