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I have increased lipoprotein level. How to reduce it?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 42-year-old female. I am not taking any medications till now. Recently, I did my yearly medical tests and saw my LP(a) at 54.3 mg/dL.

Please suggest.

Hi,

Welcome to icliniq.com.

Usually, LP(a) level should be less than 30 mg /dL. But, you have an increased level. High level of LP(a) signifies the increased risk for atherosclerosis of vessel and heart disease like ischemic heart disease. The doctor usually prescribes this test when there is a high risk for cardiac disease or positive family history. I suggest you check your blood pressure and random blood sugar estimation as well for the further work up. It is advisable to investigate your serum TSH (thyroid stimulating hormone), LDL (low-density lipoprotein), HDL (high-density lipoprotein) and triglyceride estimation as well. You can revert with the reports.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

I have attached my reports.

Thank you.

Hi,

Welcome back to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity). Your LP(a) has been increased. But your cholesterol and thyroid profile are within the limit. Kindly mention your clinical complaint if you have.

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

It was just a yearly checkup. I do not have any complaint.

Hi,

Welcome back to icliniq.com.

What is your BMI (body mass index)? Are you obese?

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

My BMI is 27.

Hi,

Welcome back to icliniq.com.

You do not need to worry, as you do not have any clinical complaints. I suggest you investigate with treadmill testing and EKG (electrocardiography) for further workup. Check your blood pressure as well. You can reduce your weight and bring your BMI below 25.

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

I will do it soon, and I will revert with the reports.

Hi,

Welcome back to icliniq.com.

You can revert with the EKG and treadmill report. Try to reduce your weight soon and bring your BMI below 25. Do exercise regularly. Eat more fruits. Eat more green leafy vegetables. Avoid having heavy, fatty foods and an excess of junk foods.

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

I am physically active. I am going to the gym regularly. But I have a habit of eating sweet more. I will try to control it.

Hi,

Welcome back to icliniq.com.

Your vitamin D level is low. It is on the borderline. For that, I suggest you take more milk, especially fortified milk with vitamin D. Tuna, and salmon fish are good sources of it.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 7, 2018
Reviewed AtDecember 16, 2025

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