We are pleased to announce we offer personalized medicine and wellness recommendations in conjunction with True Health Diagnostics, Boston Heart Diagnostics, Veridia Diagnostics, and Salveo Diagnostics.
80% of people with coronary artery (heart) disease have normal cholesterol levels. Despite “adequate” control on medication, many people still have heart attacks and strokes. Obviously, today’s routine cholesterol tests are failing to identify the majority of people who are at risk for heart attacks. The limited focus of these tests on “good” and “bad” cholesterol is simply not good enough to accurately identify those most at risk. So, how can you protect yourself?
Cholesterol guidelines are made by committees, and therefore are compromises. They also lag years behind the research, and have to take into account the cost of implementing them for the entire population. However, some people would like more information to enable them to make informed decisions about their health. Advanced lipid testing are comprehensive blood tests that are based on current research targeting vascular disease risks such as heart attacks, strokes, and diabetes. These blood tests combine chemical and genetic testing. It allows us to personalize treatment plans based on genetics, the size of cholesterol particles, and the level of arterial inflammation. It also allows us to predict likely reactions to different medications, foods, alcohol, stress, and exercise.
What does Advanced Lipid testing include?
An evaluation would be based on a panel of specific test of your blood sample. All of these tests help assess risk for vascular disease (heart attack, stroke, diabetes). A typical evaluation would include:
- Routine lipid panel, including total cholesterol, LDL, HDL, TG
- LDL particle size
- HDL particle size
- Apo A and HDL particle number
- Apo B -and LDL particle number
- Lp(a) – high levels can cause blood to clot too easily, inherited, can alter with medications
- Vascular inflammatory markers such as Lp-PLA2 and Myeloperoxidase
- Highly Sensitive CRP – measures inflammation
- Fibrinogen – another measure of inflammation
- NT-proBNP and Galectin-3 – measures of cardiac stress
- Cholesterol production and absorption measurements
- Omega 3:6 fatty acids profile
- Diabetes Tests
-Glycemic control – how well glucose is controlled on a short and long term basis
-Insulin resistance – how well the body is utilizing insulin by looking at leptin, adiponectin, free fatty acid levels, and -others.
-Beta cell function – looks at the health of the pancreas, which produces insulin.
- Genetic Tests
- Apo E Genotype – identifies how people respond to dietary fat
-Factor V Leiden & Prothrombin Mutation – identifies people who clot too easily, thereby increasing risk for heart attacks -and stroke
-MTHFR genotypes – a gene that is generating a lot of interest in heart disease prevention, but also in mental health and -cancer research
Who would be a good candidate for this test?
Anyone who has any of the following risk factors:
- Heart disease
- Abnormal cholesterol levels (High LDL, Triglycerides or low HDL)
- High blood pressure
- Cigarette smoker
- Family history of heart disease, diabetes, or kidney disease
How much does it cost?
Insurance generally covers most or all of the cost. Depending on your insurance, we can often give you a good idea if you will have any out of pocket expense, and how much. Out of pocket expenses are eligible for reimbursement by medical spending accounts.
So, how do I sign up?
Please make an appointment for an office visit to discuss testing. You will need to fast for 12-14 hours for the test and usually the blood can be drawn at the time of your appointment. The results will take 2-3 weeks to come back.
Dr. Moghissi will review your results with you in detail, give you a cool color copy of your results, and make recommendations for possible treatment. These recommendations may include medication, dietary changes, exercise and/or stress reduction. We may want to do follow up testing in several months to see how you respond to the treatment.
We are pleased to offer these exclusive state of the art tests for all those who are interested in proactively improving their health to live a longer and healthier life.
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