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Acknowledgements This work was supported by Shandong Provincial Natural Science Foundation, China (Grant No

4 [104] Who should be tested for Lp(a) and when The most recent guidelines from the European Atherosclerosis Society (EAS) and the American Heart Association (AHA) recommend that every adult should have their Lp(a) levels determined at least once in their lifetime to identify individuals with very high congenital Lp(a) levels, which significantly increase cardiovascular risk [100, 105] (Table II)

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6 A meta-analysis of 19 studies identified by the World Cancer Research Fund as showing an increased risk of pancreatic cancer in obese patients found a 10% increased risk with every 5 BMI units