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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)

cardiometabolic test Revival Clinic Bangkok
Healthy Food

🧘‍♀️ 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

  1. Adopt a Mediterranean diet – high in fiber, omega-3, and antioxidants

  2. Exercise daily – a mix of cardio and resistance training

  3. Sleep well – aim for 7–9 hours per night

  4. Manage stress – deep breathing, nature walks, journaling

  5. Avoid sugar, alcohol, and ultra-processed foods

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©2019 by Revival Clinic Bangkok. 

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