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Charles Dart's avatar

Would >40 be “elevated Lp(a)” or is that >50? Understand that cutoff points are somewhat arbitrary and risk increases with a higher numbers, eg 70 significantly riskier than 50.

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BowTiedLoon's avatar

I would consider an Lp(a) of >40 to be elevated enough to be more aggressive about other lipid management. (I think ~40 puts a person at about the 50th percentile, but I'd have to look for a reference on this)

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Charles Dart's avatar

Tks. From what I can gather between 40 and 50 correlated with mildly elevated risk, but nothing like way higher readings. Attia likes to “see his patients under 50.” The big takeaway here is lower lipids/ healthier lifestyle is better. Challenge is unstanding risk levels so can calibrate lifestyle tradeoffs. Living a Dean Ornish lifestyle not so enjoyable.

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