Cardiometabolic & Medical Weight Management in Seattle

Cardiovascular disease, metabolic syndrome, insulin resistance, and unhealthy weight are not isolated problems—they are parts of the same cardiometabolic system. As a Seattle Natural Doctor with a background in exercise science and functional medicine, I help patients connect these dots and build a clear, practical path toward better heart health, improved body composition, and long-term metabolic resilience.

This page outlines how I approach cardiometabolic & medical weight management at Rebel Med NW, and how we can work together to protect your heart, metabolism, and long-term performance.

Why Cardiometabolic Health Matters

Cardiometabolic health refers to the interplay between:

• Blood pressure and vascular health

• Cholesterol and advanced lipid markers

• Blood sugar, insulin sensitivity, and inflammation

• Body composition, visceral fat, and muscle mass

• Lifestyle factors such as sleep, stress, nutrition, and physical activity

When these systems are out of balance, the risks include heart attack, stroke, type 2 diabetes, fatty liver disease, cognitive decline, and reduced quality of life. The good news is that cardiometabolic risk is highly modifiable when we combine:

• Detailed biomarker assessment

• Evidence-based medication when appropriate

• Intelligent nutrition and exercise programming

• Mind-body and nervous system regulation

• Ongoing tracking and accountability

My role as a Seattle Top Naturopath is to integrate these elements into one coherent plan that makes sense for your body, your life, and your goals.

Work with a Seattle Natural Doctor for Cardiometabolic Care

As the owner and medical director of Rebel Med NW, my practice blends:

• Conventional primary care and cardiometabolic risk management

• Functional medicine diagnostics to uncover root drivers of disease

• Exercise science and performance physiology, informed by my undergraduate training in exercise and fitness science

• Naturopathic and lifestyle medicine, including nutrition, movement, sleep, and stress

• Mind-body interventions, such as biofeedback and heart rate variability (HRV), to support autonomic balance and blood pressure regulation

Patients often seek me out when they:

• Have elevated blood pressure, cholesterol, or A1c and want a deeper strategy than “watch and wait”

• Have tried multiple diets and exercise programs with short-lived results

• Are on medications but still feel fatigued, foggy, or stuck

• Want a physician who can talk intelligently about both GLP-1 medications and deadlifts, statins and stress, sleep hygiene and heart rate zones

My goal is to offer the perspective of a Seattle Top Doctor who is comfortable blending medication management with advanced lifestyle and functional interventions, always focused on safety and long-term health.

Comprehensive Cardiometabolic Assessment

Cardiometabolic care begins with a thorough assessment. We evaluate both baseline and advanced markers to see where you are today and where risk may be accumulating silently.

Baseline Laboratory Markers

Typical initial testing may include:

• CBC (Complete Blood Count) – overall blood health

• CMP (Comprehensive Metabolic Panel) – liver, kidney, electrolytes

• Standard Lipid Panel – total cholesterol, LDL, HDL, triglycerides

• Hemoglobin A1c – average blood sugar control

• hs-CRP (high-sensitivity C-reactive protein) – systemic inflammation

• Fasting insulin and glucose – insulin sensitivity and metabolic status

• TSH and thyroid markers – thyroid impact on metabolism

• Vitamin D – cardiometabolic and immune relevance

Advanced Cardiometabolic Markers

When appropriate, we expand testing to better quantify risk and guide treatment decisions:

• ApoB and Lp(a) – advanced lipid risk markers

• Homocysteine – vascular and methylation-related risk

• Fasting insulin/glucose ratio or oral glucose tolerance test (OGTT)

• Comprehensive hormone panels (sex hormones, insulin, cortisol/DHEA)

• Omega-3 index – inflammation and cardiovascular protection

These advanced markers help refine decisions around medications, supplements, and the intensity of lifestyle interventions.

Functional & Specialty Testing

When indicated, we may incorporate functional medicine testing to better understand the root drivers of your cardiometabolic picture:

• Nutritional assessments (e.g., NutrEval) for micronutrient, mitochondrial, and oxidative stress status

• DUTCH hormone testing for complex hormone and stress-axis patterns

• Microbiome testing where gut-driven inflammation or metabolic disruption is suspected

• Continuous Glucose Monitoring (CGM) using Dexcom, FreeStyle Libre, Lingo, or similar devices connected through provider portals

These tools allow us to move beyond “normal labs” and into a tailored, data-driven plan for your heart and metabolism.

Medical Weight Management with Body Composition Focus

Weight management is not simply about “losing pounds”—it is about improving body composition, preserving muscle, reducing visceral fat, and enhancing metabolic flexibility. My approach is to combine:

• Thoughtfully used medications (including GLP-1 receptor agonists when appropriate)

• Nutrition and exercise programs grounded in exercise science

• Sleep, stress, and mitochondrial health optimization

• Body composition and performance tracking

Philosophy on GLP-1 and Other Metabolic Medications

My clinical philosophy is to use the safest and most effective medicine possible, with medications serving as tools in a broader strategy—not the entire plan.

GLP-1 receptor agonists (such as semaglutide or tirzepatide) have demonstrated significant benefit in:

• Improving glycemic control and insulin sensitivity

• Reducing visceral adiposity (deep abdominal fat)

• Supporting cardiovascular risk reduction in select populations

• Modestly improving blood pressure and markers of inflammation

There is growing research exploring their impact on mental health, cognition, and certain cancer risks; these areas are promising but still evolving. Any medication is used with careful attention to safety, informed consent, and monitoring.

Inclusion Criteria and Boundaries

You may work with me as:

• Your primary cardiometabolic physician,

• A consulting naturopath alongside your existing PCP or specialists, or

• A partner for adjunctive support if you are already on GLP-1 or other metabolic medications.

I commonly work with patients dealing with:

• Pre-diabetes and type 2 diabetes

• Hypertension and elevated cholesterol

• Metabolic syndrome and visceral adiposity

• Cardiovascular risk in the setting of Long Covid or other inflammatory conditions

Medications are typically considered:

• As part of a structured cardiometabolic or weight management program

• Alongside nutrition, physical activity, sleep, and stress optimization

• With explicit attention to muscle preservation, mitochondrial function, and long-term metabolic resilience

Additional Medication Options

Within the prescribing scope of naturopathic physicians in Washington State, I may use or co-manage:

• GLP-1 receptor agonists, when appropriate

• Metformin for insulin resistance and cardiometabolic risk reduction

• Blood pressure medications where lifestyle alone is insufficient

• Agents such as naltrexone or bupropion when clinically indicated

Medication choices are individualized and always integrated into a comprehensive plan.

Body Composition & Performance Tracking

Because of my background in exercise and fitness science, body composition—rather than just scale weight—is central to how I define success with patients.

Tools We Use

Depending on access and individual goals, we may use:

• In-office BIA (Bioelectrical Impedance Analysis) for body fat and lean mass estimates

• DEXA scan referrals to precisely measure bone density, visceral fat, and lean mass

• HRV tracking to assess recovery, autonomic balance, and cardiovascular stress

• Blood pressure monitoring, including home readings and variability over time

I also encourage and integrate data from:

• Oura

• Apple Health / Apple Watch

• Visible and other symptom or recovery trackers

• Gym-based performance tests or community fitness assessments

Monitoring Frequency

Progress is generally tracked monthly to quarterly, depending on the program and your objectives. We review:

• Changes in body composition (fat vs. muscle)

• Cardiometabolic biomarkers and lab trends

• HRV, recovery metrics, and exercise capacity

• Subjective metrics: energy, mood, stamina, and quality of life

Procedures & Technologies Supporting Body Composition

In addition to medical and lifestyle therapies, patients at Rebel Med NW may access technologies designed to support body composition and metabolic health.

When clinically appropriate, I may recommend:

• Emsculpt NEO to support lean mass and muscle development alongside resistance training and nutrition

• Individualized exercise prescriptions built from your current capacity and goals

• Programs that integrate strength training, aerobic conditioning, and high-intensity intervals when appropriate for your cardiovascular status

These interventions are always framed as adjuncts, not shortcuts, and are best used alongside structured metabolic and cardiometabolic care.

Signature Programs

To provide structure and momentum, cardiometabolic care can be delivered within one of several defined programs, offered in 3-, 6-, and 12-month options.

Cardiovascular Resiliency Program

Focus: Cardiovascular prevention, vascular health, and exercise-based resilience.

Includes:

• Comprehensive baseline and follow-up cardiometabolic labs

• Blood pressure and HRV monitoring

• Exercise prescription and coaching to improve VO₂-related capacity (where feasible)

• Lipid and inflammation optimization using lifestyle, supplements, and medications when indicated

Ideal for individuals with a family history of cardiovascular disease, prior cardiac events, or early warning signs who want a proactive, data-driven plan guided by a Seattle Top Naturopath.

Metabolic Reset Program

Focus: Medical weight management, insulin sensitivity, and body composition.

Includes:

• Structured nutrition and movement framework tailored to your lifestyle

• Consideration of GLP-1 or other metabolic medications when appropriate

• Regular BIA body composition tracking and, where available, DEXA referrals

• Sleep, stress, and mitochondrial support strategies to reduce rebound risk

This program is designed to reset metabolic patterns, protect lean mass, and build long-term habits rather than short-term dieting.

Performance Longevity Program

Focus: Elite cardiometabolic and body composition optimization for long-term performance and healthspan.

Includes:

• Advanced cardiometabolic and hormone panels

• Ongoing body composition and performance tracking

• Integration of wearable data (Oura, Apple Health, etc.)

• Coaching on training periodization, recovery, mental performance, and stress resilience

Ideal for executives, athletes, and high-performing individuals who want their medical care to match their ambition for longevity and performance.

Who This Care Is For

You may benefit from this type of care if you:

• Have high blood pressure, elevated cholesterol, or prediabetes/diabetes

• Have a history of gestational diabetes, PCOS, or early metabolic changes

• Carry central or visceral adiposity and feel “stuck” despite efforts

• Have a strong family history of cardiovascular disease or stroke

• Are recovering from Long Covid or other inflammatory conditions impacting your heart and metabolism

• Are a high-functioning professional or athlete seeking performance and longevity-oriented care from a Seattle Natural Doctor

What to Expect When You Work with Dr. Simon

1. Comprehensive Initial Visit

   • Detailed history of your cardiometabolic health, weight history, training history, and life context

   • Review of prior labs and imaging

   • Determination of appropriate baseline testing

2. Personalized Plan

   • Integrated plan addressing nutrition, movement, medications, supplements, sleep, stress, and body composition

   • Discussion of whether a structured 3-, 6-, or 12-month program is appropriate

3. Ongoing Follow-Up & Adjustment

   • Regular visits to review labs, body composition, wearables, and symptom trends

   • Fine-tuning medications and lifestyle interventions based on objective and subjective data

Care is provided through Rebel Med NW, which accepts many insurance plans for covered services. Certain procedures, advanced testing, and technologies may be cash-pay. An administrative or membership fee may apply for enhanced access and services; details can be clarified with our front office.

Frequently Asked Questions

Do I have to be an athlete to join these programs?

No. While I draw heavily from exercise science and performance medicine, these programs are appropriate whether you are new to exercise or an experienced competitor. Plans are tailored to your current capacity, health status, and goals.

Do you prescribe GLP-1 medications?

When appropriate and clinically indicated, I can prescribe or co-manage GLP-1 receptor agonists and other metabolic medications within the naturopathic prescribing scope in Washington. These medications are always embedded in a broader plan that emphasizes nutrition, movement, sleep, stress, and body composition.

Can I keep my existing cardiologist or PCP?

Yes. Many patients work with me as a specialized cardiometabolic and functional medicine consultant, while maintaining established relationships with their PCP and specialists. I am glad to coordinate care and share pertinent findings.

Are programs covered by insurance?

Individual visits and standard labs may be billed to insurance when medically appropriate and covered by your plan. Program structures, advanced testing, certain procedures, and technologies (such as Emsculpt NEO or some specialty labs) are often cash-based. Our team can help you understand likely coverage and out-of-pocket costs.

Take the Next Step

If you are ready to approach your heart health, metabolism, and body composition with the same rigor that you bring to your career and life, I invite you to work with me as your Seattle Natural Doctor.

Whether you are interested in cardiovascular prevention, metabolic reset, or performance and longevity optimization, we will build a plan that is data-driven, sustainable, and aligned with your values.

Call Rebel Med NW or request an appointment online to begin a Cardiometabolic & Medical Weight Management consultation with Seattle Top Naturopath and Seattle Top Doctor, Dr. Andrew Simon.