Anyone else out there with extremely high lipoprotein (a)?

Fortunately, I am not a meat eater. I do like an occasional piece of salmon, but right now I want to see if I can get my cholesterol down with diet and exercise. I know it will not effect my Lp(a). If my numbers don't start coming down significantly in a month or so, I will have to go on the statin. I have an appointment with my primary care doctor Tuesday and will find out my calcium score (fingers crossed, but I'm not expecting good results). How do you do with adding beans and maintaining good blood sugars? Thank you, Sue McMahon

I have thought about it. Those ideas all sound very good. I even like salsa on salad, with a tiny bit of plain non-fat yogurt mixed in. I can do mostly vegan/low-fat and play around with the spices and herbs, especially those that have anti-inflammatory properties. Thank you for all you good advice.

I have made many diet through the years. It was easy to go paleo about 10 years ago (and you probably realize that it is a vegetable heavy diet). Slowly moving away from carbs and towards keto. All organic food, grass fed/finished meats, wild caught salmon and sardines, pastured eggs and eventually got to a 16/8 eating window. I am now in cyclical ketosis, lean, muscular, high energy and consume no seed oils or soy except for nattokinase, occasional legumes & nuts. I do take supplements, no drugs. My lipid ratios and inflammation are stellar. Doing great for someone who is approaching 70.

Cooked beans and lentils have not had a noticeable effect on blood sugar, but they always combined with a wide variety of other vegetables, so they are only one part of the meal, much as a serving of meat would be. Even our pea soup is 1/3 green & yellow peas, 2/3 other vegetables like onions, carrots, celery & rutabaga.
Sue

Yuck to the stuff on the shelf! I always make my own. It is easy. Just mix olive oil and balsamic vinegar. SECRET => buy quality olive oil and vinegar.

Hi Sue - thanks for your excellent observations. I agree with you 101% that compliance is key to a healthy diet (and other lifestyle changes).

Until late 2018 I ate unwisely, no junk food, but while I tried to make lowfat choices (chicken breast, sandwiches, breads and cakes, lots of pasta, rice, steel-cut oats for breakfast), my health was declining, I was obese and prediabetic. At the end of 2018 I 'got religion' and vowed to change. I asked my cardiologist whether he recommended low carb or low fat, he said go with low carb. I did some reading about low carb vs. low fat and concluded the Ornish/Esselsteyn regimes were too strict for me and I'd never be able to stay on them. I realize they work for many and people swear by them. I decided to give lower carb a try.

I immediately eliminated any foods with added sugar, and did a lot of reading about LCHF (I started with Dr. Lustig's "Fat Chance" and several books by Gary Taubes, and Nina Teicholz' "Big Fat Surprise"). By mid-March 2019 I was eating low carb, and by the end of 2019 I was eating very low carb (any carbs came from green leafy veggies, full-fat dairy, and once every day or two a buttered mini-pita). I can't say I eat keto because I don't measure macros, I just eat what I want until I'm full. I try not to snack. I don't eat bread/pasta/rice/potatoes. I eat lots of eggs, cheese, full fat dairy, salmon and sardines. I do try to limit beef to 1x a week. Since I've maintained a 50 lb weight loss since spring 2019, and my lipids are vastly improved since late 2018 (now - HbA1C 5.1, then 5.8; now - HDL ~ 75, then, HDL ~ 40; now TGs < 85, then TGs > 200; now, LDL is large fluffy pattern A, then, I don't know but expect it was pattern B; morning blood sugar is 85-90), I'm fairly confident that this is a manageable lifestyle for me. I spend a lot of time reading nutrition books to keep reinforcing the importance of what I'm doing. I feel like it has done much more for me than rosuvastatin.

Edit - I've added a lot of fermented foods to my diet - besides yogurt I eat at least one of kimchi, natto, sauerkraut and pickles each day. Despite these salty foods my BP is 115/75 (I do take 5 mg amlodipine), I think salt is not a problem for me because I'm very insulin sensitive (fasting insulin is 3 uIU/mL and my Quest insulin resistance score is 5, more than a bit below the sensitive/impaired cutoff of 33).

I'm lazy - Primal Kitchen has a range of avocado oil dressings (they are pricey) and Whole Foods has some made with olive oil (I like the romano cheese vinaigrette).

Primal Kitchen makes their dressings with avocado oil. I make my own with olive oil, herbs and raw vinegar.

Hello @whineboy,

I'm glad that you joined this discussion on the treatment of Lipoprotein (a). I'm glad to see that diet helped you to decrease your numbers. A healthy diet can certainly affect everyone's general health. Statins, however, have been shown to decrease Lipoprotein (a) as well. Here is a study published in the NIH that substantiates the effectiveness of statins.
https://www.atherosclerosis-journal.com/article/S0021-9150(19)31392-9/fulltext
@csage1010 and others interested in this topic all realize that a combination of a healthy diet as well as statins can make a big difference. in cardiovascular health.

Hello Teresa,

Thank you for citing that article entitled “ Statin therapy increases lipoprotein(a) levels”.

I am confused, the authors state statins increase Lp(a). At the end of the publication they say “In conclusion, this well powered study shows significant increases in Lp(a) following statin therapy, as well as an increase in apolipoprotein(a) production in cell culture studies with statins. We propose that future studies evaluate this phenomenon and physicians consider measuring Lp(a) pre- and post-first initiation of statin therapy. The adverse consequences of increases in Lp(a) levels post-statin therapy may play a role in the residual risk in patients treated with statins and should be evaluated in future studies.”

Makes me want to decrease my statin dose even further.