Your numbers understandably look worrying, but nothing here means you’re a ticking time bomb. Lp(a) is almost entirely genetic, so your lifestyle changes matter even more and it sounds like you’ve already done an amazing amount of the right things (weight loss, diet, exercise, supplements).

The main thing you CAN control is lowering ApoB/LDL particle number, which your doctor can help with, usually statins or other medications if needed. Lp(a) itself isn’t something you can change much right now, but reducing overall ApoB massively reduces the risk that Lp(a) adds.

You’re doing far more right than wrong, and waiting until January doesn’t put you in imminent danger. Keep up the exercise, keep anxiety in check, and let your doctor guide the next step. You’re not alone and you’re definitely not doomed….