“Your Cholesterol Looks Fine” — But Did Anyone Actually Look?
Why standard visits gloss over cardiovascular risk—and what we can do about it.
If you've ever had your annual physical and heard,
“Your cholesterol looks fine—nothing to worry about,”
you’re not alone.
The truth is, most cholesterol conversations last under 90 seconds.
LDL, HDL, total cholesterol, maybe triglycerides.
A quick scan of your “lipid panel.”
If the numbers fall into a safe-looking range, you’re cleared.
If not, a statin gets mentioned.
No discussion of inflammation.
No mention of ApoB.
No testing for Lp(a) or LDL particle size.
No questions about family history, insulin resistance, or your metabolic baseline.
That’s not precision. That’s a checkbox.
The Problem
Cardiovascular disease is still the #1 cause of death in the U.S.
And yet, the diagnostic lens we use in most clinical visits hasn’t changed in decades. We’re still largely relying on LDL-C, a population-level metric that misses individual-level risk—especially in patients who appear “healthy” on the surface.
In my practice, I see patients every week who were told they’re fine…
until they’re not.
What we actually need is deeper analysis. Not more testing. Better testing.
What I Use Now
I’ve integrated a tool into my practice that looks beneath the surface: the Boston Heart CVMap™.
It measures things like:
Apolipoprotein B (ApoB) — a better predictor of cardiovascular events than LDL-C
Lipoprotein (a) — a genetic marker linked to early heart disease and stroke
Small, dense LDL particles — which are more inflammatory and dangerous
Inflammatory markers and cholesterol metabolism patterns — so we can ask: Are you over producing cholesterol? Over absorbing it? Or inflamed and insulin-resistant?
It’s a complete cardiovascular risk map. And it changes the clinical conversation.
Who This Is For
This isn’t for people who want to wait and see.
It’s for those who:
Have a family history of heart disease, stroke, or metabolic illness
Have “normal labs” but persistent fatigue, brain fog, or gut issues
Want a root-cause view, not a prescription-ready checkbox
Are ready to invest in clarity—before symptoms become diagnoses
What I’m Offering
I’ve created an 12-week intensive that uses this testing as the foundation.
We’ll:
Run your CVMap panel
Interpret it together in depth
Build a data-informed plan involving nutrition, supplements, somatic therapy, and metabolic recalibration
You’ll leave with a detailed, personalized roadmap—not a list of things to “watch” until next year.
I’m opening up a handful of spots for this program now.
If you’re interested in learning more or seeing if it’s a fit, you can start here:
https://www.soundintegrative.com/cvmapjourney
No pressure. Just better questions.
Better testing.
Better outcomes.
— Dr. Adam Rinde
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