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-DESIDIL · CONCIERGE ENDOCRINOLOGY · ATLANTA, GA

Your labs look normal.

Your risk may not be.

For the people standard cardiac screening was never designed to catch: South Asians, Filipinos, women in midlife, and anyone with a strong family history. DesiDil is a concierge endocrinology practice led by Dr. Rachna Relwani, in person or by telemedicine in several states.

Most people I work with have already had labs.

Many have been told everything looks fine.

They’re looking for a clearer answer.

Rachna Relwani, MD · Endocrinologist

17+ years clinical practice Atlanta Top Doctor 2025

Start Risk Assessment Call

Dr. Rachna Relwani, board-certified endocrinologist and founder of DesiDil in Johns Creek, Georgia

4x

Higher risk of premature heart disease in South Asian adults vs. the general population.

WORLDWIDE DATA

2x

More women than men die from heart disease each year — yet most risk tools were built on male data.

AMERICAN HEART ASSN

10-20 Years

Earlier onset of cardiovascular events in many under-screened populations.

AACE 2026

-WHY THIS EXISTS

Standard Testing Detects Disease. It Doesn't Fully Explain Risk.

In the populations above, the markers that drive early heart disease are often not the ones routinely checked.

You can have a "normal" cholesterol panel, a normal BMI, and a normal blood pressure — and still be at significantly elevated cardiovascular risk.

The goal is not more testing.

It's better interpretation of the right data.

DesiDil exists to do that work — to look at the data you already have, decide what's still missing, and translate it into a plan you can actually use.

WHAT STANDARD PANELS OFTEN MISS

Lipoprotein(a) — inherited, lifelong, not on a basic lipid panel.

ApoB — the true number of atherogenic particles.

Insulin resistance — drives risk for years before glucose rises.

Visceral fat — present even at a "normal" BMI.

Coronary calcium — plaque you can actually see.

-WHO THIS IS FOR

Built for the Patients Standard Screening Tends To Miss

Most cardiovascular risk calculators were validated decades ago on a narrow slice of the population. If your background, biology, or family history sits outside that mold, your real risk may not be in your chart.

01 South Asians

Up to 4× premature CAD risk. Higher Lp(a), more visceral fat at lower BMI, earlier onset.

03 Filipinos

Elevated metabolic syndrome and CVD risk, frequently underestimated by standard ASCVD calculators.

05 Strong family history,

"normal" labs

A parent or grandparent with an event before 60 changes your story — even if your own panel looks clean.

02 Women In Midlife

Perimenopause shifts lipid and metabolic risk in ways standard panels often don't capture.

04 East Asians

Distinct lipid and stroke patterns; risk is often understated when standard thresholds are applied.

06 History of preeclampsia or gestational diabetes

Both meaningfully raise lifelong cardiovascular risk and rarely make it into a standard cardiac workup.

Dr. Rachna Relwani in a white coat with a stethoscope

-ABOUT THE FOUNDER

Rachna Relwani, MD

Endocrinologist · Atlanta, GA

"DesiDil exists so I can take care of patients the way I want my own family taken care of."

A board-certified endocrinologist with seventeen-plus years of clinical experience. I founded DesiDil to bring precision cardiometabolic care to the patients standard screening tends to miss — first South Asians like my own family, then the wider group of people whose risk is consistently underestimated.

-Board-certified Endocrinology, -Guest lecturer Morehouse

Diabetes & Metabolism School of Medicine

-Board-certified Int Medicine -Assistant Prof NYU

-Atlanta Magazine Top Doctor -Featured in Khabar, NRI Pulse, Healio.

Read the full story →

-A PRECISE READ

Three questions. One sitting.

A Decode My Risk consultation is designed to answer these — clearly, in a single 60-minute visit

Question 1

Where do you actually stand?

Your true baseline, beyond what a single lab panel can show.

Question 2

What's driving your risk?

The metabolic chemistry behind the number, not just the number itself.

Question 3

What should you do next?

A precise, actionable plan — built from your specific picture, not a template.

-PROGRAMS WE OFFER

Three ways in. Start with a precise read. Continue only if it makes sense for you.

First Decode My Risk

A 60-minute deep dive into your true cardiometabolic risk. Perfect if you have "normal" labs but want a more precise interpretation.

60 min. One time. $595

Book Now

Then Reset My Risk

A 4-month program to actively improve the markers that drive long-term risk. Includes targeted evaluation, follow-up, and care.

4 months. Structured.

Book Now

Or Executive Intensive

A highly tailored, technology-driven prevention strategy for individuals seeking a deeper level of precision to achieve their goals.

6 months. Bespoke.

Book Now

FREE DOWNLOAD

The Executive Heart Risk Brief.

Five advanced markers your primary care doctor may not have run — with what each one actually tells you, in plain language. Bring it to your next appointment.

Lp(a) — the hidden genetic risk
ApoB — the true particle count
hs-CRP — silent inflammation
Coronary Artery Calcium — plaque you can see
CIMT — your vascular age

Get the Brief

PDF- 10 minute read

Cover of The Executive Heart Risk Brief, "The 5 heart tests your doctor probably didn't order"

-FAQ

A few common questions.

Is this Primary Care?

No. DesiDil is a focused, consultative practice. It's not designed to replace your primary care doctor, and we don't manage routine medical care. We're built to do one thing well — interpret your cardiometabolic risk precisely — and to send you back to your PCP with a clear plan.

Do you take insurance?

No. DesiDil is a private-pay practice. Many people use HSA or FSA funds for the consultation; we provide a receipt you can submit for potential out-of-network reimbursement, though coverage varies.

Do I need to be South Asian?

No. The work began with a focus on South Asians because that's where the gap was widest, but the same gaps apply to women in midlife, Filipinos, East Asians, and anyone with a strong family history of early cardiac events. If your standard panel feels reassuring but you don't, this is for you.

Will I need new labs before we meet?

Sometimes. Most people already have plenty of data — we work from what you already have whenever possible. Where a key marker is missing (often Lp(a) or ApoB), we'll order what's needed before our visit so the consultation is productive.

What happens after the consultation?

You leave with a precision report and a clear plan you can act on. Most people take it back to their primary care doctor. Some choose to continue with the Reset My Risk program or the Executive Intensive. There's no obligation either way.

-READY WHEN YOU ARE

Turn your numbers into a plan.

Book a Decode My Risk consultation and get a precise read on your cardiometabolic risk.

Start Risk Assessment Call

Get the brief

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