NMR Lipoprofile or Apo B
Lipid panel including Non HDL cholesterol
Comprehensive Metabolic Panel (CMP)
Thyroid panel (TSH)
Free T4
25 OH Vitamin D
Vitamin B12
hsCRP
Lipoprotein (a)
LpPLA2 (PLAC)

Evaluation may include additional labs such as:
Omega 3 index
Apo E genotype
Absorption and Synthesis Markers
ApririnWorks Test
Myeloperoxidase (MPO)

NMR includes:
1. LDL particle concentration (LDL-P)  Optimal <1000 nmol/L

2. Insulin resistance score (IR Score) Optimal <45/100
This test provides information about the risk for diabetes and also data that allows us to determine alternative treatment options for high cholesterol other than traditional therapies; also helps determine whether patients are at risk for metabolic syndrome and abdominal weight gain.

3. Traditional lipid panel
Total Cholesterol                        Optimal <200
LDL cholesterol                          Optimal <100
HDL cholesterol                          Optimal >50 for women, >40 for men
Triglycerides                                Optimal <100
See www.liposcience.com for more information
Some insurance companies do not cover this testing. The cash price is typically $91.

We have recently collaborated with HDL Labs which offers the most comprehensive test available today. Our agreement with this lab allows us to offer the advanced lipid tests at no out-of-pocket expense to those patients that are without insurance coverage for these test. Call us to see if you qualify to take advantage of this offer and to make and appointment for a lab draw and office visit. Friends and family are also welcome to have their labs drawn and have their results forwarded to their Primary Care Physician (PCP).

Absorption and Synthesis Markers
Determines if your liver is making too much cholesterol or over absorbing it. This helps determine appropriate diet, supplement and medication options. If the liver is over absorbing cholesterol it is very important that patients NOT take supplements that lower cholesterol (Cholestoff is an example, also any food or supplements with added phytosterols). These supplements are commonly added to supplements like CoQ10 and other vitamins as well as orange juice, granola bars, etc. Check labels carefully.

Omega 3 index
Determines omega 3 level in red blood cells. Low levels are associated with increased cardiovascular risk. Optimal > 8-10%. This helps determine whether an increase in omega 3 supplements (EPA/DHA) or increased consumption of fish high in omega 3 are indicated.

Apo B
Marker of the atherogenic particles, more predictive of cardiovascular risk than LDL cholesterol.

Comprehensive Metabolic Panel
Baseline liver, kidney, diabetes screen. 

25 OH Vitamin D
Vitamin D deficiency is highly prevalent and associated with increased cardiovascular risk. Optimal >50-90.

B12
Common defiency which also may be depleted when using certain therapies such as Metformin. Levels are followed and over the counter supplements added as needed.

Lipoprotein (a)
Highly atherogenic particle associated with increased cardiovascular risk. This is genetically determined and not modifiable by diet or exercise.