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Food Substitutions

What you have here is probably one of the most comprehensive lists of food substitutions in existence. This will serve you as a companion to the sample Paleo diet listed on our website. If you find a meal with an ingredient you don’t like, you can use this substitutions list to find an ingredient you do like along with the amount of the substituted ingredient so that the nutritional integrity of the meal is left intact. Here’s an example, let’s say that you have a recipe that calls for pinto beans. You’ll find pinto beans under the “CARBS” section, under “Beans, peas, and lentils”. You’ll then see that 1/2 cup of pinto beans can be substituted for 1/2 cup of refried beans with very little alterations in the percentage of macromolecule ratio (% carb, fat, or protein). You can make as many modifications as you like as long as you stay within the categories at the top of every list of ingredients. For example, you can’t substitute pinto beans for corn or parsnips because corn and parsnips belong to the group “Starchy Vegetables”. Beyond that, you are free (and encouraged) to change any of the recipes you see on the sample Paleo diet below. Make them your own!

Sample Nutrition Plan

This sample nutrition plan is not intended to treat illness or address any medical conditions. What it is designed to do is give you an understanding of what a diet rich in mono- and poly-unsaturated fats actually looks like. You’ll notice that the macromolecule percentages at the bottom of each day contain between 50-55% fats. You do not have to follow this diet meal per meal. You are encouraged to find meals that you like and prepare them in bulk for use throughout your week. At the end of this document is a comprehensive grocery list that contains all the ingredients necessary to prepare the meals you’ll find listed. Use this sample diet with Sigma’s Substitutions List to add ingredients of your preference or add variety to meals you have previously prepared.

4 My Heart Program

For all those who have participated in Sigma’s Advanced Cardio-metabolic Screening who want a little more dietary support and granularity regarding nutrition, Sigma offers you the 4 My Heart Program. This complimentary 30-40min consult with a Quest Diagnostics registered dietician is specifically geared towards assisting our first response population with a tailored approach towards dietary change. To set up your appointment, download this brochure and follow the steps provided.

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Recently, while in my local bike shop I found myself paying some serious attention to my favorite category of products- Recovery supplements. As I became momentarily engaged with the sheer […]

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VO2max: Functional or Functionless?

Since the advent of mainstream ventilatory data collection, VO2max, for some reason, has been the quintessential bit of information that makes an endurance athlete feel complete and whole. Granted, knowing […]

Endurance Nutrition Vol. 1

When one considers a strategy for supplying the body with what it needs for any type of sustained activity (by sustained, I mean activity in excess of 4hrs), it seems […]

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“Go hard or go home”. How many times have you heard that pedantic statement? Probably too many to count, I’m sure. Normally, the mouth from which that originates is situated […]

Food Substitutions

What you have here is probably one of the most comprehensive lists of food substitutions in existence. This will serve you as a companion to the sample Paleo diet listed on our website. If you find a meal with an ingredient you don’t like, you can use this substitutions list to find an ingredient you do like along with the amount of the substituted ingredient so that the nutritional integrity of the meal is left intact. Here’s an example, let’s say that you have a recipe that calls for pinto beans. You’ll find pinto beans under the “CARBS” section, under “Beans, peas, and lentils”. You’ll then see that 1/2 cup of pinto beans can be substituted for 1/2 cup of refried beans with very little alterations in the percentage of macromolecule ratio (% carb, fat, or protein). You can make as many modifications as you like as long as you stay within the categories at the top of every list of ingredients. For example, you can’t substitute pinto beans for corn or parsnips because corn and parsnips belong to the group “Starchy Vegetables”. Beyond that, you are free (and encouraged) to change any of the recipes you see on the sample Paleo diet below. Make them your own!

Sample Nutrition Plan

This sample nutrition plan is not intended to treat illness or address any medical conditions. What it is designed to do is give you an understanding of what a diet rich in mono- and poly-unsaturated fats actually looks like. You’ll notice that the macromolecule percentages at the bottom of each day contain between 50-55% fats. You do not have to follow this diet meal per meal. You are encouraged to find meals that you like and prepare them in bulk for use throughout your week. At the end of this document is a comprehensive grocery list that contains all the ingredients necessary to prepare the meals you’ll find listed. Use this sample diet with Sigma’s Substitutions List to add ingredients of your preference or add variety to meals you have previously prepared.

4 My Heart Program

For all those who have participated in Sigma’s Advanced Cardio-metabolic Screening who want a little more dietary support and granularity regarding nutrition, Sigma offers you the 4 My Heart Program. This complimentary 30-40min consult with a Quest Diagnostics registered dietician is specifically geared towards assisting our first response population with a tailored approach towards dietary change. To set up your appointment, download this brochure and follow the steps provided.

Physician Resources

Carotid intima–media thickness is a predictor of coronary artery disease in South African black patients.

Diagnostic accuracy of carotid intima media thickness by B-mode ultrasonography in coronary artery disease patients.
Is Carotid Intima-Media Thickness as Predictive as Other Noninvasive Techniques for the Detection of Coronary Artery Disease.

Relationship between carotid intima-media thickness and coronary angiographic findings: a prospective study.

Lipoprotein-Associated Phospholipase A2 Predicts Future Cardiovascular Events in Patients With Coronary Heart Disease Independently of Traditional Risk Factors, Markers of Inflammation, Renal Function, and Hemodynamic Stress

White Papers

Circulating Levels of Secretory Type II Phospholipase A2 Predict Coronary Events in Patients with Coronary Artery Disease
Lipoprotein-Associated Phospholipase A2 Mass Level Is Increased in Elderly Subjects with Type 2 Diabetes Mellitus
Lipoprotein-Associated Phospholipase A2 as an Independent Predictor of Coronary Heart Disease
Lipoprotein-Associated Phospholipase A2 and Risk of Incident Cardiovascular Disease in a Multi-Ethnic Cohort: The Multi Ethnic Study of Atherosclerosis

TeleMed2U Acquires SIGMA Tactical Wellness, Expanding Virtual Specialty Care Access to Law Enforcement and First Responders

Deal Represents a Novel Integration of Cardiac Risk Screening and Virtual Specialty Treatment for the Public Safety Population

Roseville, CA-May 5, 2025-TeleMed2U, a leading tele-specialty care company focused on leveraging technology and end-to-end patient services to deliver high-quality affordable care, announced the acquisition of SIGMA Tactical Wellness, the nationally recognized company dedicated to reducing cardiovascular risk in the public safety sector. Under the terms of the agreement, TeleMed2U will incorporate SIGMA’s advanced cardiac risk screening capabilities to expand the company’s virtual condition detection and treatment capabilities for this high-risk and often overlooked patient population. Financial details were not disclosed for the deal, which marks the first-of-its-kind integration of cardiac risk detection and virtual specialty treatments.

TeleMed2U works with forward-thinking health organizations to elevate how individuals connect with available and high-quality specialty care resources delivered via telemedicine, positively impacting both outcomes and cost savings over time. By incorporating SIGMA’s cardiac risk screening capabilities into its existing clinical offering (spanning 500+ providers across 20 specialties), TeleMed2U is bringing together screening and diagnostic tools combined with treatment into one virtual platform, offering seamless care pathways for the first time. The Cardiology division at TeleMed2U will expand as a direct result of this partnership, offering richer services to the company’s existing patient base while opening the door to broader population health impacts by making SIGMA’s proven model accessible to new audiences — from public safety to corporate wellness.

“This acquisition of SIGMA Tactical Wellness marks a major step forward in our organization’s evolution towards delivering whole-person care to those who need it most,” said AJ Patel, CEO of TeleMed2U. “By pairing SIGMA’s cutting-edge cardiac screenings with TeleMed2U’s comprehensive specialty telehealth services, we are able to offer tools that cover the complete continuum of care for high-risk populations like law enforcement officers and first responders, individuals who deserve nothing less than the gold standard of care.”

“The timing of this deal is strategic as the demand for preventive care and digital access continues to grow,” Patel continued. “This move solidifies our position on the leading edge of upstream cardiometabolic health interventions. Looking ahead, we will continue to view whole-person care delivery from an omnichannel perspective to drive positive patient outcomes. This approach can potentially build a runway for future mergers that fit this thesis.”

When selecting an acquisition target to expand the reach and impact of TeleMed2U’s specialist virtual care offering, SIGMA was a strategic choice as the organization offered the company the additional infrastructure to bring together advanced assessment capabilities under their umbrella. Moving forward, SIGMA’s cardiac screening capabilities, coupled with TeleMed2U’s telehealth first approach to multi-specialty care delivery, will create a complementary whole-person care offering that addresses both early risk detection and chronic condition management longitudinally.

“This union represents the final stage of bringing to fruition the dream of offering on-going, convenient, specialty-level care to first responders participating in SIGMA’s nationally recognized cardiac screening program,” said Dr. Benjamin Stone, SIGMA Co-Founder and President. “In acquiring SIGMA, TeleMed2U has asserted its commitment to addressing the epidemic of cardiac and metabolic disease that exists within the first-response community.”

Furthermore, “we continue to advance and change the paradigm,” said Dr. Jon Sheinberg, SIGMA Co-founder and board-certified cardiologist, as well as an active police officer in the State of Texas.  “Several companies offer screening (most utilizing the research we have published).  However, the SIGMA/TeleMed2U partnership will now allow us to not only screen but also treat individuals who are identified as high-risk for a cardiovascular event, effectively reducing the impact of heart disease in our first responder population”.  This approach will reduce morbidity and mortality, taxpayer expenses, and aid in retention and recruitment throughout the public safety sector.

About TeleMed2U

At TeleMed2U, we believe that time is the most valuable resource in healthcare— whether it is time to diagnosis, time to treatment, or time to better health. That is why, since our founding in 2011, we have been dedicated to increasing access to care across 20 medical and behavioral health specialties nationwide. By breaking down traditional barriers to specialty care, TeleMed2U has become a leading technology-enabled healthcare services company, delivering high-quality, convenient, and easy-to-access virtual healthcare solutions. Our integrated chronic disease management approach empowers patients and providers, improving health outcomes through seamless care coordination. With a focus on patient-centered innovation, provider collaboration, and data-driven care delivery, TeleMed2U is redefining specialty care, making it faster, simpler, and more accessible for all.