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Add-on

Lipoprotein(a)

Lp(a) is a cholesterol-carrying particle in your blood that can damage your arteries and trigger a heart attack or stroke. Your Lp(a) level is largely inherited, and high Lp(a) may be the single most common inherited cause of heart attacks and strokes.

Reviewed by Swiss physicians

Personal action plan

Interactive report

Safe, simple, one blood draw

  • No radiation or contrast dye
  • No extra appointment, part of your blood draw
  • One test, a number that holds for life
  • Reviewed by leading Swiss physicians
  • Health areas
    Heart, Genetics, Lipid Metabolism
  • Time needed
    Included in blood draw, no extra time
  • Radiation
    None at all
  • Contrast dye
    None at all
  • Preparation
    Fasting 8 to 12 hours before blood draw recommended
  • For whom
    Anyone with a family history of early heart disease or stroke

What Lp(a) is

A risk factor hiding in plain sight

1 in 5

people carry elevated Lp(a), and most never find out, because no standard test looks for it.

Genetic and lifelong

Set by your DNA. Diet, exercise and most lifestyle changes barely move it.

Invisible to standard panels

It needs its own specific test. A normal cholesterol result tells you nothing about it.

Measured once

Levels stay stable for life, so a single test gives you a number you can keep.

An independent risk factor

It raises your risk on its own, stacking on top of cholesterol and blood pressure.

Why it matters

What elevated Lp(a) is associated with

High Lp(a) is an independent risk factor for cardiovascular disease, on top of whatever your cholesterol and blood pressure are doing.

Heart attack

Associated with the plaque build-up in the arteries around the heart.

Ischaemic stroke

Linked to the clots that can reduce blood flow to the brain.

Aortic valve stenosis

Associated with calcification of the heart's main outflow valve.

Peripheral artery disease

Associated with narrowing of the arteries in the legs and elsewhere.

Why standard tests miss it

Your cholesterol can look perfect, while there may still be a risk

LDL, HDL and total cholesterol respond to diet, statins and lifestyle, so they are what a standard panel tracks. Lp(a) does not respond to any of those, it is set by your genes, so it sits outside the standard panel and goes unmeasured, even when everything else comes back normal.

Cholesterol, total

4.8mmol/L
Normal

HDL cholesterol

1.6mmol/L
Optimal

Non-HDL cholesterol

1.8mmol/L
Normal

Lipoprotein(a)

nmol/L
Not measured

Cholesterol, total

4.8mmol/L
Normal

HDL cholesterol

1.6mmol/L
Optimal

Non-HDL cholesterol

1.8mmol/L
Normal

Lipoprotein(a)

nmol/L
Not measured
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What you gain

You cannot change Lp(a). You can change what you do about it.

A high result does not leave you stuck. It recalibrates your whole risk picture and sharpens every decision you and your doctor make next.

Push harder on what you can move

Tighten the targets that do respond, like LDL and blood pressure, to offset the inherited risk.

Open the door to specialist care

A clear elevated result is the trigger for specialist review, as new Lp(a)-lowering therapies are being developed.

Flag it for your family

Lp(a) is inherited, so your result is a reason for first-degree relatives to test too.

Give your doctor real context

The number lets your clinician read your overall cardiac risk correctly.

How it works

From booking to your number in days

Person booking their blood test on a laptop at home

Step 01

Book online

Choose the Advanced blood test and add Lp(a) at the add-on step.

Clinician taking a blood sample from a smiling patient

Step 02

A five-minute blood draw

Visit a partner lab near you. No special preparation needed.

Tablet showing a health report on a kitchen counter

Step 03

Your clear digital report

See your Lp(a) level, what band it falls in, and exactly what to do next.

Real stories

People who took control of their heart health

Every health journey is unique. Read how others took control of their health with Ahead.

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@stefaniebur_·20K followers
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@pierrebiege·27K followers

Really good and professional

The team was thorough and made the whole experience seamless from start to finish.

Michael J
Michael J
Ahead

My MRI experience at Ahead

Ahead

Prevention is key: my experience with Ahead Health

Personalized, insightful, and great for taking control of your health. The follow-up support was exceptional.

Luisa Gerstner
Luisa Gerstner

Ahead's MRI and blood test gave me a comprehensive view of my health that I've never had before. Highly recommended.

Daniel Pourasghar
Daniel Pourasghar
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Common questions

What preparation is needed?+

<p>Detailed preparation guidelines will be provided after your booking is confirmed, usually via a calendar invitation. General preparations include:</p> <ul> <li>Fasting: If your check-up includes blood tests, an 8–12 hour fast (water is okay) is recommended. Please confirm specific requirements for your booked package.</li> <li>Attire: You can wear comfortable clothes. At the check-up appointment you will receive comfortable scrubs.</li> <li>Hydration: Drink 2–3 glasses (about 500ml) of water before your scan to stay hydrated.</li> <li>Exercise: Avoid heavy exercise for about 2 hours before your scan. If you have a blood test, avoid heavy exercise about 24 hours before.</li> <li>Metal: Do not wear any metal items such as jewelry or watches. If you have any metal implants, please inform us.</li> <li>Caffeine: If you are prone to jitters, avoid caffeine for at least 2 hours before the scan. If you booked a blood test, stay fasted and avoid caffeine on the day of your scan.</li> <li>Medication: Continue taking your regular medications unless your GP has advised otherwise.</li> </ul>

How fast will I get my results?+

<p>Blood test results are typically available within 5–7 business days after your blood draw. You'll receive a notification when your interactive report is ready in the Ahead portal.</p> <p>If you booked a combined check-up (MRI + blood), both sets of results are delivered together in a single report. If you booked the <a href="/tests/omega-blood-test">Omega-3 &amp; 6 add-on</a>, the analysis may take longer, so your combined report may take up to 10 business days.</p> <p>Once your results are ready, you can schedule a follow-up consultation with one of our physicians to discuss them in detail. This consultation is included in the price of check-up packages. See our <a href="/report">sample report</a> to get an idea of what to expect.</p>

Do I need to fast before a blood test?+

<p>Yes. We recommend fasting for 8–12 hours before your blood draw (water is fine and encouraged). This ensures accurate results for fasting glucose, insulin, triglycerides, and other metabolic markers.</p> <p>During the fasting period:</p> <ul> <li>Drink 2–3 glasses of water to stay well hydrated (this also makes the blood draw easier)</li> <li>Avoid food, coffee, tea, juice, and other beverages besides water</li> <li>Continue taking any prescribed medications unless your doctor advises otherwise</li> <li>Avoid intense exercise for 24 hours before the test</li> </ul> <p>If you have a morning appointment, the easiest approach is to stop eating after dinner the night before and drink water in the morning.</p> <p>If fasting isn't possible for medical reasons (e.g. diabetes), please let us know when booking and we'll advise on the best approach.</p>

What is the difference between your blood test and a standard GP blood test?+

<p>A standard GP blood test in Switzerland typically covers a basic panel: blood count, cholesterol, blood sugar, and sometimes liver and kidney values. It usually includes 10–15 markers and is ordered reactively when symptoms are present.</p> <p>The Ahead <a href="/tests/advanced-blood-test">Advanced blood test</a> is a preventive screening panel with 80+ biomarkers designed to catch early warning signs before symptoms appear. Key differences:</p> <ul> <li><strong>Broader scope:</strong> we include cardiovascular risk markers (ApoB, hs-CRP), metabolic health (HbA1c, HOMA-IR, Insulin), a full thyroid panel (TSH, fT3, fT4), and more, most of which are not part of a routine GP check.</li> <li><strong>Proactive approach:</strong> our panel is designed for preventive screening of healthy individuals, not diagnosis of existing symptoms.</li> <li><strong>Detailed reporting:</strong> your results come in an interactive online report with clear reference ranges, trend tracking, and personalized recommendations.</li> <li><strong>Physician review:</strong> every result is reviewed by a physician who can explain findings and suggest next steps. A follow-up consultation is included with check-up packages.</li> <li><strong>Optional add-ons:</strong> you can extend your panel with <a href="/tests/hormone-blood-test-women">hormones (women)</a> / <a href="/tests/hormone-blood-test-men">hormones (men)</a>, <a href="/tests/essential-b-vitamins-test">B-vitamins</a>, or <a href="/tests/omega-blood-test">Omega-3 &amp; 6</a>.</li> </ul> <p>For a deeper comparison, see our article on <a href="/insights/check-up-blood-test-vs-preventive-blood-test-what-is-the-real-difference">how a preventive blood test compares to a standard check-up</a>. You can also explore the <a href="/biomarkers">full list of biomarkers we test</a>.</p>

Should I stop taking supplements before my blood test?+

<p>No — please continue taking your medications and supplements as usual. This allows us to assess your health in the context of your real-life routine.</p> <p>Please include what you take and the dosage in your questionnaire so our medical team can interpret your results accurately.</p> <p>Please note:</p> <ul> <li>Creatine: may influence markers related to kidney function — please mention it in your questionnaire - Thyroid medication: please pause it 2 hours before your appointment</li> </ul>

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Lipoprotein(a)

Know your number once. Carry it for life.

Add Lp(a) to your Advanced blood test and uncover the inherited heart risk a standard panel leaves out.