Comprehensive Evaluation

Your comprehensive evaluation is designed to fully assess your body's hormonal production and your rate of aging. There are three components:

Part I: Laboratory evaluation

Before you visit our offices, you will be directed to a laboratory to have a set of blood tests done so that they are ready when your physician sees you. This set of tests is as follows:

Hormones of aging

Insulin-like growth factor-I (IGF-I)
Insulin-like growth factor binding protein-3 (IGFBP-3)
Free and total testosterone
Estradiol and estrone sulfate
Sex-hormone binding globulin (SHBG)
Progesterone
Fasting insulin
DHEA-S
TSH, free T3, T4

Basic disease screening tests

Chemistry panel
- Electrolytes: sodium, potassium, chloride, bicarbonate, calcium
- Bilirubin, AST/ALT, albumin, alkaline phosphatase, LDH
- Total protein and globulins
- Creatinine, blood urea nitrogen
- Glucose
Complete blood count
Lipid panel
- Total cholesterol
- High density lipoprotein (HDL)
- Low density lipoprotein (LDL)
- Triglycerides
Vitamin D

Non-traditional cardiac risk factors

High-sensitivity C-reactive protein
Homocysteine
Ferritin
Iron, total iron binding capacity, transferrin saturation
CoEnzymeQ10

Once these labs are completed (about 21 days) you will be ready for your initial consultation.

Part II: Biomarker Testing

PhysioAge Systems is a battery of extensively tested biomarkers of the health of important physiological systems. We use them to establish a baseline of physiological aging, a "PhysioAge", and then to follow how well their programs are working over time. This is really the crux of the difference between our approach to managing aging and that of most other practices. The following tests will be performed before your initial consultation and repeated annually thereafter:

Part III: Initial Consultation, Medical History and Physical Exam

Before this 2-hour office evaluation you will fill out a questionnaire designed to detect any underlying conditions that need to be addressed. You will then meet with your physician to go over your medical history and undergo a physical exam. Your laboratory results, history, and exam will then be used to design a personalized program tailored specifically to your needs and physiology. You will then discuss the expected benefits and risks of your program as well as its administration. Custom-compounded medications will be shipped to you the next day from MedQuest Pharmacy.

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