Soldotna healthy aging specialist specialist, Robert Ledda M.D. provides a thorough Health Performance Assessment for Kenai Peninsula men and women as an initial in-depth investigation of your current state of health and risks.
How it Works
The following Advanced Laboratory Biomarker Risk Analyses are included in this assessment.
In-House Diagnostics
You will receive a follow-up email from your clinician reiterating everything discussed and discovered in the assessment below. Treatment strategies will be carefully outlined and follow up studies will be ordered as appropriate.
This test evaluates your body composition including lean muscle mass and visceral fat, an important driver of insulin resistance and chronic disease. Bone density is investigated, paying special attention to the hips and spine.
This important test is a non-invasive test that allows assessment by ultrasound of the wall of the carotid artery. This is the artery that ultimately provides blood flow to your brain. Scientific studies have analyzed average wall thickness to place you against other people your age, sex and ethnicity, to see if you’re developing atherosclerosis or hardening of the arteries at a more rapid or slower pace than the general population
Not all blood vessel disease lies at the macroscopic level. This important test determines whether endothelial function, the health of the single cell lining of the blood vessels, is intact. Aberrations in this domain can affect blood pressure, erectile function and many other important aspects of your health. Microvascular function is actionable and can be improved.
This is a functional assessment of fitness. It determines peak exercise tolerance, typically thought of as the best predictor of life expectancy of any testing strategy available. The test allows assessment of aerobic and anaerobic heart rates for exercise program design. Our strategy will be to increase your VO2 max through multiple interventions.
Most of us fear dementia worse than death. I suspect that’s because we care more about our loved ones than ourselves, and we recognize the negative impact on their lives, should we trend in that direction. This is a validated test that screens for dementia and establishes a baseline. We often see this test improve when patients follow our program.
After all of the above diagnostics are obtained, your doctor will be reviewing those results, so they can be presented to you in an organized fashion. During this time, you will spend an hour with our Performance Health Coach discussing your dietary and activity habits. Nutritional and exercise recommendations that are reasonable and sustainable will be provided at completion of your evaluation in a separate email by your performance health coach.
You can generally expect that you will spend about three hours or more directly with your physician. A complete historical review and physical exam will be performed and a thorough discussion of all of the diagnostics obtained will occur. It is at this point that we will share in the decision making of whether you will undergo any specific therapy. We will come up with a plan for ongoing assessment, coaching and discussion of additional advanced diagnostic risk investigation strategies if indicated.