Lipid Management

Your heart deserves more than a rushed primary care visit and a generic prescription. At Compass, we offer concierge-level lipid optimization services that go far beyond outdated cholesterol testing and one-size-fits-all statins.
Book a consult
precision care

Redefining Cardiovascular Prevention

We take a precision medicine approach rooted in the latest science, so you don't just manage your cholesterol—you optimize your long-term cardiovascular health.

Beyond Basic Numbers

Heart disease remains the #1 cause of death in the United States (CDC, 2023), yet most Americans have never had a true assessment of their atherogenic risk. Total cholesterol and LDL-C are only part of the story. Our program goes deeper—into particle size, inflammation, genetics, and hormone interplay—to give you an edge.

Understanding Your Lipids

Lipids are fat-based molecules that play critical roles in your body: they form cell membranes, create steroid hormones, support nerve function, and store energy. But the same lipids that keep you alive can also kill you—when they’re in the wrong forms or places. Elevated lipids, especially certain types of LDL particles and triglyceride-rich remnants, contribute to plaque formation, arterial inflammation, and cardiovascular events.

Clinical Evidence

At Compass, we believe lipid management is about more than hitting a number. It’s about transforming your long-term health trajectory. We go beyond the outdated “LDL vs. HDL” conversation and assess the quality, size, and behavior of your lipids using state-of-the-art tools. You won’t get a vague report and a statin— you’ll get an actionable plan grounded in the latest cardiovascular research, tailored to your unique physiology.

Our Process

Precision Meets Personalization

At Compass, lipid optimization is never one-size-fits-all. Our process begins with a deep clinical intake, where we examine your medical history, genetics, lifestyle, hormone status, metabolic resilience, and even mental stress load. We then run an advanced diagnostic panel including:

  • Full lipid particle and inflammation analysis
  • Hormonal screening (testosterone, estrogen, thyroid, cortisol)
  • DEXA scan for body composition
  • VO2 Max and RMR (Resting Metabolic Rate) to evaluate cardiovascular efficiency

From here, we create a comprehensive roadmap tailored to your biology. Whether you need pharmacologic intervention, nutraceuticals, hormone rebalancing, or metabolic conditioning, your plan evolves with your data.

Most importantly, you’re not alone. You’ll have direct access to your physician, with regular follow-ups, lab reviews, and iterative adjustments—because optimization is a journey, not a one-time fix.

Beyond LDL

Advanced Lipid Testing at Compass

Most conventional doctors still rely on a basic lipid panel that includes total cholesterol, LDL-C, HDL-C, and triglycerides. But these metrics are often incomplete, misleading, or entirely insufficient for assessing real cardiovascular risk.

Treatment Applications

Our Treatment Toolkit

A comprehensive, personalized approach to optimizing your lipid profile and protecting your cardiovascular health.

Statins have been proven in countless studies to reduce cardiovascular risk by lowering LDL-C and stabilizing arterial plaque. But not everyone needs a statin—and not everyone tolerates them well.

At Compass, we don’t just hand out prescriptions. We evaluate whether you truly need a statin using ApoB levels, calcium scoring, genetic markers (like SLCO1B1), and LDL particle analysis. If a statin is appropriate, we select the lowest effective dose with the fewest side effects, often in combination with other therapies like ezetimibe or omega-3s.
We also provide support for those who experience side effects such as muscle pain or cognitive fog. This might include CoQ10 supplementation, switching to a different statin, or exploring non-statin therapies altogether.

Our goal is simple: achieve optimal outcomes with minimal side effects.

We recognize the value of evidence-based nutraceuticals. Three we frequently incorporate are:

  • Niacin (Vitamin B3): In therapeutic doses, niacin can lower LDL, reduce triglycerides, raise HDL, and uniquely lower Lp(a). We use extended-release or no-flush versions under close monitoring to minimize side effects and track liver enzymes.
  • Soluble Fiber: Whether from psyllium husk, inulin, or beta-glucans (oat-based), soluble fiber helps bind bile acids and lower LDL. We often recommend a therapeutic dose of 10–15 grams per day, paired with dietary guidance to enhance lipid-lowering effects.
  • Red Yeast Rice: A natural source of monacolin K (a compound similar to lovastatin), red yeast rice can help borderline patients achieve lipid reductions without full prescription statins. We use only pharmaceutical-grade versions, combined with CoQ10 and liver monitoring to ensure safety.

Your endocrine system plays a major role in lipid metabolism. At L2, we assess and optimize key hormones to support your cardiovascular health:

  • Testosterone: Low T in men is associated with increased LDL, triglycerides, and metabolic syndrome. We offer BHRT when clinically indicated, improving lipid panels and vitality.
  • Estrogen: In women, declining estrogen post-menopause correlates with reduced HDL and worsened lipid profiles. Bioidentical estrogen therapy may improve lipid parameters and vascular tone.
  • Thyroid function: Even subclinical hypothyroidism can elevate LDL and ApoB. We assess TSH, Free T3, Free T4, and reverse T3, and optimize thyroid hormone replacement as needed.
  • Cortisol and insulin: Chronically elevated cortisol drives insulin resistance and dyslipidemia. We evaluate stress hormone patterns and insulin sensitivity (via fasting insulin, HOMA-IR, and adiponectin) and tailor solutions accordingly.

Lifestyle medicine is a cornerstone of our approach. But we don’t just hand out generic advice—we test, track, and tailor:

  • Nutrition: We guide you through anti-inflammatory, low-glycemic eating strategies personalized to your metabolic type. Whether Mediterranean, low-carb, or intermittent fasting, we base our recommendations on glucose response (via CGM) and lipid impact.
  • Exercise: Movement is medicine. We prescribe strength training and aerobic conditioning based on your VO2 Max and RMR data, targeting metabolic efficiency and cardiovascular resilience.
  • Recovery & Stress: We also help optimize sleep, recovery, and nervous system balance—all of which influence your lipid profile through hormonal and autonomic pathways.
THE Compass DIFFERENCE

A Different Standard of Care

Why haven’t you heard this from your primary care doc? Because most primary care practices are limited by insurance constraints, short visit times, and outdated clinical tools. Advanced lipid testing? Often not covered. Genetic screening or VO2 Max? Not on the radar.

At Compass, we break those limitations. We provide:

  • Time-rich consultations
  • Unlimited direct messaging access
  • Preventive testing that actually matters
  • Data-driven, proactive optimization

We don’t just diagnose—we elevate. Your care at Compass is designed to get ahead of disease, not just respond to it.

our Concierge Advantage

The Superhuman Approach

When you join Compass, you’re not a number in a system—you’re a member of a curated clinical experience designed to make you stronger, longer-living, and higher-performing. Our concierge model includes:

Full diagnostic workups

Personalized protocols

Quarterly progress testing

Unparalleled physician access

We don’t wait for problems. We find and fix them – before they derail your life or longevity.

YOUR JOURNEY

What to Expect at Compass

Here’s what your journey at Compass looks like:

  • Comprehensive intake and testing (lipids, hormones, VO2, genetics)
  • Data-driven treatment roadmap built around your goals
  • Quarterly optimization labs, follow-ups, and strategy reviews
  • Unlimited access to your physician team
  • No waiting rooms. No 7-minute visits. Just results.