Wellness Associates of Katy, LLC  - Arlene M . Loeschen, RN, MSN, FNP-BC, BC-ADM, CDE
CHOLESTEROL MANAGEMENT

We use advanced lipid testing offered through Atherotech diagnostics and Cleveland Heart Lab.
The VAP+ Lipid Panel
  • Is the test of choice for accurate, global cardiometabolic risk stratification and management
    • Provides comprehensive lipid analysis
    • Simultaneously and accurately measures cholesterol concentrations of all 5 lipoprotein classes and their subclasses in a non-fasting patient
  • Clarifies risk and drives a personalized treatment approach based on 3 categories of residual cardiometabolic risk
    • - Directly measures LDL and HDL, providing accurate results in a non-fasting patient. Also measures subclasses including apoB, which reflects atherogenic load.
    • - Identifies triglyceride-rich disorders, including non-HDL, even in patients with seemingly normal triglyceride levels.
    • - Identifies Lp(a), a hereditary marker of risk.

Other tests available include:
 - Coenzyme Q10  This is a fat-soluble vitamin -like substance needed for cell function. It helps cells make energy                 as well as acting as an anti-oxidant, protecting cells against inflammation. When your body does not make enough or obtain enough from food this can lead to oxidative stress which may play a role in heart disease. Statin drugs used in treating cholesterol can decrease CoQ10 levels.

- Omega Check  Two of the most important fats in our diet are omega-3 and omega 6 fatty acids. They come mostly from plant sources, but oily fish are extremely rich sources as well. While they are important, the amounts you get are also important.The typical Western diet  filled with processed meat and low in fresh fish and vegetables has a ratio close to 10:1 omega 6 to omega 3. The ideal goal Omega 6 to omega 3 ratio would be 2.5:1 as a high ratio is associated with high triglycerides, high blood pressure as well as higher risk of diabetes and heart disease. This test can tell you what your ratio is.

- Oxidized LDL  This test measures protein damage to the "bad" LDL cholesterol. Oxidized LDL triggers inflammation leading to the formation of plaque in the arteries as well as playing a role in increasing triglycieride levels and increasing the amount of fat deposited by the body. In turn, fat tissue can enhance the oxidation of LDL, creating a vicious cycle.

-Myeloperoxidae (MPO)  This test measures vascular-specific inflammation due to the white blood cell release of free MPO into the bloodstream at sites of arterial injury including sites of plaque and erosion. Plaque buildup inside the artery wall can become inflamed and burst through the wall of the artery to where the blood flows and the body responds by forming a a clot but this clot and cause a complete blockage of blood flow, resulting in a heart attack. Elevated levels of MPO are associated with increased risk for cardiovascular disease and heart attacks.

-Aspirin Works and clotting factors  This test can determine if you are one of approximately 25% of the population that has genes that make aspirin ineffective in thinning your blood.Testing can also determine if drugs such as Plavix and Coumadin are effective and whether or not  you are prone to clotting.

-Apo E genotype Apoprotein E (Apo E) is a genetic test. ApoE has a key role in lipoprotein metabolism and impacts cardiovascular disease risk. There are three apo E genotypes – apo E2, apo E3, and apo E4. ApoE3 is considered a normal genotype affecting 64% of the population. Individuals with an apo E4 allele tend to have higher LDL-C and may have up to a 42% increased risk of CVD. ApoE2/2 may have type III hyperlipidemia with elevated triglycerides.

- Additional Genetic testing  Additional testing is also available.