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Understanding high lp(a) risk independently

Having recently had my lab results back and have an extremely highly lp(a) level of 550nmol, I am currently in the process of absorbing as much information I can about lp(a) and its role in CVD among other things. My question is two-pronged: 1) If it is possible to answer in isolation, is there any defined level of risk for an individual once all other risk factors are addressed? (For example, ApoB is as low as possible, normal blood pressure etc). 2) We see a lot of studies identifying Lp(a) as a risk, and a casual link for many diseases, but do we have any studies that have examined the outcomes of people with elevated Lp(a) that went on to live a disease free/long life relative to the time of the study? I could only find one from 1997 looking at centenarians.

Formula for Centenarian Decathlon Training?

What is the exact formula you use for calculating the amount of weight, run, balance, etc. one needs to train at now to be able to do X when they are in their 80's or 90's. If one loses on average 8-10% of their muscle mass each decade over 50 yrs. does that percentage equate to the amount we should add to our training. In other words, does strength/power and muscle decline equal one another? Ex., if I'm 50yrs old should I add 8-10% to my weights times the number of decades (so for 90's multiply times 4) to get the training goals I need to work towards now? In your book and on your podcasts you talk about number that are a lot higher vs what I've explained here. So, my sense is you're using a different formula. Thank you!!

Healthy sexuality

Hi Peter, I started to listen to your podcast last year so I may have missed this topic. I have not seen a podcast discussing the correlation between a healthy/active sexual live and longevity. It would be great to address the myths and realities of sexual health as we age. Is this topic in your roadmap? Thanks,

Cortisone injections for ortho/inflammatory pain problems. Under use vs over use

I'm in my 70s and have had issues over last few years (shoulder tendonitis, scapula tendonitis and hip). My physicians office default seems to be 1.) Go to PT for few weeks 2.) After that fails, authorize go to ortho pain guy and takes 2 weeks to get appointment. He then calls for cortisone injection. Wait for authorization. 3.) Finally get appointment and get injection. 4.) Bravo! Lasting relief! In meantime, I suffer the pain and, perhaps more important, deconditioning due to condition. Maybe a show with a ortho/cortisone expert discussing all the pros and cons. Under use? Over use? Just a cost issue? Who really knows how to use the needle? thanks

Is a low resting heart rate actually good?

I have read several articles indicating that fit people with low resting heart rates have problems in later decades (ie 70s, 80s and beyond) - such as needing to have a pacemaker put in. I personally have had a low resting heart rate - 40s in my sleep and 50s when sitting and awake. And as these articles/research indicated, many fit people think this is a good thing- but it might be “better” to have heart rate be not quite so low (although idk what we could do about that). Thoughts on this issue/predicament?