Dr. John ScialesNormal glucose doesn’t mean normal metabolism. Hidden insulin resistance and excess insulin drive inflammation and plaque formation, silently leading to heart disease long before standard labs show abnormalities.
Dr. John ScialesNumbers estimate risk. Imaging reveals reality. True cardiovascular care begins when we stop guessing from labs and start seeing the disease directly—because what matters is not the number, but what’s happening inside your arteries.
Dr. John ScialesHeart disease and diabetes are not separate, both stem from insulin resistance. Long before sugar rises, inflammation and vascular damage begin. “Normal” labs can miss it. Early metabolic testing and imaging reveal hidden disease and allow prevention at the root.
Dr. John ScialesNattokinase, a fibrin-degrading enzyme from fermented soy, may influence clot biology. But cardiovascular disease begins years earlier with metabolic dysfunction, inflammation, and plaque formation.