What Doctors Miss About Heart Disease and Why “Normal” Labs Could Still Mean Plaque Is Forming in Your Arteries

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So many are told their labs look fine, only to get hit with a heart attack or stroke. That’s because most physicians aren’t trained to look for common indicators of heart disease risk in the early stages, such as inflammation, insulin resistance, endothelial dysfunction, and silent plaque progression.

In this episode, I sit down with cardiometabolic nutritionist Michelle Routhenstein to break down what’s missing in traditional heart health advice. Michelle walks us through the lab numbers that matter most, how your gut and bowel habits relate to cholesterol, and why erectile dysfunction may be an early warning sign.

She’ll open your eyes to why eating “clean” doesn’t equal heart-healthy, why so many are misled by low-carb and keto trends, and how to stop arterial plaque from accumulating silently for decades before the first event strikes.

"No matter where you are, no matter your age, no matter what you look like, heart disease does not discriminate between underweight and overweight." ~ Michelle Routhenstein




About Michelle Routhenstein:
Michelle is a preventive cardiology nutritionist and the founder of Entirely Nourished, a practice dedicated to reducing cardiovascular risk through evidence-based, personalized nutrition. She holds a master’s in clinical nutrition, is a member of the Forbes Health Advisory Board, and the author of The Truly Easy Heart Healthy Cookbook. Michelle has spent her career working with heart failure specialists, lipidologists, and cardiologists to create a unique nutrition-first approach that empowers clients to take control before disease strikes.

Connect with Michelle Routhenstein
- Website: https://entirelynourished.com 
- Instagram: https://www.instagram.com/heart.health.nutritionist 
- LinkedIn: https://www.linkedin.com/in/michellerouthenstein/ 

Connect with Chris Burres:
- Website: https://www.myvitalc.com/ 
- Website: http://www.livebeyondthenorms.com/ 
- Instagram: https://www.instagram.com/chrisburres/ 
- TikTok: https://www.tiktok.com/@myvitalc 
- LinkedIn: https://www.linkedin.com/in/chrisburres/