@gfmama Genetically high cholesterol and elevated LP(a) run in my family. While I didn’t get the LP(a) from my dad, I can say he has both and is alive and kicking at age 88! My untreated LDL has been 300 and I had a high calcium score as well. I would say you are not in a better situation than knowing this information and having a doctor that understands how to handle it. No two folks look exactly the same and knowing is so, so helpful. I believe 1 in 5 people in the US have elevated LP(a). Nothing has changed for you except you have more information, and information is what will be helpful to live your best life! You’ve got this!!! 🙂