CARDIOMETABOLIC (ADVANCED CHOLESETEROL + PREDIABETES +INFLAMMATION ASSESSMENT)

Standard cholesterol testing only gives you a piece of the picture, leaving many people with “normal” cholesterol numbers unaware that they are still at risk for a heart attack.
The National Cholesterol Education Program (NCEP) introduced new risk factors that are responsible for cardiovascular incident and stroke. These risk factors can only be identified with advanced lipoprotein testing.

According to the National Cholesterol Education Program guidelines, 50% of people who have a heart attack have normal cholesterol levels. Cholesterol is carried through the body in little balls called lipoproteins. It is the lipoproteins, not the cholesterol inside them, that leads to clogging your arteries.

Cardiovascular disease is the leading cause of death in both men and women.

WHO SHOULD TAKE THIS TEST?

All patients, especially those who:

  • Have a family history of/ have been diagnosed with heart disease or diabetes.

  • Are already taking cholesterol-lowering or diabetic medications.

  • Have elevated blood pressure.

  • Have been presented with risk of diabetes or heart disease by physician
  • Have been diagnosed with Metabolic Syndrome: Elevated cholesterol levels, pre-diabetes, obesity, or hypertension.

I’VE ALREADY HAD MY CHOLESTEROL CHECKED. WHY SHOULD I HAVE THE CARDIOMETABOLIC TEST DONE?

Standard cholesterol testing only gives you a piece of the picture, leaving many people with “normal” cholesterol numbers unaware that they are still at risk for a heart attack.

50% of people who have a heart attack have normal cholesterol levels (PER NATIONAL INSTITUTE OF HEALTH)

THE NATIONAL CHOLESTEROL EDUCATION PROGRAM

The NCEP introduced new risk factors that are responsible for cardiovascular incident and stroke. These risk factors can only be identified with advanced lipoprotein testing. Cholesterol is carried through the body in little balls called lipoproteins. It is the lipoproteins, not the cholesterol inside them, that leads to clogging your arteries.

NCEP NEW RISK FACTORS:

Small, dense LDL: these atherogenic particles are easily oxidized and penetrate the arterial endothelium to form plaque. Lp(a): this small, dense LDL is involved in thrombosis.
RLP (Remnant Lipoprotein): is very atherogenic, has a similar composition and density of plaque, is believed to be a building block of plaque and does not need to be oxidized like other LDL particle.

HDL2b: positively correlates with heart health because it is an indicator of how well excess lipids are removed.

WHAT DO I NEED TO KNOW ABOUT LIPOPROTEIN PARTICLES?

When the vessels are prone to higher pressure with hypertension, tiny micro-tears can occur more readily in inflamed vessels. When inflamed vessels are exposed to elevated blood sugar levels, those sugars coating the red blood cells aggressively rub along the surface of the vessel causing tears.

Research has shown that patients with irritable bowel syndrome (IBS), migraine headaches, fibromyalgia, chronic depression, and many other conditions have higher than normal levels of these mediators circulating throughout their bodies. For many, the “trigger” that causes the mediators to be released can be linked to foods or chemicals in their diet.

The CARDIOMETABOLIC test identifies risk factors for heart disease and stroke beyond cholesterol and lipoprotein size. The LPP particle element of this test provides information on your levels of inflammation in the entire body, c-reactive protein, as well as a marker, homocysteine, specifically in the vessels. Also, this test provides a complete particle count and insulin value to assess blood sugar metabolism and risk for metabolic syndrome. Research has shown that there are different sizes of LDL and HDL particles and some are more dangerous than others. Although we think of the LDL as “bad” cholesterol, the larger buoyant LDL particles float through the vessels without causing harm. It is the small dense LDL particles that are prone to oxidation (damage) leading to plaque formation.

WHAT DOES THE PREDIABETES COMPONENT INCLUDE?

The Pre-Diabetes Biomarkers identify metabolic abnormalities that may progress into diabetes. Pre-diabetes is a condition where the body cannot efficiently metabolize foods, especially carbohydrates, resulting in impaired glycemic (blood sugar) control which may progress to diabetes when not properly treated or addressed through lifestyle changes.

The following tests have the largest impact on the pre-diabetes risk score: hemoglobin A1c, fasting blood sugar and metabolic syndrome traits. Other factors that significantly affect a pre-diabetic risk but that are not included in this report include weight, blood pressure (hypertension), smoking, inflammation and family history.

 

  • Glucose – snapshot of blood sugar at time of blood draw.

  • Insulin – correlates to the efficiency with which a person can metabolize carbohydrates; high fasting levels indicate insulin resistance and possible pre-diabetes.

  • Hemoglobin A1C – long term (2-3 months) marker of glycemic control; also considered a marker of accelerated aging.

  • C-peptide – a measure of endogenous insulin production; useful in distinguishing between type 1 and type 2 diabetes.

  • Adiponectin – a hormone that enzymatically controls metabolism; high levels beneficial and indicate efficient cellular energy production.

  • Metabolic syndrome traits – A diagnosis of metabolic syndrome is confirmed if any three of the following six traits exist in a patient: (1) high triglycerides (2) high glucose (3) low HDL (4) high blood pressure (5) high waist circumference or (6) increased small dense LDL.

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START TODAY! What is included?

Get the CARDIOMETABOLIC test kit today to start your road to prevention!

Each online lab test purchased comes with a complimentary 15 minute lab review by a functional medicine practitioner. For a more in depth lab interpretation with personalized supplement and diet intervention recommendations, upgrade to an initial consultation (PACKAGE B) today! For lab pricing, visit the SHOP page.

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