ApoB
Apolipoprotein B measures the number of atherogenic lipoprotein particles in your bloodstream — information beyond standard LDL cholesterol.
Sieveking/Functional Medicine/Lipid & Cardiovascular Risk Reduction
Lipid & Cardiovascular Risk Reduction
Beyond Cholesterol · Advanced Biomarkers · Preventive
Heart disease remains the leading cause of death for both men and women — yet many cardiovascular events are preventable through early detection and proactive risk reduction. Cardiovascular risk reduction through the Ageless Solutions program at Sieveking Plastic Surgery in Franklin, Tennessee, goes far beyond routine cholesterol screening, evaluating the metabolic and inflammatory factors that drive disease long before symptoms develop.
Protect your heart. Optimize your health. Invest in your longevity.
- 01Consultation
- 02Testing
- 03Protocol
- 04Monitoring
Your true risk is more than one number.
For decades, cardiovascular screening focused almost exclusively on total cholesterol and LDL. Those markers remain important, but they tell only part of the story: many patients with “normal” cholesterol still develop heart disease, while others with elevated cholesterol never experience a cardiovascular event.
That is because cardiovascular disease is influenced by multiple factors — inflammation, the central driver of arterial plaque; insulin resistance and metabolic syndrome, often present years before diagnosis; blood pressure; genetics, including inherited lipoprotein patterns; lipoprotein particle number rather than cholesterol content alone; mitochondrial health; and lifestyle and body composition. Understanding your true risk requires the complete picture.
The approach
Treat the system, not the lab value.
Heart disease rarely develops in isolation. Many patients also carry insulin resistance, prediabetes, obesity, fatty liver disease, hypertension, elevated triglycerides, or low HDL — conditions that share common metabolic pathways. Rather than treating each diagnosis independently, the program addresses the metabolic dysfunction that connects them.
Chronic inflammation plays a central role in arterial plaque, endothelial dysfunction, and vascular aging — and the same lifestyle factors behind fatigue, obesity, and accelerated aging promote it. The heart is also one of the most metabolically active organs in the body, its every beat dependent on energy produced by mitochondria; when mitochondrial function declines, oxidative stress and impaired vascular function follow. Programs here emphasize lifestyle strategies that support both metabolic and mitochondrial health, not simply cholesterol reduction.
Food is one of the most powerful tools for cardiovascular health. Recommendations emphasize nutrient-dense, anti-inflammatory eating patterns that improve cholesterol balance, reduce inflammation, support healthy blood sugar, lower triglycerides, and improve vascular function — sustainable habits rather than restrictive diets, combined with prescription medications when medically indicated.
Advanced biomarkers, clearly read.
When appropriate, testing goes well beyond the standard panel — because these markers often assess risk more accurately than traditional cholesterol testing alone.
Lipoprotein(a)
A genetically influenced risk marker associated with heart attack, stroke, and aortic valve disease — and absent from routine testing.
LDL particle analysis
Particle number and characteristics, not just cholesterol content — a sharper view of what is actually circulating.
hs-CRP
High-sensitivity C-reactive protein, a marker of the low-grade inflammation that drives plaque development.
Glucose and insulin
The metabolic markers that reveal insulin resistance years before diabetes — a core cardiovascular risk factor.
CAC scoring
Coronary artery calcium imaging measures calcified plaque directly — recommended by age, family history, and risk profile.
What your plan may include
Personalized prevention, layer by layer.
Every cardiovascular prevention program is customized to your individual risk profile, health goals, and laboratory findings.
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Nutrition counseling
Nutrient-dense, anti-inflammatory eating patterns built for adherence — the foundation of vascular health.
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Weight and exercise
Weight optimization and exercise programming matched to your metabolic profile and capacity.
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Pressure and glucose
Blood pressure management and blood sugar optimization — two of the most modifiable contributors to vascular damage.
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Hormones when relevant
Hormone optimization when appropriate, because endocrine health and cardiovascular health are intertwined.
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Targeted supplementation
Nutritional supplementation targeted to your laboratory findings as part of an anti-inflammatory strategy.
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Medication when indicated
Prescription therapy when medically indicated — combined with lifestyle strategies for greater protection.
Many heart attacks occur without warning. Identifying disease before symptoms develop is one of the most important things preventive medicine can do.
What to expect: your cardiovascular assessment.
01
Consultation
History and risk context
A detailed evaluation: complete medical history, family history of cardiovascular disease, blood pressure, body composition, metabolic screening, and lifestyle assessment.
02
Testing
Advanced biomarkers
Comprehensive laboratory work — and when appropriate, ApoB, Lipoprotein(a), LDL particle analysis, hs-CRP, and glucose and insulin markers, with coronary artery calcium scoring guided by your age, family history, and risk profile.
03
Protocol
Prevention, personalized
Your physician builds a plan from your actual risk drivers: nutrition, exercise, blood pressure and blood sugar management, hormone optimization when appropriate, supplementation, and prescription medication when indicated.
04
Monitoring
Risk, re-measured
Markers are retested on a defined cadence so improvement is demonstrated rather than assumed — the underlying physiology improving, not just a lab value.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking for cardiovascular risk reduction in Franklin, TN.
Directed by Dr. Sieveking · Led by Jan Stanley RN, MS
Cardiovascular prevention should be proactive, not reactive.
Sieveking Plastic Surgery at 1200 Old Hillsboro Road in Franklin, Tennessee, is the only practice in Middle Tennessee that integrates world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one physician at a single address. The program combines functional medicine, advanced laboratory diagnostics, metabolic optimization, and evidence-based preventive care to identify cardiovascular risk before disease develops — improving the underlying physiologic processes rather than simply treating laboratory values.
The mission is to help patients throughout Franklin, Brentwood, Williamson County, and greater Nashville stay active, healthy, and independent for years to come.
Membership & investment
Cost of cardiovascular risk assessment.
Program cost depends on the depth of testing your risk profile calls for — from the comprehensive baseline panel through advanced biomarkers and imaging — and the prevention plan built from it. Pricing is reviewed transparently at consultation.
Ageless Solutions is structured for continuity, with membership options that keep monitoring and refinement continuous rather than episodic. HSA and FSA funds are accepted.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Yes. Many cardiovascular risk factors — including inflammation, insulin resistance, genetics, and lipoprotein abnormalities — may not be identified through a standard cholesterol panel alone.
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Apolipoprotein B (ApoB) measures the number of potentially atherogenic lipoprotein particles in your bloodstream and can provide additional information about cardiovascular risk beyond traditional LDL cholesterol.
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Lipoprotein(a), or Lp(a), is a genetically influenced lipoprotein associated with an increased risk of heart attack, stroke, and aortic valve disease. Many people are unaware they have elevated Lp(a) because it is not routinely included in standard cholesterol testing.
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Absolutely. Nutrition, physical activity, weight management, blood pressure control, sleep, stress reduction, and smoking cessation all play important roles in lowering cardiovascular risk. When needed, medications can be combined with these strategies to provide even greater protection.
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A CAC score is an imaging test that measures calcified plaque in the coronary arteries. Depending on your age, family history, and risk profile, it may be recommended to help clarify your cardiovascular risk and guide personalized prevention strategies.
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Begin your journey
Begin advanced cardiovascular prevention in Franklin, TN.
The best time to prevent cardiovascular disease is before symptoms ever appear. Schedule a consultation at the Franklin office to discover how advanced risk assessment and personalized prevention strategies can help protect your heart, improve your health, and support a longer, more vibrant life.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment