Cardiovascular risk

There are two indicators you can easily calculate to determine cardiovascular risk:

The first is the ratio between waist circumference and height:

  • Measure your waist and height.
  • Divide the waist value by the height.
  • Record the result.
Interpretation:
  • less than 0.5 → Excellent, low risk. 
  • between 0.5 and 0.6 → Increased risk of cardiovascular diseases and diabetes. 
  • greater than 0.6 → Very high risk. 

Why does it matter?
Abdominal (visceral) fat is metabolically active and secretes hormones and inflammatory molecules that lead to:
  • Insulin resistance → type 2 diabetes mellitus
  • High blood pressure
  • Dyslipidemia (TG ↑, HDL ↓)
  • Chronic inflammation → increased risk of cardiovascular diseases and cancer

The second is the TG/HDL ratio (triglycerides / HDL cholesterol): a very valuable indicator for assessing insulin resistance, cardiovascular risk, and metabolic health. These are two routine tests, but unfortunately, (almost) no one calculates this ratio, which provides a much more accurate picture than each value taken separately.

To calculate it, both values must be expressed in mg/dl (as is usual in Romania), and HDL must be greater than 40 mg/dl (a lower value indicates a major danger, regardless of the ratio value).

Interpretation:

  • less than 2 → Excellent – good insulin sensitivity, low risk of cardiovascular disease
  • between 2 and 3 → Moderate risk – beginning of insulin resistance
  • between 3 and 4 → Increased risk – probable insulin resistance, metabolic syndrome
  • greater than 4 → Very high risk – danger of type 2 diabetes, accelerated atherosclerosis

Example:
TG = 120 mg/dl, HDL = 60 mg/dl → TG/HDL = 2 → low risk.
TG = 200 mg/dl, HDL = 40 mg/dl → TG/HDL = 5 → very high risk.

A high TG/HDL ratio is associated with:

  • Insulin resistance – the first step toward type 2 diabetes.
  • Atherogenic dyslipidemia – high triglycerides, low HDL, small dense oxidized LDL (sdLDL).
  • Increased risk of cardiovascular disease – heart attack, stroke.
  • Non-alcoholic fatty liver disease (NAFLD) – metabolic fatty liver.
  • Metabolic syndrome – the combination of abdominal obesity, hypertension, and high blood sugar.
How can we improve these indicators?
  1. Intermittent fasting (IF) or reducing meal frequency → lowers insulin, mobilizes triglycerides, reduces weight (especially visceral fat)
  2. Reducing refined carbohydrates and sugar → lowers triglycerides.
  3. Increasing intake of healthy fats: omega-3 (fatty fish, fish oil), olive oil, avocado.
  4. Regular exercise – increases HDL and lowers TG.
  5. Useful supplements:
  • Omega-3 – very effective for lowering TG. Dose: 1 capsule per day
  • Olive leaf extract – improves insulin sensitivity. Dose: 70 ml/day. To order: evergreenlife.io/doctorcip
  • Vitamin D3 + K2 + Magnesium – support metabolism. Dose: 1 capsule per day
  • AHCC and Zeolit Spectrum – to reduce chronic inflammation.
    • AHCC Dose: 3 capsules per day of AHCC Mycelcaps or 2 capsules per day of AHCC Vitals
    • Zeolit Spectrum Dose: Start with one capsule on the first day and increase daily by one capsule until reaching 6 (3 in the morning and 3 in the evening). Drink 2 liters of fluids per day. If taking medications, leave a 2-hour gap.