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Functional Medicine
Functional Medicine

Cardiometabolic Optimization

Optimize your heart and metabolic health through advanced diagnostics, personalized nutrition, and evidence-based interventions that target root causes.

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Understanding the Risk

The silent progression of metabolic disease

Cardiovascular disease remains the leading cause of death worldwide, yet the majority of heart attacks occur in people whose standard cholesterol panels appear normal. The reason: conventional screening misses critical risk factors such as lipoprotein particle number, insulin resistance, chronic inflammation, and arterial dysfunction.
Metabolic syndrome, characterized by central obesity, elevated triglycerides, low HDL, high blood pressure, and impaired fasting glucose, affects over one-third of American adults. Left unaddressed, it progresses silently toward type 2 diabetes, coronary artery disease, and stroke.
Our approach identifies dysfunction at its earliest stages, often years before conventional medicine would flag a problem. We measure what matters: insulin dynamics, particle-level lipid analysis, inflammatory biomarkers, and arterial health metrics that predict risk far more accurately than total cholesterol alone.
Advanced peptide protocols such as AOD-9604, MOTS-c, and NAD+ precursors complement our metabolic optimization strategies, supporting fat metabolism, mitochondrial function, and cellular energy production. These tools, documented on our research platform at NewportBeachPeptides.com, represent the cutting edge of metabolic medicine.
Risk Assessment

Do you have risk factors?

Family history of heart disease or diabetes
Elevated cholesterol or triglycerides
High blood pressure or prehypertension
Prediabetes or insulin resistance
Central obesity or difficulty losing belly fat
Sedentary lifestyle or low fitness
Chronic stress or poor sleep quality
Elevated inflammatory markers
Metabolic syndrome diagnosis
Our Approach

Comprehensive cardiometabolic care

Advanced Cardiac Assessment

Standard cholesterol panels miss critical cardiovascular risk factors. Our advanced assessment measures lipoprotein particle size and number, inflammatory markers such as high-sensitivity CRP and homocysteine, and arterial health indicators. We use these data points alongside family history and lifestyle factors to build a complete cardiovascular risk profile that goes far beyond what a routine physical reveals.

  • NMR lipoprotein particle analysis (LDL-P, HDL-P)
  • Inflammatory markers (hs-CRP, Lp-PLA2, homocysteine)
  • Apolipoprotein B and Lp(a) screening
  • Coronary artery calcium score evaluation
  • Heart rate variability and autonomic function testing

Metabolic Testing & Insulin Analysis

Insulin resistance is the root driver of metabolic syndrome, type 2 diabetes, and many cardiovascular events. We assess metabolic function at a granular level, measuring not just fasting glucose but insulin dynamics, glucose tolerance, and cellular energy production. Early identification of insulin resistance allows intervention years before diabetes or cardiovascular disease manifests.

  • Fasting insulin and glucose with HOMA-IR calculation
  • Oral glucose tolerance testing with insulin response
  • HbA1c and advanced glycation end products
  • Resting metabolic rate assessment
  • Body composition analysis with visceral fat measurement

Personalized Nutrition & Supplementation

Evidence-based nutrition protocols tailored to your metabolic profile, genetic predispositions, and cardiovascular needs. We move beyond generic dietary advice to create targeted intervention strategies, including anti-inflammatory eating patterns, strategic supplementation for nutrient deficiencies, and meal timing strategies that optimize metabolic flexibility.

  • Metabolic typing and nutrient needs assessment
  • Anti-inflammatory and Mediterranean diet protocols
  • Omega-3 index and fatty acid balance optimization
  • Targeted supplementation (CoQ10, berberine, magnesium)
  • Meal timing strategies for insulin sensitivity

Exercise & Lifestyle Prescription

Physical activity is the most potent medicine for cardiometabolic health. We design customized exercise programs based on your cardiovascular fitness, metabolic capacity, and health goals. Protocols incorporate zone-based cardio training, resistance exercises for metabolic health, and recovery strategies that maximize adaptation while minimizing injury risk.

  • VO2 max and cardiovascular fitness assessment
  • Heart rate zone training prescription
  • Resistance training for metabolic health
  • High-intensity interval training protocols
  • Stress management and recovery optimization
Your Provider

Dr. James Rosing, MD, FACS

Stanford-Trained Surgeon & Functional Medicine

Dr. Rosing combines his surgical training at Stanford with functional medicine principles to address cardiometabolic health from a root-cause perspective. His approach integrates advanced diagnostics, personalized nutrition, exercise prescription, and metabolic peptide protocols for comprehensive cardiovascular and metabolic optimization.

About Dr. Rosing
Common Questions

Frequently asked questions

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Take control of your cardiometabolic health

Early intervention is the most powerful tool in preventing cardiovascular and metabolic disease. Schedule your comprehensive assessment today.

Schedule ConsultationCall (949) 706-7874