Standard testing is designed to identify risk at a population level.

But some people carry risk that doesn’t show up clearly until much later.

South Asians are one well-recognized example, with 2–4× higher rates of heart disease that often develop quietly and earlier.

But this pattern is broader.

It shows up in people with:

• higher visceral fat, even at lower BMIs

• underlying insulin resistance

• genetic risk factors like elevated lipoprotein(a)

• early plaque formation despite “normal” labs

This is where many people are falsely reassured.

Everything looks fine - until something changes.

This is a structured, in-depth review of the factors that actually drive risk, not just what appears on a standard panel.

We assess:

• Lipid and lipoprotein patterns (ApoB, Lp(a), particle profile)

• Insulin resistance and metabolic function

• Liver and inflammatory markers

• Thyroid and endocrine contributors

• Coronary calcium or prior imaging, when available

The goal is not more testing.

It’s understanding how these pieces fit together.

Your plan is tailored to your specific risk profile and priorities.

It may include:

• Nutrition strategies adapted to your dietary patterns and preferences

• Practical, sustainable approaches to fitness

• Sleep and stress optimization where relevant

• Targeted supplementation, when appropriate

• Medication discussions framed around your individual risk

Everything is designed to be clear, actionable, and realistic.

For those who want to go deeper

Some clients choose to continue beyond their initial evaluation

to actively improve their risk markers over time.

Reset Your Risk — $2,200

A 4-month structured program focused on improving key metabolic and lipid markers

Executive Performance Intensive — $5,000

A 6-month, high-touch program for deeper, personalized optimization

These options are only introduced after your initial evaluation,  once your priorities are clearly defined. You leave with a clear understanding of where you stand and what to do next.