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Inflammation and clotting markers that predict heart attack risk
Advanced cardiovascular risk testing goes beyond cholesterol to measure inflammatory markers (hsCRP, Lp-PLA2, MPO), clotting factors (fibrinogen, homocysteine), and vascular health markers (ADMA, TMAO) that drive atherosclerosis and thrombosis.
Cholesterol is a weak predictor of heart attack risk. Inflammation, endothelial dysfunction, and hypercoagulability are the real drivers. Half of all heart attacks occur in people with normal cholesterol. This panel reveals the hidden risk factors conventional cardiology ignores.
Heart disease is an inflammatory disease, not a cholesterol disease. A patient with low hsCRP and healthy endothelial function has low risk even with high cholesterol. Conversely, a patient with high hsCRP, elevated homocysteine, and sky-high Lp-PLA2 is at serious risk even with 'good' cholesterol. Gabriel uses cardiovascular risk markers to identify true risk and to design targeted anti-inflammatory, methylation-supporting, and endothelial-healing protocols that address root causes.
A fasting blood draw at a local lab. Fast for 10–12 hours (water only). Results arrive in 3–5 business days with inflammatory and clotting marker analysis. Upload to Gabriel for cardiovascular risk assessment and heart-protective protocols.
Conventional practitioners read these results through a disease-focused lens — looking for what's broken. Gabriel reads them through a holistic lens — looking for what's out of balance and how to restore it. We see optimal ranges, not just "normal" ranges. We connect findings across all your diagnostics to reveal patterns that siloed specialists miss.
Beyond standard lipids, it typically measures hs-CRP, homocysteine, Lp(a), ApoB, fibrinogen, insulin, HbA1c, and sometimes coronary calcium score or CIMT (carotid intima-media thickness). This comprehensive view catches risk factors that standard panels miss entirely.
Anyone with family history of heart disease, metabolic syndrome, diabetes, or high blood pressure. Also valuable for people whose standard cholesterol looks 'normal' but who have other risk factors. About 50% of heart attacks occur in people with 'normal' cholesterol.
A quick CT scan that measures calcified plaque in your coronary arteries. A score of zero is excellent. Above 100 indicates significant plaque. Above 400 is high risk. It's one of the best predictors of heart attack risk and costs $75-150 at most imaging centers, often without insurance.
Blood work portion typically $200-400. Coronary calcium CT adds $75-150. Insurance coverage varies; many markers are covered with appropriate diagnosis codes. Direct-to-consumer labs offer panels starting around $150.
Tell Gabriel your symptoms and health goals. Get personalized diagnostic recommendations backed by evidence, not guesswork.