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The study notes that the amount of decrease in Lp(a) is similar to that of using niacin or a PCSK9 inhibitor.[ref] Coconut oil instead of omega-6 oils: An intervention study looking at fat in the diet found that a diet high in saturated fat from coconut oil decreased Lp(a) by 17 mg/L, while a diet high in polyunsaturated fatty acids increased Lp(a) by 25 mg/L.[ref] High phenol olive oil: A small clinical trial showed that high phenol olive oil or large quantities of low phenol olive oil lowered Lp(a) levels a bit.[ref] Lowering cholesterol: Overall, lowering your LDL cholesterol numbers can help lower Lp(a) since Lp(a) is the carrier for LDL

Obes Surg 13 : 1722 Barkan AL et al

But what happens if you switch weight loss medication