This podcast interviews Dr. Darshan Shah about Lp(a), a relatively new cardiovascular disease risk marker often missed in standard cholesterol panels. The conversation covers Lp(a)'s significance, its resistance to lifestyle changes, and the importance of proactive testing (including the CLEARLY exam). Dr. Shah and the host also discuss Total Plasma Exchange (TPE), a procedure to remove toxins from the blood plasma, showing a potential for lowering Lp(a) levels and addressing overall toxic burden. Listeners are encouraged to discuss Lp(a) testing with their doctors and consider TPE as a potential treatment option, alongside lifestyle changes, for managing cardiovascular risk. The podcast concludes with information about Next Health clinics offering TPE and other wellness services.