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1/ Reeeeeally happy to see @ChrisMasterjohn's opinion addressing Lp(a) regarding its relevance in causality of CVD, particularly with regard to genetic influence on baseline levels. @siobhan_huggins did a presentation on this at #LowCarbHouston

@ChrisMasterjohn @siobhan_huggins 2/ As with LDL-P, we feel it's relevant to disentangle three major components that influence Lp(a) levels: (1) genetic baseline, (2) disease-induced influence, and (3) metabolic influence

(1)- has surprisingly little study
(2)- generally assumed
(3)- little to no focus
@ChrisMasterjohn @siobhan_huggins 3/ These three are extremely important to consider individually, particularly the metabolic, as @siobhan_huggins has demonstrated multiple times just how rapidly she can alter her Lp(a) numbers to follow the same Inversion Pattern that impacts LDL-C cholesterolcode.com/tandem-experim…
@ChrisMasterjohn @siobhan_huggins 4/ In other words, there might be a higher relative Lp(a) increase for some that comes with going on a #keto/#lchf diet primarily due to a metabolic influence being powered by fat.

Many (like myself) don't see this rise, seemingly because our baseline genetic influence is lower
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