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 ScialesThis may get you sick to your stomach, but it shouldn’t be ignored. Gastric acid shapes digestion, inflammation, insulin resistance, energy, and cardiometabolic risk. Suppressing it may ease symptoms while worsening metabolic health.
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.