2

votes

Annual Physical - What Tests Should I Have Done?

Answered on August 19, 2014
Created December 31, 2012 at 5:53 PM

I'm going to my non-Paleo doctor in a few days for a physical. This will be my first time going to a doctor after starting Paleo. What kind of testing should I have done, in response to my symptoms (written below) and as a good assessment of overall health? I would prefer tests that are either usually covered by insurance or, at the very least, reasonably priced. Thanks for your help!

My information:

Age: 24

Gender: Male

Race: Caucasian

Height: 6'0"

Weight: 170 lbs

Symptoms: Severe dandruff/itchy scalp, tightness in left side of abdominals, low energy

Let me know if you'd like more information.

56c28e3654d4dd8a8abdb2c1f525202e

(1822)

on August 06, 2013
at 02:04 PM

My dandruff went away when I quit wheat.

C45d7e96acd83d3a6f58193dbc140e86

on July 23, 2013
at 12:51 PM

How long have you been paleo, and what does being paleo mean to you?

4bd4e2fe6a095663f80c69656936e487

(744)

on February 26, 2013
at 03:49 AM

Low energy? Get a thyroid lab.

6df687f771c8c3bbf2c37b2333645991

(158)

on January 14, 2013
at 11:43 PM

And find out what the B12 number is- don't just believe them when they say it is "normal." THe normal range in the US is crazy.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on December 31, 2012
at 07:26 PM

re low energy -- could be related to abdominal pain. Have you tried changing your diet? Eating more? Changing macros?

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on December 31, 2012
at 07:25 PM

re tightness -- my guess Peptic Ulcer or mild Ulcerative Colitis.

8f2d9842fdfec224a425c0f77c4ee34d

(1241)

on December 31, 2012
at 07:15 PM

Thanks for the response! Dandruff: I have tried the no-poo thing but not the cold showers. I'll give it a try. Tightness in Abs: It's been going on for about a year and is constant. Low energy: It's been going on for about six months. I currently take magnesium before bed, try to get at least an hour of direct sunlight per day, don't eat 2 hours before bed, wear orange glasses during the few hours before bed, and black out bedroom.

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4 Answers

0
5b9a25a1a676397a25579dfad59e1d7b

(2318)

on April 09, 2013
at 09:19 AM

It may not be the case for you, but I found taking magnesium made me really lethargic the next day. Do you a notice a difference between when you take it the night before vs not? I also find heavy carb meals in the evening make me feel tired the next day as well. So many different things effect people differently though so that's why self experimentation is so important. I hope you find your answers soon!

0
3b031bce7c181c10452ee202e2b54dc6

on January 14, 2013
at 10:43 PM

Get your b12 levels checked also. Low energy could be from a late onset of a b12 absorption issue.

6df687f771c8c3bbf2c37b2333645991

(158)

on January 14, 2013
at 11:43 PM

And find out what the B12 number is- don't just believe them when they say it is "normal." THe normal range in the US is crazy.

0
3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on December 31, 2012
at 07:05 PM

Get a VAP panel and a thyroid test. You may also want to get a general blood panel (which will test for Vitamin D, Calcium, Blood-Glucose etc). They likely will not answer your symptoms, but those are the basic tests for physicals (at least in the US).

WRT to your sypmtoms.

Dandruff -- mine went away when I stopped using shampoo on a regular basis and switched to colder showers. The hot showers really dry out your scalp.

Tightness in left side of abdominal -- How long and how often? I would ask the doctor about it, and ask whether you need to provide a urine sample. Could be a dozen things symptoms are not enough to diagnose.

Low Energy -- How long and how often? What have you done to try to fix it?

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on December 31, 2012
at 07:25 PM

re tightness -- my guess Peptic Ulcer or mild Ulcerative Colitis.

3ce6a0d24be025e2f2af534545bdd1d7

(26217)

on December 31, 2012
at 07:26 PM

re low energy -- could be related to abdominal pain. Have you tried changing your diet? Eating more? Changing macros?

8f2d9842fdfec224a425c0f77c4ee34d

(1241)

on December 31, 2012
at 07:15 PM

Thanks for the response! Dandruff: I have tried the no-poo thing but not the cold showers. I'll give it a try. Tightness in Abs: It's been going on for about a year and is constant. Low energy: It's been going on for about six months. I currently take magnesium before bed, try to get at least an hour of direct sunlight per day, don't eat 2 hours before bed, wear orange glasses during the few hours before bed, and black out bedroom.

56c28e3654d4dd8a8abdb2c1f525202e

(1822)

on August 06, 2013
at 02:04 PM

My dandruff went away when I quit wheat.

-1
3846a3b61bc9051e4baebdef62e58c52

(18635)

on December 31, 2012
at 09:49 PM

How long have you been paleo? If less than six months I would not go to the doctor and I would get zero tests. Keep working on improving your lifestyle for about a year before considering any intervention. Tests in and of themselves can be dangerous interventions by association.

Of course I know little to nothing about your actual symptoms regarding the abdomen. If the pain is severe or has been getting consistently worse over time then you will need evaluated. Fact is that is likely to be diagnosed by physical evaluation and history rather than blood panels though. Is it in the left upper quadrant or lower? Change in bowel movements or pain during? Pain relieved by eating or do certain foods make worse? Is the pain positional or during certain movements?

As to the low energy there are lots of things to consider. Do you eat enough calories and you may consider posting a day of what you eat? Whats your exercise regimen? Do you work night or swing shift? That sort of stuff.

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