Abstract Lipoprotein(a) (Lp(a)) is a highly proatherogenic lipid fraction that is genetically determined and minimally responsive to lifestyle or behavior changes. Mendelian randomization studies have suggested a causal link between elevated Lp(a) and heart disease. stroke. and aortic stenosis. https://www.parisnaturalfoodes.shop/product-category/nitro-tech-ripped-choco/