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 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 ScialesEthnicity can shift cardiometabolic risk earlier and silently—often with “normal” labs and reassuring stress tests. Learn the biology of insulin resistance, visceral fat, and vascular injury—and how precision testing can catch risk early.
Dr. John ScialesElite training builds a powerful metabolic engine, but when intense exercise stops, the body can shift toward fat storage, inflammation, and insulin resistance. Former athletes may face hidden heart risk without proper transition care.