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Cardiovascular Health

Description:

There are many risk factors beyond cholesterol when it comes to cardiovascular health. These include homocysteine C-Reactive Protein Fibrinogen calcification of arteries and oxidative free radical damage.

It is generally accepted that homocysteine levels should be maintained below 6 fibrinogen levels below 300 and C-Reactive below 1.0. Additionally calcification of arteries needs to be addressed as these pathological changes increase risk for cardiac and cerebral events. Cholesterol in particular LDL is prone to oxidation worsening its damaging effects.

Common Risk Factors:

Family history of heart disease along with obesity poor dietary habits and countless co-morbid risk factors common to cardiovascular disease are all contributing factors that the busy clinician must address with each patient. Furthermore insufficient antioxidant intake can accelerate free radical damage and with only 11% of North Americans consuming the minimal 5 to 7 recommended servings of fruits and vegetables supplemental antioxidants is considered a must by many health providers.

Symptoms:

Cardiovascular disease is referred to as a silent killer. Symptoms are relatively minor until significant disease processes have progressed. Fatigue decreased exercise tolerance and overall premature aging can be some of the first signs of circulatory disease.

Diagnostic Considerations:

Routine laboratory testing conducted at least twice annually until risk factors are controlled is a common preventive medicine approach. These tests include homocysteine fibrinogen C-reactive Protein (hs-CRP) and VAP (lipid profile) that measures total cholesterol LDL subcomponents HDL subcomponents VLDL apolipoprotein A and B.

Diet:

Dietary enhancement with emphasis on fresh vegetables fresh fruit high fiber and lean organic protein are cornerstone changes. Also minimizing excess dairy and red meat as it can fuel homocysteine generation is essential.

Lifestyle Strategy:

Health appropriate individualized exercise routines are essential to support cardiac and aerobic capacity. Furthermore stress reduction and improved sleep quality/quantity according to the peer review scientific literature.

Phase I Nutritional Support:

Product
(code)		DosageTechnical Data 
LipiControl®
(CP1960)		2 capsules TID CC (along with 100-200mg of CoQ10) 
Comments
This product combines the benefits of Niacin Red Rice Yeast and other key nutrients.
Product
(code)		DosageTechnical Data 
CoQ10-H2™ (Ubiquinol)
(CP6300)		1 to 2 capsules QD 
Comments
Ubiquinol is important to sustain optimal CoQ10 levels for heart function and when using Red Rice Yeast Extract.
Product
(code)		DosageTechnical Data 
Ultra K2
(CP1092)		1 capsule QD 
Comments
Arterial calcification management.
Product
(code)		DosageTechnical Data 
Advanced Methyl Caps
(CP1970)		2 capsules QD 
Comments
Offers a broad spectrum of nutrents essential for healthy homocysteine levels.
Product
(code)		DosageTechnical Data 
Natto 3X
(CP6252)		2 capsules BID 
Comments
Increased dosing is needed for some individuals and addition of tumeric may be useful as well.
Product
(code)		DosageTechnical Data 
Extension Antioxidant
(CP2186)		2 capsules BID 
Comments
Provides broad antioxidant coverage.

Phase II Nutritional Support:

If desired goals have not been fully achieved these nutrients can be incorporated in addition to Phase I nutritional support.
Product
(code)		DosageTechnical Data 
Active MTHF
(CP1142)		2 capsules QD 
Comments
Supplementing with MTHF helps by-pass potential MTHF reductase defects.
Product
(code)		DosageTechnical Data 
Vitamin B12 Methylcobalamin Sublingual Liquid
(CP1181)		1 ml QD 
Comments
Eliminates the need for the body to convert cyanocobalamin to the biologically active methylcobalamin.
Product
(code)		DosageTechnical Data 
Ethyl EPA
(CP3341)		3 capsules TID CC 
Comments
Fish oil provides essential fatty acids that support anti-inflammatory pathways.

Diagnostic Support:

Product
(code)		DosageTechnical Data 
Test Kit: High Sensitivity C-Reactive Protein Test
(CP9847)		 
Comments
Measurement of CRP by a high sensitivity assay hs-CRP allows for a lower detection limit related to chronic low grade inflammation which is associated with heart disease.
Product
(code)		DosageTechnical Data 
Test Kit: Food Allergy Test Kit – General + Environment + hs-C-Reactive Protein
(cp9853)		 
Comments
This is a quantitative screening test for antibodies against 96 different foods reflective of a typical American diet. With an Environmental panel and hs-CRP included.


Clinical discernment is required to assure which components of proposed protocol are appropriate for each specific patient.
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