Lipoprotein (a)
Heart disease can run in families, but standard cholesterol tests often miss one of the root causes. This test measures Lipoprotein (a), a largely genetic risk factor that most people never get checked. Because your Lp(a) level is set by your genes, you only need to test once to know where you stand.
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Results in 2-3 days
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How it works
Book a home visit
A health professional takes your sample at home or work
From £65
Book a clinic
Professional blood draw at a nearby partner clinic.
From £40
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Post your kit in any Royal Mail postbox with the pre-paid, tracked label.
Doctor-written report
Every Brooksby Medical result is written and reviewed by a GP. You’ll get plain-English explanations for each marker and clear next steps.
Dr James Coleman, MBChB, MRCGP
Founder & GP, Brooksby Medical
Every report is personally reviewed with clear, actionable advice.
Data secure • UKAS-accredited labs • Doctor-led care
What’s measured in this test
Each biomarker helps reveal insights into your health.
Lipoprotein (a)
Lipoprotein(a) — Lp(a)
Lp(a) is a cholesterol-carrying particle that is mostly inherited. Unlike other cholesterol types, lifestyle changes don't usually change Lp(a) much over a lifetime.
What might a high result mean?
Higher Lp(a) adds to your overall risk of heart disease and stroke. It can also be linked with stiffening of the aortic heart valve.
We usually respond by controlling the risks we can change: lowering LDL/non-HDL cholesterol, managing blood pressure and diabetes, and stopping smoking.
Close relatives may be offered a test too, because Lp(a) tends to run in families.
What might a low result mean?
Generally reassuring and often just reflects your genetics.
We still look at your full cholesterol profile and general health to judge your overall risk.
Frequently asked questions
What is Lipoprotein (a) and why is it important?
Lipoprotein (a), or Lp(a), is a genetic cholesterol particle that standard tests miss. Unlike regular cholesterol, which can be managed through diet and lifestyle, Lp(a) levels are largely determined by your genes. Elevated levels significantly increase heart disease and stroke risk, even if your other cholesterol numbers look normal.
Who should test their Lipoprotein (a)?
This test is particularly important for:
Anyone with a family history of early heart disease or stroke
People with unexplained high cholesterol despite healthy lifestyle
Those who've had cardiac events at a young age
Anyone wanting to understand their inherited cardiovascular risk
Is Lipoprotein (a) a one-time test?
Yes. Because Lp(a) levels are genetically determined and remain stable throughout life, you typically only need to test once to understand your inherited risk profile.
How should I prepare for the Lipoprotein (a) test?
Minimal preparation:
No fasting required
Be well: Avoid testing during illness
Hydrate: Drink water beforehand
Bring ID: Photo ID and order confirmation
How will I receive my Lipoprotein (a) results?
Secure online results with a GP-written explanation from Brooksby Medical in 2–3 working days.
What happens if my Lp(a) is elevated?
We explain the significance and recommend next steps, which may include additional cardiovascular risk assessments, lifestyle optimization, and discussion with your GP about targeted interventions to reduce overall heart risk.
Related reading
Articles from our GP that relate to this test - explaining your results, what they mean, and when to take action.
THE BRIEFING
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