The Exam Room by the Physicians Committee The Hidden Cholesterol Killing Millions: What You Must Know About LP(a) | Dr. Akil Taher
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Nov 4, 2025 Dr. Akil Taher, a cardiologist and heart-attack survivor, discusses the often-overlooked threat of lipoprotein(a), a genetic cholesterol risk that can lead to heart disease. He explains why standard tests miss it, affecting millions unaware. With a focus on dietary strategies, Dr. Taher highlights the benefits of a whole-food, plant-based diet and specific foods like amla that may significantly reduce LP(a) levels. He also covers emerging medications that promise drastic reductions in LP(a), urging awareness and testing, especially among high-risk ethnic groups.
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Lp(a) Is A Distinct, Sticky Cholesterol Particle
- Lipoprotein(a) is a cholesterol-carrying particle with an extra sticky protein that increases inflammation and clotting risk.
- Very high Lp(a) raises heart attack and stroke risk three to four times.
Get Tested Once For Lp(a)
- Ask your clinician to test Lp(a) because standard cholesterol panels usually omit it.
- A one-time Lp(a) test suffices for lifetime screening unless you start specific therapies and want follow-up.
Use Whole-Food Plant-Based Diet Plus Amla
- Adopt a whole-food, plant-based diet to lower Lp(a) effects and potentially reduce levels about 16%.
- Add specific foods like amla or a handful of nuts which some studies suggest can further lower Lp(a).
