The program
Built around your family, your kitchen, your calendar.
Sehat is a prevention program designed for South Asian bodies and South Asian lives: a proposed design, physician-supervised from intake to follow-through, and described here exactly as intended: the pathway, the pillars, and the people it makes room for.
The pathway
Five steps, walked with your physician.
Everything below is the proposed design, set down ahead of launch (the sequence, the panel, and the cadence), supervised by a physician at every step. It is described as intended, not as an operating history.
Your story before your numbers.
The proposed intake begins where South Asian risk actually lives: your ancestry and your family history of premature heart disease; pregnancy history, including gestational diabetes and preeclampsia; what you eat and how you sleep; and tobacco in all its forms, including the smokeless ones most intake forms never ask about.
The panel that sees what routine panels miss.1
The proposed baseline: Lp(a), measured once: it is almost entirely genetic, invisible to standard cholesterol tests, and elevated (≥50 mg/dL) in roughly one in four South Asians; ApoB, the particle count; an NMR particle profile; hs-CRP for inflammation; an advanced metabolic panel; and coronary calcium scoring when indicated. Final selection is an individual clinical decision, made with you.
Math built from people like you.2
The standard American equations were built from cohorts with zero South Asian representation. The proposed design estimates risk with SCORE2 Asia-Pacific (recalibrated for Asia-Pacific populations, ages 40–69) and then layers on what the equations miss: the risk-enhancing factor the 2018 ACC/AHA cholesterol guideline attaches to South Asian ancestry, your family history, your Lp(a), your pregnancy history.
Written by a physician, for a household.
No printout, no template. In the proposed model your physician writes the plan personally, and writes it family-aware, because the person who cooks is as much a part of your cardiology as your cholesterol is. Goals are stated in absolute terms, with the reasoning shown.
A defined clock, in writing.3
Prevention is measured in years, not visits. The proposed model rechecks every changed number 6–8 weeks after any change, reviews progress quarterly, and re-evaluates the whole picture annually, with guaranteed review windows, so no result lands in a void.
The pillars
The daily work stands on four pillars.
The lifestyle work of the program follows the M.E.D.S. framework (Meditation, Exercise, Diet, Sleep), practiced in your language, around your table.4
Calm, in a familiar idiom.
Mindfulness and yoga are not exotic prescriptions here: they are practices many families already know, prescribed with the same seriousness as a medication. Stress is a measured risk factor, and it is treated as one.
Movement that fits a real week.
At least 150 minutes a week of activity you will actually do (brisk walking after dinner, yoga, the stairs, the sport you already enjoy), prescribed with your physician and built around joint pain, shift work, and the weather you live in.
Culturally adapted, never culturally erased.
Millets and brown or red rice in place of white rice. Tadka with measured oil. Yogurt-based marinades instead of cream. Air-frying instead of deep-frying. And fasting-and-feasting playbooks for Ramadan, Navratri, and Diwali, so celebration and care coexist, and the plan survives the calendar.
The hours medicine forgot.
Sleep is screened and tracked like any other vital sign, including screening for apnea, which hides behind snoring and fatigue while quietly working against blood pressure, sugar, and weight.
The family in the room
You do not eat alone. You should not be treated alone.
In the proposed model, counseling includes the people who share your table: spouses and in-laws welcome in the room, because a plan that ignores the kitchen fails by Friday.
Tobacco is screened for the whole household, with parallel quit plans when a spouse or parent uses it too, including the smokeless forms, named plainly: paan with zarda, khaini, gutkha. Addressed without judgment, because judgment is not a quit plan.
And the program speaks your language (Hindi, Urdu, Punjabi, Bengali, Tamil, Telugu, Gujarati, and more), so nothing about your heart is lost in translation.
The first step
Bring the family. Begin the work.
Tell us who you are, and who you cook for. A physician, not a scheduler, not a bot, reads every inquiry.
References · this page
Every figure, sourced.
- The proposed baseline inventory, drawn from the program service model, design-stage: Lp(a), ApoB, NMR LipoProfile, hs-CRP, advanced metabolic panel, coronary artery calcium (CAC) score. Lp(a) is almost entirely determined by genetics, is absent from standard cholesterol tests, and is proposed as a one-time measurement.
- SCORE2 Asia-Pacific (Hageman SHJ et al., European Heart Journal, 2025): risk models recalibrated for Asia-Pacific populations, ages 40–69. 2018 ACC/AHA cholesterol guideline: South Asian ancestry named a risk-enhancing factor. The original US Pooled Cohort Equations cohorts carried zero South Asian representation.
- The follow-through cadence (rechecks 6–8 weeks after any change, guaranteed review windows) is a proposed practice design, pending launch. It describes the design, not an operating history.
- The M.E.D.S. framework (Meditation, Exercise, Diet, Sleep), adopted from the El Camino South Asian Heart Center framework, as recorded in the program’s clinical design corpus.