Metabolic Syndrome Care:
Sequoia Medical 360

Precision Endocrine & Cardiometabolic Medicine in Westchester, NY

Metabolic syndrome is not one disease — it is a constellation of conditions that together multiply your risk for heart attack, stroke, diabetes, fatty liver disease, and premature aging. At Sequoia Medical 360, we see it as both a warning sign and a chance to intervene early.

Led by Dr. Tony Mathews — quadruple board-certified in Endocrinology, Obesity Medicine, Clinical Lipidology, and Internal Medicine, with dual fellowships in Preventive Cardiology and Endocrinology/Metabolism — our approach goes beyond treating numbers. We address root physiology, advanced diagnostics, and personalized care to restore long-term metabolic balance.

Metabolic syndrome is diagnosed when at least three of these five features are present:

Metabolic syndrome is diagnosed when at least three of these five features are present:

Abdominal obesity (excess visceral fat).
Elevated fasting glucose or insulin resistance.
High triglycerides.
Low HDL cholesterol.
High blood pressure or need for antihypertensive therapy.

Individually, each raises risk. Together, they create a dangerous synergy that accelerates vascular disease and organ damage.

Why It Matters

Metabolic syndrome is more than “pre-diabetes plus cholesterol issues.” It drives:

Cardiovascular disease — heart attacks, strokes, arterial stiffening.
Diabetes & fatty liver — insulin resistance leading to type 2 diabetes and NAFLD.
Kidney decline — early microalbuminuria and CKD progression.
Neurologic risk — vascular dementia and cognitive decline.
Cancer risk — higher rates of colorectal, pancreatic, and breast cancers.

Drivers & Risk Factors

Key contributors include:

Insulin resistance and visceral fat.
Sedentary lifestyle and poor nutrition.
Sleep apnea and circadian disruption.
Chronic stress and elevated cortisol.
Medications such as steroids or antipsychotics.
Genetics and advancing age.

Advanced Diagnostics at Sequoia Medical 360

Where routine labs stop, we dig deeper:

Advanced lipid testing (ApoB, Lp(a), particle size).
Insulin resistance profiling (fasting insulin, HOMA-IR, glucose tolerance testing).
Body composition via InBody 770.
Inflammatory & vascular markers (hs-CRP, fibrinogen).
Hormonal screening when indicated.
Sleep & stress evaluation using wearables and apnea testing.

Defining Success

We measure progress by more than weight:

Reduced visceral fat and preserved lean muscle.
Normalized glucose, insulin, and lipid markers.
Lower blood pressure and inflammation.
Medication reduction where possible.
Improved energy, strength, and resilience.

Treatment Strategies

Nutrition

Low-glycemic, fiber-rich eating to stabilize glucose.
Protein-forward approach to preserve lean mass.
Smart carb timing around activity.
Anti-inflammatory food emphasis.
Real-world strategies for dining out, travel, and cultural fit.
Fitness
Progressive resistance training to reverse insulin resistance.
Zone-based cardio to improve VO₂ max and heart health.
Mobility and posture programs to ensure sustainability.
Medications & Advanced Therapies
Metformin, GLP-1 agonists, dual GIP/GLP-1 agents, and SGLT2 inhibitors when appropriate.
Lipid-lowering therapy for ApoB elevation.
Tailored antihypertensives for persistent high blood pressure.
Sleep, Stress & Behavior
Testing and treatment for sleep apnea.
Circadian rhythm optimization.
Stress reduction strategies and behavioral coaching.
Surgical/Procedural Options

The Sequoia Medical 360 Difference

Patients choose us for:

Quadruple board-certified leadership with dual fellowships.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Cutting-edge diagnostics beyond standard labs.
Whole-patient focus: we aim to reduce risk, not just treat symptoms.
Real-world strategies for dining out, travel, and cultural fit.

Take Control of Your Cardiometabolic Future

Metabolic syndrome is reversible. With advanced testing and a tailored plan, you can dramatically lower your risk of diabetes and heart disease — and reclaim vitality for decades ahead.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
https://sqmed360.com/
Tony Mathews, MD 116 Kraft Ave, Suite 4 Bronxville NY 10708
(914) 292-0300
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