This week on ReInvent Healthcare, I talk about a topic that not very many practitioners talk about these days - Lipoprotein A. I’ll go in depth on how it affects the cardiovascular system, the genetic factors involved, testing that we can do, as well as some approaches for lifestyle and diet choices that can help bring down Lipoproteins.

IN THIS EPISODE:

Understanding the Significance of Lp(a)

The Lp(a) is a lipoprotein particle in the bloodstream that is an independent risk factor for cardiovascular disease that resembles LDL cholesterol but is denser and even more dangerous. It can easily pass into the inner lining of blood vessels, leading to plaque formation, inflammation, increased clotting, and an increased risk of heart attacks, strokes, and aortic stenosis. We need to be knowledgeable about its characteristics, its role in plaque formation, inflammation, and clotting within blood vessels, and how it can lead to heart attacks, strokes, and aortic stenosis. 

The Role of Genetic Factors

Elevated Lp(a)  levels are estimated to be 90% hereditary, making it crucial to assess genetic risk factors. Certain genetic variants linked to Lp(a)are associated with a shorter lifespan and a higher risk of aortic stenosis. We should consider genetic testing, especially in individuals with a family history of heart disease, to assess the presence of Lp(a)-related genetic variants.

Dietary and Supplemental Approaches

While there is no consensus on the best diet for heart disease, a whole foods diet rich in antioxidants, combined with specific supplements like niacin, ginkgo biloba, berberine, vitamin C, and L-carnitine, can potentially lower Lp(a) levels and improve overall cardiovascular health. Individualized approaches are essential, and regular testing is recommended to monitor progress and adjust interventions as needed. 

ReInvent Healthcare Links

• Get our FREE Guide to Taking a Detailed Health History that gets you to root causes.
• Access Additional Resources for Practitioners ready to improve clinical outcomes through our Nutritional Endocrinology Practitioner Training.  
• Visit my ReInvent Healthcare site to check out other episodes that will be beneficial to you and your clients.