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What is Lp(a) and should I be tested?

When an Lp(a) test is worth ordering, what a high result does and doesn't mean, and what to ask.

Clinically reviewedby Dr. Hwaida Hannoush, MD, FASELast reviewed September 2026

Lp(a) is a largely inherited lipoprotein associated with cardiovascular risk. Current U.S. lipid guidance recommends at least one measurement in adulthood.

The test is different from ordinary LDL cholesterol and generally is not included in a standard panel.

Prepare for the conversation

Ask whether you have already had the test. If so, bring the value and units. A family history of early cardiovascular disease is particularly relevant to discussing inherited risk.

Understand what happens next

A high value can support a more intensive prevention discussion. It does not automatically mean that you need coronary imaging or that blocked arteries are present. The decision should incorporate your overall health and existing findings.

Repeat testing is often unnecessary when a stable adult result is already known, although specific clinical circumstances can justify reassessment.

Knowing your result is useful only if you understand its implications. Ask how it changes your lipid management, what other risks to address, and whether relatives should be assessed.

Your next step

Check your previous records before ordering another panel, then request an explanation of the result in the context of your prevention plan.

Educational notice

This article provides general education and does not replace personalized medical advice. Consult your clinician before starting, changing, or stopping treatment. For a medical emergency, call 911.

Clinically reviewedby Dr. Hwaida Hannoush, MD, FASELast reviewed September 2026
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These articles explain the science. A personalized assessment can show how it applies to your results, your history, and your goals.

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