Question 381 of 433
What does a high-quality longevity evaluation include?
The short answer
A long conversation, a thorough exam, the right blood work, fitness and strength testing, age-appropriate screening, and a written plan with follow-up.
A detailed personal and family history.
Blood pressure measured properly, and at home.
The blood panel from Part 4, with ApoB, Lp(a), and hs-CRP only when it could clarify a cardiovascular risk decision.
Body composition and bone density when appropriate.
A fitness measure and the simple strength and balance tests.
A calcium score if it would change treatment.
Cancer screening and vaccines brought up to date.
Sleep, mood, alcohol, and hearing assessed honestly.
A plan that starts with behavior and adds medicine only where there is evidence.
If the evaluation ends with a shopping bag of the clinic’s own supplements, ask whether each item has an indication, what alternatives exist, and how the clinician profits.
“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 FRAMEWORK — A selected evaluation should lead to a plan; the entire package is not trial-validated.Evidence grade (draft mapping)JClinical judgment / author synthesisPart 26, Q381 · 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.