✦ Men's Health

Thelonggame.

Heart disease and metabolic decline are slow, predictable and almost entirely preventable when you start early enough.

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✦ The pattern

“Most heart attacks are decades in the making and visible in labs years before they happen. Look earlier, see clearer.”

Standard preventive cardiology measures total cholesterol and asks you to come back next year. Modern preventive cardiology measures the markers that actually predict events — and does it early enough to change the trajectory.

If you have a family history, if your numbers have been drifting, or if you simply want to age well, this is the work that compounds. Small changes made early are worth far more than dramatic interventions made late.

✦ Worth knowing

Three things to hold onto.

ApoB beats LDL

Apolipoprotein B counts every atherogenic particle in your blood — a far better predictor of cardiovascular events than the cholesterol numbers on your last lab.

Insulin runs ahead

Fasting insulin and HOMA-IR are abnormal years before fasting glucose. By the time blood sugar shows up on a routine panel, the work has been quietly going on for a decade.

Inflammation matters

hsCRP, homocysteine and Lp(a) round out a picture standard labs miss. Each one is actionable.

✦ The work

How I think about cardiovascular & metabolic health.

The panel I actually run

ApoB, Lp(a), full lipid breakdown, fasting insulin and HOMA-IR, HbA1c, hsCRP, homocysteine, ferritin, full thyroid, vitamin D, omega-3 index. Coronary calcium scoring or cIMT imaging where the case calls for it.

Where the levers are

Body composition (especially visceral fat). Quality of carbohydrates, fiber, and dietary fats. Strength training. Sleep. Alcohol load. Targeted nutrients (omega-3s, magnesium, others by case). For some men, statins or other medications are part of the picture — used by indication, not by default.

What I prescribe and what I don't

Naturopathic doctors in BC have a prescribing scope. Where statins, metformin, or other interventions are right, I prescribe and monitor — and I'm honest about side effects. Where lifestyle and supplements will do the work, we go that route.

✦ How I'd work with you

Considered.
Tested.
Re-tested.

This is a long arc — five, ten, twenty years. Quarterly check-ins, annual full panels, slow durable changes that compound. The goal is staying out of the system as long as possible.

Therapies I'd likely use

Functional lab testing IV & injection therapy Bioidentical hormones

✦ Common questions

You're probably wondering.

My GP runs my labs every year — what do you add?

A different panel, run with a different lens. We're looking for early signal in insulin, particle number, inflammation and metabolism, not just whether your cholesterol crossed a flag line.

Family history of heart disease — when should I start?

Now. The earlier we baseline, the more we can do. If you're 35 with a parent who had a cardiac event in their 50s, this is a conversation worth having today.

What about statins?

They're a useful tool for the right person at the right time. I'll be straight with you about the risk-benefit for your case, and we'll decide together.

✦ Next step