Question 86 of 433
What is the testing scorecard?
The short answer
Here it is on one page.
FOUNDATIONS, selected for age and risk
Blood pressure at home.
Lipids with ApoB; Lp(a) once.
HbA1c or fasting glucose when diabetes screening is appropriate; an oral glucose tolerance test in selected cases.
hs-CRP only when it could clarify a cardiovascular risk decision.
Kidney function with urine albumin.
Liver assessment and FIB-4 when metabolic or other liver risks justify them.
Blood count, TSH, and ferritin if tired or at risk.
Heart calcium score at the right age.
Proven cancer screening.
Bone density at the right age.
Aortic aneurysm ultrasound for men 65 to 75 who smoked.
Hearing, vision, and a sleep test if you snore.
Grip, balance, walking speed, and a fitness measure.
SOMETIMES, for a reason
CT angiogram of the heart arteries.
Carotid ultrasound.
Cystatin C.
NT-proBNP in people with diabetes or high blood pressure.
Targeted genetic testing; pharmacogenomics.
APOE, with counseling.
PFAS blood level with known exposure.
A multi-cancer blood test, after standard screening.
A continuous glucose monitor for a few weeks.
SKIP
Food sensitivity panels.
Micronutrient, organic acid, and “leaky gut” tests.
Urine mold tests and provoked metal tests.
Saliva cortisol and dried-urine hormone panels.
MTHFR.
Reverse T3.
Inflammation panels beyond hs-CRP; NMR particle tests.
Telomere length.
Hair analysis, live blood analysis, thermography.
Whole-body MRI and brain volumetrics at average risk.
“This book is for education. It is not medical advice, and reading it does not make you my patient or create a doctor-patient relationship.” From the book’s medical disclaimer. Full disclaimer
CLINICAL SYNTHESIS — Testing categories apply to routine wellness use; specific indications can change the recommendation.Evidence grade (draft mapping)JClinical judgment / author synthesisPart 5, Q86 · Part sources
From Longevity Unmasked by Afshine Ash Emrani, MD, FACC. Medical disclaimer. This book is for education. It is not medical advice, and reading it does not make you my patient or create a doctor-patient relationship. Nothing here is meant to diagnose, treat, cure, or prevent any disease. Medicine is personal: a test, drug, supplement, or exercise plan that helps one person can harm another. Do not start, stop, or change any medication or treatment because of something you read in these pages. Talk with a licensed clinician who knows your history first. If you think you are having a medical emergency, call 911. The author disclaims responsibility for any loss or harm arising from use of the information in this book.