In rare cases of familial hypercholesterolemia and high Lp(a) in children, lipids can be so high that they lead to events in childhood and necessitate interventions like liver transplant.

“i've seen and i've seen some very interesting case reports uh on children that have uh fh and high lpa some of them even had to have liver transplant because uh the the lipids were just so high and they were having events in children years”