Hello...I have scheduled my annual physical for next week and was wondering if there were any specific tests that I should request of my physician (within reason) which may not normally be performed, in order to get a better assessment of my health. Any recommendations along with a brief 'why' would be really appreciated.
In addition to the normal lipid work up and thyroid panel work up, I would ask for a NMR lipoprofile test which will tell you the amount of small dense LDL particles vrs large bouyant particles.
A VAP test also does essentially the same thing as the NMR Lipoprofile.
Just be aware your physician may not up to speed on the importance of LDL particle size.
I would go in armed to the teeth with info regarding the destructive effects of sdLDL particles on the vascular system.
I would also ask for a serum Vit D3 level. (25) OH Hydroxy test. Our Dr K on this site wants his patients to be 70-100ng/mL level. Be aware that dark skinned folks do not manufacture as much Vit D3 from the sun as compared to light skinned people so supplementation with a olive oil based Vit D3 is important. Most Americans have been scared of the sun due to melanoma and have been avoiding the sun with sunblock and are very low in Vit D3...regardless of skin composition.
One caveat on the additional blood test. If your test don't come back within the "normal" ranges and they are not the standard tests any Dr. would perform for an annual, you may want to re think testing for testing sake. If you ever apply for insurance, (life, health, disability, long term care, etc) and there is something the insurance company doesn't like, it could cause problems.
Just a thought. If you are happy with the way you look, feel and perform the added test are really not all that necessary. If you are 20 and think you will never need insurance, think hard.
I think there is a cadre of testing that needs to be done.....VO2 max, calcium index scoring, ultra sensitive CRP, dexa scanning, complete hormone panels including reverse t3 and thyroid antibodies measures, omega six/three index, and a neurocognitive battery are some I would get......there are others but it gets pricey for most.