Ep. 351: The "Evil Cousin" to LDL - Why Everyone Should Know Their Lp(a) Number with Dr. Akil Taher
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About this listen
What if one simple blood test could reveal a genetic risk factor for heart disease that affects 1 in 5 people worldwide?
Rip sits down with physician, endurance athlete, and author Dr. Akil Taher to talk about a critical—but often overlooked—marker for cardiovascular risk: Lipoprotein(a), or Lp(a).
Despite decades of research linking elevated Lp(a) to heart attacks, strokes, and aortic valve disease, fewer than 2% of Americans have ever been tested.
Dr. Taher shares his remarkable personal story—from heart disease and bypass surgery to becoming a marathoner and mountain climber in his 70s—and explains why understanding your Lp(a) level could be lifesaving.
They dive into:
- What Lp(a) actually is and why it's called the “evil cousin of LDL”
- Why genetics—not lifestyle—largely determine your Lp(a)
- Why many healthy people still suffer heart attacks
- The surprising link between Lp(a), inflammation, and blood clotting
- Who should absolutely get tested
- Why the nanomoles-per-liter test matters
- How lifestyle medicine and a whole-food plant-based diet still play a critical protective role
Dr. Taher’s message is simple but powerful:
Get tested. Know your number. Protect your heart.
Because what you don’t know can hurt you—but what you discover could save your life.
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