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However, management can be challenging due to variable responses, owner preferences, side effects and comorbidities necessitating an individualised approach to each case and careful explanation of options to owners

To assess the risk associated with elevated Lp(a) and the effects of interventions that reduce Lp(a) and other risk factors, use the calculator available at: These recommendations are particularly important because recent results from the OCEAN (a)-Dose study indicate significant long-term individual variability in Lp(a) levels in patients with ASCVD and elevated baseline Lp(a) concentrations, suggesting that it may be necessary to measure this parameter more than once in a lifetime [109]

(Matthew Sharp) and J.W

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