CARDIOMETABOLIC PROGRAM
Heart disease builds for thirty years before the first symptom. A standard cholesterol panel comes back normal and misses most of the real risk. We measure what actually predicts it, ApoB, Lp(a), particle number, and the inflammation underneath, then lower it through nutrition, training, targeted nutrients, and medication when it is warranted. You have decades to change the outcome. We find the risk while there is still time to act.
Available to North Carolina residents.
Where to start
Talk to Dr. Tagge: it names the reads worth doing and the first moves to make. When you want it found, fixed, and proven, the membership is how we get the numbers to goal and keep them there. Lifestyle first, targeted medication where warranted, a re-test to prove it moved.
If you’re concerned
The stakes
Insulin resistance, sarcopenia, and fatty liver begin years before any diagnosis and reverse cleanly when caught early. The atherogenic particles accumulate silently across the same window.
Cardiovascular disease is still the leading cause of death in the United States. Most of it is preventable, decades in advance, with the right read. Standard cholesterol panels miss the actual drivers. By the time something shows up on a treadmill stress test, the damage has been accumulating for twenty years. The earlier window is where this disease is most modifiable.
The outcome
These are targets we measure toward, traceable to a finding on your panel.
The panels
The Core read covers the metabolic baseline. The Advanced read adds the lipid particle and genetic markers that earn their place when standard panels miss the picture.
A foundational metabolic read. Glycemic context, intact insulin, uric acid, lipids, and inflammation. Includes a physician’s interpretation.
Includes a physician’s interpretation. Drawn at a local Quest. Itemized receipt provided.
A comprehensive cardiometabolic read. Particle count, ApoB, Lp(a), omega-3 index, inflammation, and glycemic context. Includes a physician’s interpretation.
Includes a physician’s interpretation. Drawn at a local Quest. Itemized receipt provided.
When the case warrants it
A coronary artery calcium score (CAC), or a CT angiogram (CCTA) for a specific indication. Ordered to a local imaging partner, read by radiology, integrated into your Plan. Not performed in-house.
Imaging referral
Not performed in-house. This is a directed referral.
The markers
The pattern across all of them, compared to optimal ranges, not disease cutoffs.
ApoB
The atherogenic particle count. Above everything.
Lp(a)
Genetic. Measured once. Reframes risk dramatically when elevated.
NMR particle count + size
What actually drives atherogenesis. Not the cholesterol concentration.
Fasting insulin
Moves years before HbA1c. The earliest reliable signal upstream of glucose.
Triglyceride-to-HDL ratio
A pragmatic read on insulin-driven dyslipidemia.
hs-CRP
Inflammation, directly measured.
Glycation markers
How sugar is landing on your proteins over months.
Body composition over BMI
Muscle mass and visceral fat tell the real story.
Inside the membership
When ApoB, particle count, or insulin resistance calls for it, the Plan moves to treatment. The pharmacotherapy is matched to the read and titrated against the markers, not prescribed by template.
Lipid ladder
Titrated against particle number and tolerance. Ezetimibe added when LDL or ApoB stays above optimal. PCSK9 inhibitors when the risk profile or Lp(a) burden warrants the next tier.
Metabolic management
GLP-1 prescribed inside a Plan, not in isolation. For sustained improvement in metabolic markers and body composition. Glycemic control and inflammation addressed at the source so the lipid story has somewhere to land.
Foundation
Addressed alongside the prescribing, not after it. The pharmacotherapy works harder when the foundation is doing its job, and the foundation is non-negotiable regardless of which tier the lipid ladder is on.
This is the work inside the membership: your numbers measured and corrected on the testing rhythm your biology calls for, at my actual cost, every number read by a physician. We scope it together on a free call. Talk to Dr. Tagge to see your first moves.
Common questions
Where to next
The pillar
How metabolites tell you what insulin is doing weeks before fasting glucose drifts.
Read the pillarThe panel
ApoB, Lp(a), hs-CRP, fasting insulin, comprehensive metabolic markers. The risk read upstream of the event.
See the panelThe writing
Long-form writing on insulin resistance, lipid biology, and the markers conventional panels still miss.
Read the writingCatch the insulin resistance. Measure the particles. Move the modifiable drivers.
No charge. No card. No pressure.
The Precision Health Report
The science of optimizing your biology, sourced and translated, with no hype. A weekly report from Dr. Tagge.
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