Harrison wrote:What tests, beside cardio VAP are recommended for first timers?
Excellent question Harrison.
IMO starting from the most important and easiest then no particular order in point 6 and 7
1. Waist circumference. Visceral obesity is not good in so many nasty nasty ways.
2. BMI. Obviously there are outliers with different muscle bulk in individuals but keep trim and lean.
3. Blood pressure. Keep it at least less than 140/90 but preferably much less than that. No evidence what is optimal but in most diseases lower is better.
4. Measures of glycaemic control. Hba1c. Fasting insulin. Fasting and post prandial glucose. Look at them all to determine if glycemic control is optimal.
5. Lipids only 5th imo. Your triglycerides are directly under your control by diet. LDL in us sadly not much
6. Other measures in no particular order such as b12, homocysteine, hormones in older women, folic acid, liver functions as a marker of fatty liver which is a marker of insulin resustance, D3, thyroid panel, renal panel, CRP. Depends how much money you or your insurance company want to throw at the this. I did the Boston fatty acid balance which was very helpful.
7. Then you get to cardiovascular measures such as carotid intimal thickness and low dose coronary calcium scans.