Advanced Lipid Management:
Sequoia Medical 360

Precision Cholesterol & Triglyceride Management in Bronxville & Westchester, NY

Cholesterol and triglycerides are essential to human physiology, but when present in excess or imbalance, they become silent drivers of cardiovascular disease — the leading cause of death worldwide. At Sequoia Medical 360, we approach lipid management with the same philosophy we bring to endocrinology and longevity medicine: proactive, highly individualized care, grounded in advanced diagnostics and evidence-based therapy.

As a board-certified lipidologist and endocrinologist, Dr. Tony Mathews integrates cutting-edge lipid testing, precision pharmacology, and lifestyle optimization to reduce your cardiovascular risk and protect your long-term health. Whether you are managing familial hypercholesterolemia, metabolic syndrome, or simply want to take preventive action, Sequoia offers concierge-level expertise tailored to your unique biology.

Understanding Lipids and Cardiovascular Risk

Cholesterol is a waxy molecule vital for cell membranes, hormone production, and bile acid synthesis. Triglycerides serve as energy storage. But when carried in excess within the bloodstream, these lipids accelerate atherosclerosis — the buildup of plaques inside arteries that can rupture and cause heart attacks or strokes. The most important lipid fractions to monitor include:

Non-HDL cholesterol (non-HDL-C): The total burden of “atherogenic particles,” including LDL, VLDL, and IDL. Considered the most predictive marker of cardiovascular risk.
LDL cholesterol (LDL-C): Historically the primary target of therapy; still highly relevant for most individuals.
Triglycerides: Often elevated in people with diabetes, insulin resistance, or metabolic syndrome, compounding cardiovascular risk.

Advanced Lipid Testing at Sequoia

Traditional cholesterol panels provide only part of the picture. At Sequoia Medical 360, we use advanced diagnostics to more precisely assess your risk:

Apolipoprotein B (ApoB): Direct measurement of the number of atherogenic particles.
Lipoprotein(a) [Lp(a)]: A genetic marker strongly linked to premature heart disease.
NMR particle analysis: Identifies LDL particle size and number.
Inflammatory markers: Including high-sensitivity CRP (hs-CRP) to evaluate vascular inflammation.

These tests allow us to detect risk earlier and target therapy more precisely than standard cholesterol checks.

Lifestyle as the Foundation

While advanced medicine is central to our approach, lifestyle remains the cornerstone of lipid management. Our programs include:

Personalized nutrition frameworks: Anti-inflammatory and heart-healthy strategies designed for sustainable cholesterol and triglyceride reduction.
Exercise prescriptions: Resistance and aerobic training tailored to improve lipid metabolism and insulin sensitivity.
Body composition analysis (InBody 770): Tracking fat distribution and muscle mass to guide interventions.

Evidence-Based Therapies

Statins: First-line therapy proven to reduce cardiovascular events.
Ezetimibe: Blocks intestinal absorption of cholesterol, often combined with statins.
Fibrates: Target elevated triglycerides, particularly in patients with diabetes or metabolic syndrome.
PCSK9 inhibitors (e.g., Repatha, Praluent): Injectable therapies that dramatically reduce LDL cholesterol, especially in familial hypercholesterolemia.
Bempedoic Acid: An oral therapy that lowers LDL through a novel pathway, helpful for statin-intolerant patients.
Inclisiran (Leqvio): Twice-yearly injectable RNA-based therapy targeting PCSK9 production for sustained LDL reduction.

Our goal is always minimal effective therapy — reducing medication burden where possible, but ensuring protection against future events.

Continuous Monitoring & Concierge Access

Effective lipid management requires ongoing evaluation. At Sequoia, follow-up is not an afterthought — it is central to your care. We track lipid markers, cardiovascular imaging, and systemic inflammation over time, adjusting strategies as your body and lifestyle evolve. Through our concierge model, you gain:

Direct access to Dr. Mathews year-round for rapid adjustments.
Advanced monitoring tools to track real progress.
Integration with other specialties (endocrinology, longevity medicine, cardiology) for holistic risk reduction.

The Sequoia Medical 360 Advantage in Lipid Care

Managing cholesterol and triglycerides is not just about hitting numbers — it is about redefining your cardiovascular trajectory. At Sequoia Medical 360, you receive:

Expertise that bridges endocrinology, lipidology, and preventive cardiology.
Personalized treatment pathways, never one-size-fits-all.
Access to the most advanced therapies and diagnostic tools available today.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.

Take Control of Your Heart Health

High cholesterol and triglycerides are silent but powerful threats. With precision diagnostics, personalized treatment, and continuous support, Sequoia Medical 360 helps you prevent atherosclerosis, protect your heart, and extend your healthspan.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
https://sqmed360.com/
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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