How can you manage elevated Lipoprotein(a)?

In the clinic, for patients with elevated lipoprotein(a) or Lp(a), the focus is on controlling other cardiovascular risk factors. Although there are no treatments for Lp(a) that prevent heart attacks or strokes per current evidence, it's critical to manage overall cholesterol, keeping LDL levels as low as possible. Patients are advised to follow a heart-healthy diet rich in plants and vegetables and low in saturated fats, manage blood glucose levels, maintain a BMI under 25, and have stricter targets for South Asians due to higher glycemic risk. Blood pressure should be monitored and controlled, with recommendations for regular aerobic exercise of 150 to 300 minutes per week. Smoking and vaping should be avoided. In a multidisciplinary approach, additional risk factors such as autoimmune disease, depression, cardiotoxic cancer therapies, and adverse pregnancy outcomes are monitored. Addressing these factors can significantly lower the risk of heart attack and stroke despite elevated Lp(a).