3

votes

What would you request in a checkup?

Answered on August 19, 2014
Created November 09, 2010 at 2:46 PM

I am doing my first visit with a new Primary Care doctor. It has been a while since I have had regular care and I probably need a check up. I am starting a list of things to ask about and tests to ask for and I was wondering what you would put on that list.

Right now it is basic, blood lipids (had high triglycerides in my 20's), fasting glucose (some family hx of diabetes), C Reactive protein (Mom has IBS and diverticulitis) and possibly something to check up on my liver since I took a lot of steroids for my asthma as a kid.

Any advice, pointers, or suggestions for stuff to bring up and talk about or things to think through?

7e6644836cdbcbe2b06307ff7db92d31

(693)

on July 12, 2012
at 03:04 PM

Still sticking with the PSA?

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 10, 2010
at 01:05 PM

Small dense LDL may indicate increased risk for CVD/CHD. Ratio of Trigs/HDL is probably a better marker. In this post, Dr. Harris states: 'At one point in the lecture, he hints that he does not believe in doing a lot of testing. He says, “if the number is bad, eat healthy, and if the number is good, eat healthy”. What do you need the number for?' http://www.paleonu.com/panu-weblog/2010/2/22/body-by-science-and-panu.html

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 10, 2010
at 12:55 PM

NMR = nuclear magnetic resonance. It's considered one of the most accurate LDL subparticle tests (big fluffy/small dense).

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:30 PM

Does particle size make a big difference?

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:29 PM

Oh Vitamin D is a good one!

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:28 PM

Wow, that is a great list. It is great to know that I am not the only one out there who has been without a doc on easy tap. All of these except for the ones that would be a little beside the point (I am female) are going on the list too.

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:26 PM

Thank you! I that is on the list

30fd031cc07a0d7dee7f1cad57f48a0c

(443)

on November 09, 2010
at 03:56 PM

A V.A.P test, I just got one and they are the most comprehensive lipid panel avail. They do everything you are asking for and more. Around 20 different aspects are analyzed. http://www.atherotech.com/

667f6c030b0245d71d8ef50c72b097dc

(15976)

on November 09, 2010
at 03:19 PM

whats the NMR in the "LDL NMR"? Thanks

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6 Answers

best answer

3
667f6c030b0245d71d8ef50c72b097dc

(15976)

on November 09, 2010
at 03:22 PM

this is the list that i've come up with after reading a lot and asking for recommendations from friends (I, too, have not had a normal doctor in years and don't have health insurance so i have to be picky about everything). Just so you know im a 31 year old male with no health problems that i know of, fit and slim:

  1. TSH,
  2. free T4,
  3. free T3,
  4. total testosterone
  5. free testosterone,
  6. iron profile,
  7. PSA,
  8. fasting insulin
  9. HgbA1C (Glycated Hemoglobin) to determine your average blood glucose level over the previous 2-3 months. ) this is in place of fasting blood sugar.
  10. 25-hydroxy vitamin D level (the minimum desirable level of 25-OH-D3 should be 50 or 60 nanograms, not 30)
  11. CBC,
  12. B12,
  13. folate,
  14. Lipoprotein (a), or Lp(a)
  15. Triglycerides
  16. C reactive protein

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:28 PM

Wow, that is a great list. It is great to know that I am not the only one out there who has been without a doc on easy tap. All of these except for the ones that would be a little beside the point (I am female) are going on the list too.

7e6644836cdbcbe2b06307ff7db92d31

(693)

on July 12, 2012
at 03:04 PM

Still sticking with the PSA?

2
A968087cc1dd66d480749c02e4619ef4

(20436)

on November 09, 2010
at 03:16 PM

Important:
Vitamin D (OHD or 25 Hydroxy)

For consideration:
LDL NMR subparticle
Iodine
Serum Ferritin (Iron)
Thyroid (forget which ones)

667f6c030b0245d71d8ef50c72b097dc

(15976)

on November 09, 2010
at 03:19 PM

whats the NMR in the "LDL NMR"? Thanks

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:29 PM

Oh Vitamin D is a good one!

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 10, 2010
at 12:55 PM

NMR = nuclear magnetic resonance. It's considered one of the most accurate LDL subparticle tests (big fluffy/small dense).

2
A89f9751a97c3082802dc0bcbe4e9208

(13978)

on November 09, 2010
at 03:15 PM

The A1C test is better than a fasting glucose tolerance test. Get an A1C test. It's no big deal to add.

Also, ask for a more thorough lipid panel than normal. No calculated results. Get all measured results.

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:26 PM

Thank you! I that is on the list

0
B12561b04f6ea052f198915c2017fd8b

on July 12, 2012
at 06:57 PM

when I had my last blood panel, I asked my doctor to check my testosterone, but he wouldn't. He said he couldn't justify it for insurance, so I would have had to pay for it entirely out of pocket. Is there a magic word or symptom that I need to report in order for a doctor to check my testosterone? I thought it would just be helpful to get a baseline number.

0
34b6aa277d966e3f6776d577cacf80b5

(38)

on July 12, 2012
at 02:03 PM

Is there somewhere to get this done by mail? I know you can get kits for these sometimes, or would that be unsafe?

0
8ce2e69af79dcb1488f776efc1c54052

on November 09, 2010
at 07:51 PM

Make sure that you request LDL particle size! I found out the hard way that you have to ask.

1568416ef28477d1fa29046218d83ddd

(6235)

on November 09, 2010
at 09:30 PM

Does particle size make a big difference?

A968087cc1dd66d480749c02e4619ef4

(20436)

on November 10, 2010
at 01:05 PM

Small dense LDL may indicate increased risk for CVD/CHD. Ratio of Trigs/HDL is probably a better marker. In this post, Dr. Harris states: 'At one point in the lecture, he hints that he does not believe in doing a lot of testing. He says, “if the number is bad, eat healthy, and if the number is good, eat healthy”. What do you need the number for?' http://www.paleonu.com/panu-weblog/2010/2/22/body-by-science-and-panu.html

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