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Cardiolucent

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Metabolic Health Assessment & Plan

Assessments & Care Plans

Metabolic health is inseparable from cardiovascular health. Insulin resistance, visceral fat, and metabolic syndrome are powerful, often-silent drivers of heart attack, stroke, heart failure, and atrial fibrillation — and they can be present for years while standard labs still look acceptable. Dr. Kedan combines a comprehensive metabolic panel with insulin levels, HOMA-IR, and body composition analysis to identify dysfunction early, then builds a plan that addresses the root causes rather than chasing individual numbers.

What's Included

  • Comprehensive metabolic panel with fasting glucose, insulin, and HOMA-IR
  • Advanced lipid panel including ApoB and triglyceride patterns
  • Hemoglobin A1c and continuous glucose monitoring when appropriate
  • Body composition and visceral fat assessment
  • Inflammatory markers (hs-CRP) tied to metabolic and cardiovascular risk
  • Targeted medication management — metformin, GLP-1s, SGLT2 inhibitors when indicated
  • Structured nutrition, exercise, and sleep prescription with measurable targets

How This Helps You

You see metabolic dysfunction years before A1c crosses into diabetes territory, which is exactly when intervention is most effective. HOMA-IR catches insulin resistance while glucose still looks normal; body composition reveals visceral fat that two patients with identical weights can have in very different amounts. Reversing this physiology is one of the highest-leverage things you can do for long-term cardiovascular outcomes.

Who This Is For

  • Patients with prediabetes, metabolic syndrome, or elevated fasting glucose
  • People with stubborn central weight gain or visceral fat
  • Patients with elevated triglycerides, low HDL, or atherogenic lipid patterns
  • People with a family history of type 2 diabetes or premature heart disease
  • Patients with fatty liver, PCOS, or sleep apnea
  • Anyone who feels metabolically off despite "normal" primary care labs
  • Patients who want to optimize body composition for long-term cardiovascular protection

What to Expect at Your Visit

The first visit runs 60+ minutes and includes a detailed metabolic and lifestyle history, focused exam, POCUS, and lab orders. A follow-up integrates the results into a written plan with specific nutrition structure, exercise volume and type (including resistance training for insulin sensitivity), sleep targets, and any medication recommendations. Most patients see measurable improvements in insulin, triglycerides, and waist circumference within 8–12 weeks of consistent change.

Why Cardiolucent

Metabolic care is often fragmented across primary care, endocrinology, and lifestyle programs that don't talk to each other. Dr. Kedan integrates metabolic strategy with your cardiovascular plan so every intervention reinforces the others rather than working in parallel. Continuity matters here — the same physician sees the trend lines, recognizes plateaus, and adjusts the plan based on what's actually happening in your real life.

Common Questions

Frequently Asked Questions

What is a metabolic health assessment?
It's a focused evaluation of how your body handles fuel — glucose, insulin, fats, and body composition — and how that physiology is feeding into your cardiovascular risk. Dr. Kedan combines a comprehensive metabolic panel with insulin levels, HOMA-IR (an insulin resistance index), and body composition measurements to identify dysfunction long before standard labs flag it. The result is a clear, early picture rather than a diagnosis made after the fact.
Why does metabolic health matter for my heart?
Insulin resistance, visceral fat, and metabolic syndrome are powerful, often-silent drivers of heart attack, stroke, heart failure, and atrial fibrillation. They can be present for years while standard cholesterol panels and fasting glucose still look acceptable. Identifying and reversing this dysfunction is one of the highest-leverage things you can do for long-term cardiovascular outcomes.
What is metabolic syndrome?
Metabolic syndrome is a cluster of findings — elevated waist circumference, high blood pressure, elevated fasting glucose, high triglycerides, and low HDL — that together signal substantially increased cardiovascular risk. Meeting three of the five criteria qualifies, but Dr. Kedan also looks at the underlying insulin resistance that ties them together rather than treating each number in isolation. That approach addresses the cause, not just the symptoms.
What is HOMA-IR and why is it tested?
HOMA-IR is a calculation derived from fasting glucose and fasting insulin that estimates insulin resistance. It often reveals early metabolic dysfunction in patients whose glucose is still "normal," which is a window where intervention is most effective. It's a routine part of the metabolic workup at Cardiolucent because waiting for an abnormal A1c misses years of opportunity.
What does body composition analysis tell you?
Body composition analysis separates fat mass, lean mass, and visceral fat, which is the metabolically active fat around your organs that drives cardiovascular and metabolic risk. Two patients with identical weights can have very different visceral fat and very different risk profiles. Tracking composition over time gives a more honest measure of progress than the scale alone.
Will I need medication for metabolic syndrome?
Sometimes — medications like metformin, GLP-1 receptor agonists, and SGLT2 inhibitors have strong cardiovascular benefit in the right patients and can accelerate progress when lifestyle alone isn't enough. For other patients, nutrition, exercise, and sleep changes are sufficient. Dr. Kedan matches the intervention to your specific profile rather than defaulting to either extreme.
How is the metabolic plan personalized?
The plan is built around your labs, your composition, your day-to-day schedule, and what you've tried before. It typically covers dietary structure (not a generic diet name), targeted exercise — including resistance training for insulin sensitivity — sleep priorities, and any medication recommendations. Each element has a target and a follow-up interval. Schedule a consultation with Dr. Kedan to start the workup.
How quickly will I see results?
Most patients see measurable improvements in insulin, triglycerides, and waist circumference within 8–12 weeks of consistent change, with continued progress over 6–12 months. Body composition shifts take longer than scale weight but are more durable. Follow-up testing is structured around these timelines so progress is verifiable.
Is metabolic testing covered by insurance?
Cardiolucent does not accept Medicare or insurance and bills patients directly. Many metabolic labs are still reimbursed through your standard insurance when ordered with appropriate diagnoses; we provide a detailed superbill you can submit for out-of-network reimbursement of the visit. Call (310) 304-5555 with specific billing questions.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.