Where I focus
ApoB, Lp(a), fasting insulin, HbA1c, hsCRP, homocysteine, full thyroid, B12, magnesium, omega-3 index. Blood pressure pattern over 24 hours where it adds clarity. Medication review with your prescriber's input.
Decadesmore,well-lived.
Cardiovascular disease is the leading cause of death and the most preventable. The work compounds. Start where you are.
“It is not too late. And it does not take a heroic intervention. Steady, well-chosen changes move the trajectory more than anything else.”
If you're in your 60s, 70s, or 80s, cardiovascular care is high-leverage. The right labs, sensible medication choices, strength training, and nutritional inputs can meaningfully extend healthy years.
I work alongside your GP and cardiologist, not in opposition. The goal is fewer medications when appropriate, better-targeted medications when needed, and the lifestyle support that makes both work.
The science, simply.
01
Strength training is medicine
Even starting at 70, resistance training improves cardiovascular outcomes, mobility, balance, and falls risk. It is not optional.
02
ApoB still matters
Particle count predicts cardiovascular events better than the cholesterol numbers most standard panels report. Worth knowing yours.
03
Many medications can be optimized
Polypharmacy is common in older adults. A careful review often finds medications that can be reduced, replaced, or timed differently, without losing therapeutic effect.
How I think about cardiovascular health.
The lifestyle work that actually moves it
Mediterranean-pattern eating, protein adequate to preserve muscle, fiber for metabolism and the gut, strength training twice weekly, daily walking, sleep architecture, alcohol load, honest. None of this is glamorous. All of it is leveraged.
Where I prescribe
Statins, antihypertensives, metformin when warranted, used by indication, with monitoring. I'm honest about side effects and check that each medication is still earning its place every year.
Considered.
Tested.
Re‑tested.
Annual full panel. Quarterly check-ins for active treatment. Ongoing communication with your other doctors. This is steady work, and it is worth it.
Therapies I'd likely use
Straight answers.
01
I'm on five medications already. Can you help?
Often yes. A proper review with your prescriber's input usually finds at least one or two that can be reduced, replaced, or timed better. I don't change anything without your other doctors in the loop.
02
Is it too late to start exercise?
Never. The biggest relative gains from starting strength training come for people who haven't done it. Even small, consistent work pays off significantly.
03
Do you replace my cardiologist?
No. They handle acute care and specialist procedures. I handle the longer-arc prevention, nutrition, supplementation, and lifestyle work.
04
Why Dr. Rigobert Kefferputz?
I treat the totality of the person: body, mind, and spirit as one interconnected system. Naturopathic medicine gives me a wide toolbox: clinical nutrition, herbal medicine, acupuncture, IV therapy, somatic approaches, and more. I don't apply protocols; I look for the pattern underneath your symptoms and build care that fits your specific life.
