Cardiometabolic test

These tests help detect early warning signs of heart disease, stroke, and metabolic issues — even before symptoms appear.

Lipoprotein-a

A type of inherited LDL cholesterol that increases plaque build-up in arteries and risk for:

Heart attack
Stroke
Aortic valve narrowing

🎯 Normal range:

<300 mg/L (or <75 nmol/L)

🔺 High level:

500 mg/L → Very high risk

💊 Treatment:

No medication specifically approved yet
May reduce risk with:
- Niacin (B3)
- Omega-3s
- Healthy lifestyle

hs-CRP

High-Sensitivity C-Reactive Protein

A marker of inflammation in your blood vessels. High levels can mean silent inflammation in your heart or body.

🎯 Normal range:

<1.0 = Low risk
1.0–3.0 = Medium risk
3.0 = High risk

💊 Treatment:

Anti-inflammatory diet (Mediterranean style)
Exercise, weight loss
Quit smoking, improve sleep

Homocysteine

An amino acid; high levels may damage arteries and raise risk for:

Heart disease
Stroke
Dementia

🎯 Normal range:

5–15 µmol/L (but <10 is better for heart protection)

💊 Treatment:

Vitamin B6, B12, and Folate
Leafy greens, beans, fish, eggs

Uric acid

A natural waste product from purines (found in meats, seafood, alcohol). High levels are linked to:

Gout (painful joint inflammation)
Kidney stones
Insulin resistance
Increased risk of high blood pressure and heart disease

🎯 Normal range:

Men: 3.5–7.0 mg/dL
Women: 2.5–6.0 mg/dL
Optimal for heart health: <6.0 mg/dL

🔺 High level:

7.0 = High
Risk increases for gout, metabolic syndrome, heart disease

💊 Treatment:

Reduce red meat, organ meats, sugary drinks, and alcohol
Eat more vegetables, low-fat dairy, and water
Medications like allopurinol or febuxostat (in gout patients)

🧘‍♀️ Lifestyle Treatments for Cardiometabolic Risk

💔 1. Lipoprotein(a) – Genetic, but still modifiable risk

While you can't directly change Lp(a) through lifestyle alone, reducing overall cardiovascular risk is essential.

What to do:

🐟 Eat omega-3-rich foods (salmon, sardines, chia seeds)
🥗 Follow a Mediterranean diet: olive oil, veggies, nuts, whole grains
🧘‍♂️ Reduce stress (mindfulness, yoga, therapy)
🚭 Stop smoking
🚶‍♀️ Exercise at least 30 minutes/day
💤 Prioritize sleep (7–9 hrs/night)

🔥 2. hs-CRP – Inflammation marker (very responsive to lifestyle)

What to do:

🥦 Anti-inflammatory diet: lots of fruits, veggies, turmeric, ginger
🫒 Use olive oil instead of vegetable oil
🐟 Eat fatty fish 2–3x/week
🏃‍♀️ Regular aerobic exercise lowers CRP
🧘‍♀️ Reduce stress and improve sleep hygiene
📉 Lose weight if overweight (fat tissue releases inflammatory chemicals)

🧬 3. Homocysteine – Metabolism & methylation marker

What to do:

🥬 Eat leafy greens (rich in folate): spinach, kale, arugula
🥚 Eggs, fish, lentils = good B vitamin sources
🧃 Limit alcohol (which depletes B vitamins)
💊 Consider a high-quality B-complex supplement, especially if you have the MTHFR gene mutation
🧘‍♀️ Avoid chronic stress – it can impair methylation pathways

🧂 4. Serum Uric Acid – Gout & metabolic risk

What to do:

💧 Drink plenty of water (2–3 liters/day)
🚫 Avoid:
- Sugary drinks (fructose!)
- Alcohol (especially beer and spirits)
- Red meat, organ meats, anchovies
🍒 Eat cherries, strawberries, and berries — may help lower uric acid
🏃‍♀️ Maintain a healthy weight
🛌 Get enough sleep (poor sleep raises insulin resistance and uric acid)

✅ Summary: Top 5 Lifestyle Moves to Improve All Markers

Adopt a Mediterranean diet – high in fiber, omega-3, and antioxidants
Exercise daily – a mix of cardio and resistance training
Sleep well – aim for 7–9 hours per night
Manage stress – deep breathing, nature walks, journaling
Avoid sugar, alcohol, and ultra-processed foods

REVIVAL CLINIC BANGKOK,

Cardiometabolic test

🧘‍♀️ Lifestyle Treatments for Cardiometabolic Risk