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Message: <blockquote data-quote="Cocosilk" data-source="post: 2116098" data-attributes="member: 501623">It sounds like you can approach your cholesterol in two ways.   Since you know you have higher Lipoprotein a, you could "experiment" (under the supervision of an open-minded doctor) with something like Niacin.  But do watch out for side effects."Niacin can lower Lp(a) in some patients by up to 30 percent. However, niacin can have serious side effects, so should only be taken with the supervision of a doctor." <a href="https://www.athero.org.au/fh/lipoproteina/" target="_blank">https://www.athero.org.au/fh/lipoproteina/</a>Otherwise, tackle your total cholesterol (and LDL) by experimenting with diet.  It sounds like you don't eat much food containing cholesterol so maybe one of the other methods mentioned by the others in this thread would be more appropriate.It seems that many (who can tolerate a few extra carbs) do have some success at lowering their cholesterol by introducing a few extra carbs.  You'd have to be selective not to upset your blood glucose levels.  Maybe those eating low to moderate carb on this forum can recommend some foods that they have tested their blood glucose reactions to.I've seen some say they have had success lowering LDL (and total cholesterol) by eating a cup of steel cut oats each day.  I thought I would try but it does seem to raise my blood glucose a little higher than I like.Then there are so many other things from carob powder to psyllium husks that supposedly lower cholesterol.  And of course fish oil and monounsaturated fats (which you would be already getting from olive oil, but macadamia nuts are another good source). This article talks about lipids (including saturated fat) and their affects on cholesterol. <a href="https://openheart.bmj.com/content/5/2/e000871" target="_blank">https://openheart.bmj.com/content/5/2/e000871</a>And then you might simply join Dave Feldman's followers on his FB page called "LMHR" and be excited to have such high cholesterol levels with good ratios.  Although the Lipoprotein a is still the problem, isn't it?And it seems that statins do nothing to reduce Lipoprotein a.  It also doesn't sound like they increase anyone's life expectancy by much either.  And they seem to be dished out as frequently as lollies are to children...If you did have a CAC or a CIMT (Carotid artery scan) and found significant blockages, then I guess a statin might be more tempting if it acts faster than dietary changes, but if Dave Feldman's research shows anything, it's that you can change your cholesterol levels within days with extreme dietary measures so I think statins are for those who don't have any other information about how they might alter their cholesterol levels and just do what their doctors tell them.Luckily you won't be going Low Fat High Carb because that doesn't seem to help one bit <a href="http://www.jlr.org/content/early/2010/08/16/jlr.M005769.full.pdf" target="_blank">http://www.jlr.org/content/early/2010/08/16/jlr.M005769.full.pdf</a>Here's yet another article:"...other investigators <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1853362/" target="_blank">have reported </a>an increase in Lp(a) levels in individuals after they reduced their saturated fat intake. Monounsaturated fats also seem to reduce Lp(a) levels, as shown by <a href="https://www.ncbi.nlm.nih.gov/pubmed/12221048" target="_blank">a study</a> that reported a significant decrease in Lp(a) levels in individuals whose diets were supplemented with almonds."<a href="https://www.docsopinion.com/health-and-nutrition/lipids/lipoprotein-a/" target="_blank">https://www.docsopinion.com/health-and-nutrition/lipids/lipoprotein-a/</a></blockquote>

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