Finding the risk years before disease.

We start with your PREVENT 30-year risk (a validated calculator that estimates your heart risk over the next three decades), then go well past a standard checkup. We measure ApoB (a blood marker that counts the particles that actually cause clogged arteries), Lp(a) (an inherited risk marker, set once for life, that most doctors never check), family history, inflammation, and metabolic health.

For imaging we favor coronary CTA (a detailed CT scan that sees soft plaque and narrowing, more informative than a basic calcium score), with Cleerly plaque analysis (an advanced reading of that scan) when it fits, and a CAC calcium score (a quick scan that measures hardened plaque) as the lower cost option.

The goal is to lower your lifetime exposure to ApoB, starting earlier and treating to tighter, individualized targets, with an ApoB goal under 40 for our highest risk patients. Treatment is tiered: rosuvastatin plus ezetimibe first, stepping up to PCSK9 inhibitors (injectable medications that sharply lower cholesterol) when needed, alongside blood pressure kept under 120/80, uric acid, omega-3 status, and pharmacogenetic testing (matching medications to your genetics).

Every therapy is offered only when clinically appropriate and decided together with you. We reduce risk and find disease early. We do not promise to prevent or cure it.