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Pastimes : Heart Attacks, Cancer and strokes. Preventative approaches -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (29089)	2/2/2015 2:15:06 PM
From: LipoproteinaFDN	Respond to of 39295

Thank you for your insightful comments. I hope we can work together to get the answers for patients that we all need. There are several companies developing therapies for high Lp(a). At this point aggressive primary and secondary prevention is the treatment plan. Unfortunately, most people don't have an accurate prediction of their risk because they don't know they have this inherited predisposition. I take statins (doesn't lower Lp(a) but keeps LDL as low as possible to overall reduce risk), niacin, fish oil, Vitamin D, and Vitamin B, & aspirin. BMI has never been high and I do a moderate intensity workout 4 - 5 times a week and follow a low-carb diet including good fats. This is the treatment plan I follow until we have a specific therapy for high Lp(a). Please see the European Society of Atherosclerosis Lp(a) Handbook on our web site, free downloadable app. In Germany they are using LDL-apheresis to treat high Lp(a). We lack Level 1 evidence for high Lp(a) and the foundation is advocating for more research in this area. You can see my story at lipoprotein.site-ym.com Nordestgaard, B, Chapman J, et al. Lipoprotein(a) as a cardiovascular risk factor current status. European Heart J 2010; 31 2844-2853 Sachdeva A, Cannon CP, Deedwania PC, et al. Lipid levels in patients hospitalized with coronary artery disease: An analysis of 136,905 hospitalizations in Get with the Guidelines. Am Heart J 2009; 157:111-7. e2 Kronnenberg F, Uterman G. Lipoprotein(a); resurrected by genetics. Internal Medicine J, 2013, 273; 6-30