Executive Health Evaluation
This is the first step to start our Age Management Program and is a very extensive medical evaluation that takes four to five hours.
The different parts of this evaluation are:
Metacheck Test (Resting Metabolic Rate).
VO2 Testing evaluates Cardiovascular Endurance-Exercise Physiologist Evaluation and Testing. (This includes flexibility, strength and balance. Photos are taken of body habit and posture).
DEXA Body Composition (Body scan to determine percentage of fat and lean muscle distribution through the different sections of the body).
DXA Bone Density of Spine and Bilateral Hips (To determine the risk for osteoporosis).
Complimentary Lunch and Sampling of our Medical Foods.
Nutritional Assessment by our Dietitian.
Meeting with Exercise Physiologist to Discuss Results and Exercise Recommendations.
Meeting with Dietitian to Discuss Nutritional Assessment and Diet Recommendations.
Full History and Physical Examination by Dr. Gargiulo.
Review of Blood Work Ordered Two Weeks before This Appointment by Dr. Gargiulo (Lab work is ordered through your private insurance).
Breaking it down:
Blood Lab Testing
Before you see the physician and begin your AgeFocus experience, it is essential that we acquire a full-panel of lab work measuring more than 90 parameters. For your convenience a licensed phlebotomist will be available to draw blood at either your home or office.
The lab panel includes, but is not limited to:
CBC with Differential, Extensive Chemistry Panel, Full Lipid Panel, Sex Hormone Binding Globulin (SHBG), Dihydrotestosterone (DHT), PSA, Cortisol, DHEA-Sulfate, IGF-1, Vit D, 25 Hydroxy, Insulin, Hemoglobin A1C, Cardio-CRP, Lipid Panel with VLDL, Homocysteine, Thyroid Panel (Free T3, Free T4 and TSH), Testosterone total, Free and percentage Free, Luteinizing Hormone (LH), Estradiol, Follicle Stimulating Hormone (FSH), Progesterone and Urinalysis.
Max. VO2 Test
Our VO2 test will be able to precisely identify your fuel usage through your entire exercise heart rate range. By the end of the test, you will know exactly the amount of fat and glucose you are burning at all stages of your exercise regimen. A detailed report that identifies your optimal training heart rate for both endurance and speed training will be provided. This test can take up to 30-40 minutes and should be done first thing in the morning before any caffeine or heavy meal. No exercise for 48 hours prior to this test.
RMR (Resting Metabolic Rate)
Once your resting metabolic test is complete, the information will be used to calculate your Target Caloric Zones. With these Zones you can learn what it means to eat to your metabolism! You will be able to eat the maximum amount possible and still lose weight. Your body will be healthy, happy and satisfied, and the pounds will melt off! And keeping the weight off is no longer a struggle, because this time you have listened to your body tell you what it needs to succeed. This test takes only 20 minutes and should be done first thing in the morning while fasting (and no caffeine!). Exercise should not be done 48-72 hours prior to this test for best results.
DEXA Body Composition
Body composition measurement consists of a full body scan, using state-of-the-art equipment known as the GE Lunar Prodigy Dual X-ray Absorptiomety (DEXA). This test gives a true, accurate, and precise measurement of your body composition, which includes; fat tissue mass, lean tissue mass, and body fat percentage. This will provide us with a detailed outline of what areas of your body require specific attention. Body composition provides important total body, as well as regional information. Obesity is linked to many debilitating and life-threatening disorders. Body Mass Index (BMI) gives a simple measurement of obesity.
A DEXA scan provides a very accurate and reproducible measurement compared to bio-impedance scale measurement, which can produce great variations in results during the course of the day, depending on the amount of water in our body at that specific time, proving inconsistent.
Knowing your body composition is important before starting an adequate treatment plan to prevent disease. But it is also important for sports medicine applications. For highly trained athletes, even a small change in body composition can significantly affect performance. Body composition monitoring provides valuable information that athletes and their trainers can use to adjust diet and training regimens. Body composition helps to establish a starting point and a target, helping any athlete pursue a specific goal. A color image fat analysis will be provided in the report along with all of the measurements.
This technique is the gold standard for the measurement of bone density. It involves the use of two X-ray beams aimed at the bone. DXA is a valuable test for monitoring bone mineral density changes over time, as well as a person’s response to osteoporosis treatment. Measuring the bone density at the spine and both hips, the test takes about 20 minutes and involves a low radiation exposure. The results are given as T-score, which reflects how much the bone mineral density is above or below normal.
Neurocognitive Testing (CNS)
This battery of tests is a precise computerized assessment of neurocognitive status, which measures the speed and accuracy of nine basic mental functions: composite memory, verbal memory, visual memory, processing speed, executive function, psychomotor speed, reaction time, complex attention and cognitive flexibility. These mental functions are indicators of the health and integrity of the brains higher functions. The test takes 25 to 30 minutes.
An extensive evaluation is performed by our Exercise Physiologist to test cardio-respiratory performance, strength, flexibility and balance. This evaluation is very important to identify weak areas and address them in a customized work out program. This is essential to the training athlete that wants to improve performance in his field. The FMS testing helps to identify areas of weakness or imbalance and allows to target them with the proper exercise so overall performance will improve. This testing, by showing areas of weakness, will also help to prevent injuries. This test can take up to 30 minutes.