Complete Blood Workup

Heart Health Accelerator Cardiac Wellness Program

To follow are the full set of blood labs and tests to take at the beginning of the program, and are helpful for our consultation, and then when you have completed the program to retest to assess changes.

Some of these tests may not be covered under your insurance plan, in which case you would have to pay out of pocket for them. Make sure you verify if the lab is covered or not. If you are unable to get all the tests, no worries, we will work with what we have!

Book a consult with me:

Basic metabolic

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CBC with differential

White Blood Cell Count (WBC): Increased WBC count signifies inflammation and infection. Persistent leukocytosis is linked to atherosclerosis progression and cardiovascular events. Differential will show a bacterial or viral low grade chronic infection.

Thyroid panel (hormones are affected by cortisol)

TSH

FT3

FT4

RT3

TPO AB

Thyro AB

Hormone Workup:

Testosterone

Progesterone

Estradiol

Estrogen

PSA

DHEA

Lipid Panel and TMAO:

VLDL: Very Low Density Lipoprotein-the tiny pebbles that can hurt the arteries-or fractionated lipid panel.
Lp(a): Elevated level makes you more prone to cardiac disease, genetically driven.
ApoB: Most predictive measurement of heart attack risk, present on LDL, VLDL, Lp(a) and IDL-gives you an idea of the amount of total cholesterols.
9P21 genetic test: Known as “The heart attack gene” to check for potential for heart disease at an early age (may be a whole other ball of wax, so can be tabled for now).
TMAO: A metabolite produced by gut bacteria when meat, eggs, full fat milk products are eaten. MAO (or trimethylamine N-oxide) is a metabolite produced by gut bacteria. Briefly, nutrients such as phosphatidylcholine (also known as lecithin), choline, and L-carnitine are abundant in animal-derived products such as red meat, egg yolk and full-fat dairy products. When consumed, these nutrients are processed by gut bacteria resulting in the release of various metabolites including TMA (trimethylamine) into the blood. TMA is then transported to the liver where it is converted into TMAO which has been shown to regulate various physiological processes involved in the development of atherosclerosis. Phosphatidylcholine has been shown to be important for cell membrane health, and decreases with age.

Glucose Control: Fasting Insulin, Fasting Glucose and A1C

Fasting Insulin: comparison with other blood sugar tests-THE most important because this test shows how hard your pancreas is working to get the “normal” results you may have in other glucose tests when you may in fact be in a redlining area signifying diabetes. Tests insulin resistance, a primary cause of many heart attacks and strokes. Very important test! Please also get A1C and fasting glucose.

Inflammatory markers:

Cortisol: Measures your stress levels-highest in the morning
HSCRP: C-reactive protein
ESR: Sed Rate Elevated ESR reflects systemic inflammation and is associated with CAD severity and prognosis. Blood cells stick together when inflamed. >20 mm per hour is inflamed. Sticking together and clumping creates clots.
Procalcitonin: Levels rise in bacterial infections, aiding in differentiating bacterial from non-bacterial causes of inflammation.
IL-6: A pro-inflammatory cytokine associated with atherosclerosis and CAD progression. Elevated IL-6 levels predict adverse cardiovascular outcomes.

BNP:

BNP is an indicator of damage post cardiac event and should trend downward

Vitamin levels:

Vitamin B12, D, Omega 3
Folate
Homocysteine

Clotting Factors

(To note if you had the experimental emergency use pharma injections the past few years.)

D-Dimer: A D-dimer test is a blood test that checks for blood-clotting problems. It measures the amount of D-dimer, a protein your body makes to break down blood clots. A positive test means the D-dimer level in your body is higher than normal. It suggests you might have a blood clot or blood clotting problems.
Ferritin: Storage form of iron. Pathogens love iron. Food is supplemented exorbitantly with iron. Men and post-menopausal women cannot get rid of it. (The only way is to donate blood and detox protocols for chelating). Heavy metal, Alzheimer’s, leaky gut, body wants to keep iron in storage form of ferritin to starve pathogens. Ferritin is acute phase reaction for inflammation- ideal 50-150. Check multiple serial tests, to see if this accumulation is acute (recent onset) or chronic (ongoing). Ferritin is another alarm bell for inflammation.
Fibrinogen: Fibrinogen, part of the blood clotting process and is also an inflammatory marker. A high value equals inflammation. Investigative work for the cause of the high value is needed.
Platelets: First responders to a wound. Remember wounds can be the damaged arteries in our body. Platelets form clots. Clots block arteries and can cause a heart attack.

Tests to check how our filters are doing:

AST/ALT to check the liver – especially if on statins:

AST/ALT – liver function
eGFR – kidney function
BUN – kidney function
Creatinine – kidney function-trend it

SCANS: