Yeah. Lipoprotein a to some extent predicts the lifetime risk of atherosclerosis disease. It unfortunately does not alter much with diet, exercise and till date all the drugs to reduce it are in experimental state. As of now, nothing much can be done for elevated lipoprotein a. But if there is elevated lipoprotein along with abnormal lipid profile. The odds of having atherosclerotic diseases are much higher. So better to focus on the lipid profile which can be corrected with diet, exercise and medication if needed, rather than worrying about something that cannot be altered.