Revivelife Clinic I Naturopath in Ottawa



This is a traditional screen for the lipid panel which includes: Cholesterol, HDL-C, TG, LDL-C, CHOL/HDL-C Ratio. A calculation is made of your HDL% (HDL/Tchol) and TG/HDL ratios are also made which are more reflective of cholesterol profile risk. If you already have this lipid profile performed by your medical doctor simply bring it in to your visit for further analysis.
May be recommended to screen heart health and to monitor the progress of therapies.


As current research evolves there is new discoveries that assist us in the understanding of the mechanisms of cardiovascular damage. While high cholesterol has been the main focal point of CVD therapeutics for many years more reflective heart markers are now available. This cardio test evaluates more advanced markers and includes: Lipid Panel: Cholesterol, HDL-C, TG, LDL-C, CHOL/HDL-C Ratio and Advanced Markers: ApoA1, ApoB, Lp(a), A/B ratio, Homocysteine, hs- CRP, and fasting Insulin.
May be recommended if you have a family history of heart disease, have been using traditional statins for cholesterol and want a more detailed review.


The NMR LipoProfile® test uses nuclear magnetic resonance (NMR) spectroscopy to directly measure the number of LDL particles and sizes, and HDL particles. The test also provides a standard cholesterol test and a calculation of one's risk of type 2 diabetes by assessing abnormalities in lipoprotein markers that are closely associated with insulin resistance (a precursor to type 2 diabetes). Includes the Lipid Panel: Cholesterol, HDL-C, TG, LDL-C, CHOL/HDL-C Ratio and Advanced Markers: NMRP (LDL particles, HDL particles) ApoA1, ApoB, Lp(a), A/B ratio, Homocysteine, hs- CRP, and fasting Insulin.
Key for a comprehensive overview of your cardiovascular status, especially if you have a strong family history or are in perimenopause or andropause where hormones shift and your risk factors may increase.


This signature DNA Genetic Test Health & Hormones assess over 100 genes for Detoxification Pathways, Health Overall, Hormone Metabolism, Nutrition, Alcohol Tolerance, Vitamin & Minerals needs, Blood Sugar, Weight & Metabolism, Cardiovascular Health, Fitness (Exercise Performance & Impact) & Injury Risk.
Best suited to those who want the most comprehensive approach to DNA health.


The EndoPAT 2000 is a non-invasive test assessing the health of your vessels through endothelial elasticity. The endothelium lines your blood vessels and produces nitric oxide which helps the blood vessels relax. Damage to the endothelial cells leads to endothelial dysfunction which may lead to vessel constriction, clot and dangerous plaque formation which are all risk factors for heart attack and stroke.
Comprehensive evaluation can help to reverse cardiovascular disease and potentially do so without the use of prescription medications and their known side effects.

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Although the screening tests to date have been helpful providing basic screening information it does not tell the full story and research shows that lipid panel testing alone is not an accurate prediction of your risk of cardiovascular disease.

Clinical trials have shown that lowering LDL-C does reduce the risk for a cardiovascular event but only by 25% on average. In a nutshell, this means that standard drug therapy fails to address 75% of a person’s residual risk for cardiovascular disease. Angiograms (x-ray picture of the health of a vessel) even show that those who are using traditional drug therapies may have lower cholesterol by lipid panel tests but may not have healthy vessels.  It is actually advanced markers and the health of the endothelium (the lining of blood vessels) that give you a more reflective measure of cardiovascular risk.

Assessment of blood vessel health and inflammation is a key component in determining one’s true risk for heart health concerns. Advanced cardio tests are recommended which include additional blood work (apoA1, ApoB, Lp (a), Homocysteine, LP particle number & size, oxidized LDL, hs-CRP, fasting Insulin, HbA1C), and an in-office, non-invasive testing (EndoPAT 2000) which assesses the health of the endothelium.

We recommend a New Patient Visit for the most comprehensive approach to your health or a Pre-Lab Visit for a quick snapshot prior to lab testing and a Post-Lab consult to review your results.

Traditional methods of testing for cardiovascular disease have included a blood test for a lipid panel (cholesterol panel) and the use of various risk factors. The lipid panel is a measure of the amounts of fatty substances (lipids) in the blood and includes

TC (total cholesterol)
LDL-C (low-density lipoprotein cholesterol)
HDL-C (high-density lipoprotein cholesterol)
TG (triglycerides)

The focus most often for heart health has been LDL-C and HDL-C which are two key types of cholesterol:

LDL-C: classically defined as “bad cholesterol”. However, there are two key types of LDL-C which include small & dense LDL-C which are the true dangerous types of LDL-C that can penetrate vessel walls creating inflammation and damage and the large & fluffy LDL-C which are less of a risk to heart health.  Traditional lab lipid panel testing does not differentiate these types of LDL-C.
HDL-C: classically defined as “good cholesterol” which helps remove LDL-C from your blood vessels. It carries the “bad cholesterol” to the liver to be removed from the body.

  • ApoA1: Structural and functional component of lipoprotein particles that serve as transporters of cholesterol.  Apo A1 is the protein component of HDL-C and its concentration is inversely related to the risk of CVD.
  • ApoB: Structural and functional component of lipoprotein particles that serve as transporters of cholesterol. ApoB is the primary protein component of the LDL and VLDL. One molecule of Apo B is associated with each LDL or VLDL molecule, making Apo B a good indicator of CVD risk. It has been suggested that Apo B is a more reliable indicator of CVD than LDL-C since the measurement of Apo B is a direct measurement rather than a calculated measurement. In addition, the Apo B assay is not affected by hypertriglyceridemia, as is the case with the calculated LDL-C.
  • A/B ratio: The apo B/apo A-I ratio reflects the cholesterol transport and has been shown to be strongly related to the risk of Myocardial infarction, stroke, and other Cardiovascular manifestations.
  • Lp (a):  A marker for genetically-determined factors
  • Homocysteine: A marker for nutritional deficiencies that increase cardiovascular risk.
  • CRP-hs: A marker for inflammation & infection
  • Insulin (fasting): Elevated levels increase the risk of cardiovascular disease NMR LipoProfile®: Research shows that it is the cholesterol particle sizes and blood sugar that determine the relative risk for cardiovascular disease. 

Heart Disease in Blood Vessels (Atherosclerotic Disease) Signs & Symptoms:

Cardiovascular disease symptoms may be different for men and women. For instance, men are more likely to have chest pain; while women are more likely to have chest discomfort, shortness of breath, nausea, and extreme fatigue.

Symptoms can include:

  • Chest pain, chest tightness, chest pressure and chest discomfort (angina)
  • Shortness of breath
  • Pain, numbness, weakness or coldness in your legs or arms
  • Pain in the neck, jaw, throat, upper abdomen or back

Abnormal Heartbeats (Heart Arrhythmias) Signs & Symptoms:

  • Fluttering in your chest
  • Racing heartbeat (tachycardia)
  • Slow heartbeat (bradycardia)
  • Chest pain or discomfort
  • Shortness of breath
  • Lightheadedness
  • Dizziness
  • Fainting (syncope)

Heart Defect Signs & Symptoms:

Infants – Congenital:

  • Pale gray or blue skin color (cyanosis)
  • Swelling in the legs, abdomen or areas around the eyes
  • In an infant, shortness of breath during feedings, leading to poor weight gain


  • Easily getting short of breath during exercise or activity
  • Easily tiring during exercise or activity
  • Swelling in the hands, ankles or feet

Weak Heart Muscle (dilated cardiomyopathy) Signs & Symptoms:

  • Breathlessness with exertion or at rest
  • Swelling of the legs, ankles and feet
  • Fatigue
  • Irregular heartbeats that feel rapid, pounding or fluttering
  • Dizziness, lightheadedness, and fainting

Heart Infections (endocarditis) Signs & Symptoms:

Endocarditis is an infection that affects the inner membrane that separates the chambers and valves of the heart (endocardium). Heart infection symptoms can include:

  • Fever
  • Shortness of breath
  • Weakness or fatigue
  • Swelling in your legs or abdomen
  • Changes in your heart rhythm
  • Dry or persistent cough
  • Skin rashes or unusual spots

Valvular Heart Disease Signs & Symptoms:

The heart has four valves — the aortic, mitral, pulmonary, and tricuspid valves — that open and close to direct blood flow through your heart. Valves may be damaged by a variety of conditions leading to narrowing (stenosis), leaking (regurgitation or insufficiency) or improper closing (prolapse).

Depending on which valve isn’t working properly, valvular heart disease symptoms generally include:

  • Fatigue
  • Shortness of breath
  • Irregular heartbeat
  • Swollen feet or ankles
  • Chest pain
  • Fainting (syncope)

When to See a Doctor Seek emergency medical care if you have these heart disease symptoms:

  • Chest pain
  • Shortness of breath
  • Fainting

Information courtesy of Mayo Clinic, Retrieved Feb 29, 2020.

The principal risks of developing cardiovascular disease include:

ApoE Genetic Variant
Autoimmune Inflammatory Diseases (rheumatoid arthritis and systemic lupus erythematosus)
Blood Sugar Imbalance (insulin resistance, leptin resistance, diabetes)
Chronic Inflammation
Elevated Blood Lipids
Elevated C-Reactive Protein
Elevated Fibrinogen
Elevated Homocysteine
Elevated Lipoprotein (a)
Elevated Resistin
Elevated Serum Amyloid A (SAA)
Elevated Tumor Necrosis Factor-alpha (TNF-α)
Excess Alcohol
Genetic Link
High Blood Pressure
Hormone Imbalance
Hormone Imbalance or Aging Hormones (testosterone, estrogen)
Infectious Agents
Low Nutrients (EPA/DHA, D, K)
Microbiome Imbalance
Periodontitis (Gum Disease)
Poor Lifestyle – Diet, Lack of Sleep, Stress, Smoking
Reduced Nitric Oxide

Your Naturopath or Nurse Practitioner will help assess which test is right for you, including an analysis of the most cost-efficient path of testing. We recommend a New Patient Visit with one of our Naturopathic Doctors for the most comprehensive approach to your health or a Pre-Lab Visit for a quick snapshot prior to lab testing as there are many tests available.  Lab testing alone is a one-dimensional picture of your health. The expertise of a health professional is required to create a three-dimensional picture for proper selection, and interpretation of lab testing. To complete your care we recommend booking your Post-Lab consult 2 weeks after testing to review your results and receive your tailored health plan.

Most of the advanced cardiovascular testing is not ordered by your General Practitioner under OHIP-based services on routine screening tests. Our goal is to assess your health by evaluating high-risk factors including genetics and then work in prevention.

+Are these cardiovascular tests covered under insurance plans?

Third-party insurance companies may cover all or a portion of your consultations. Most of the other integrative testing is not currently covered by private insurance companies. Please check with your individual provider for details and how to submit claims.

Your Revivelife clinician will review all findings and create a tailored plan to you based on what are the root causes of your cardiovascular imbalances. The use of tailored meal plans, nutrients, antioxidants, vitamins, minerals (oral or IV), herbs, probiotics, prebiotics, stress management and or acupuncture that promote healing are often advised. One strategy may include targeted B vitamins. In trial involving 81 people with mild-to-moderately high blood pressure who were not on blood pressure medication, a combination of L-arginine (2.4 grams) and vitamin B6 (3 mg), folic acid (0.4 mg), and vitamin B12 (2 mcg) improved vascular function (including blood pressure, endothelial health, and homocysteine levels) compared with placebo. 100

We recommend a New Patient Visit for the most comprehensive approach to your health or a Pre-Lab Visit for a quick snapshot before lab testing and a Post-Lab consult to review your results and receive your tailored health plan.

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