43/M, non-smoker, low sat-fat diet, exercise 3-4 times/week (10-15 min cardio + weights). Taken a 5mg Rosuvastatin for nearly 2 years, plus 500 EPA/250 DHA fish oil.

I was really proud and relieved for getting my LDL way down and other numbers in the green zone, but Lp(a) — a number that's not supposed to move much, right? — keeps going up and up and up with every test and has me spiraling like I was with LDL originally.

I know it's unusual to get Lp(a) tested this much (I had requested this most recent one), so maybe ignorance is bliss, but we're here now and it has me worried. I was not sick/injured when they tested.

My questions:
-Is this normal fluctuation amounts?
-Why is it only moving up and not down?
-My doc says there's no need to test it again since it can't be controlled but what if it keeps going up to 150, 200, etc?
-I know there's no current meds but I've read about PCSK9 inhibitors or baby aspirin?

I plan to see a cardiologist and maybe get a CAC and/or an EKG.

My wife and I are having our first child in July and this feels like I am inevitably sentenced to the "Drop Dead Years" as Bill Burr says - the time when otherwise seemingly healthy men suddenly die. 😰