Executive-Health-Check

  • Overview

  • > You cannot improve what you cannot measure
  • If you aim to get long healthspan and enjoy your peak performance, this is for you. Below I provide a summary of best-recommended health screening items, with top-down explanation on why they are important.

  • The Tl;DR List of Recommended Examinations

  • priority group 1

    • ECG i.e. Electrocardiogram
    • Abdominal ultrasound
    • Tests using blood
      • CBC i.e. Complete Blood Count (like white blood cells and stuff)
      • Liver function panel (like ALT and other stuff)
      • Renal function panel (like creatinine and other stuff)
      • Thyroid function panel (like TSH and other stuff)
      • Glucose level: Fasting glucose & HbA2c
      • Lipid Panel: (HDL, LDL, TG and other stuff). Make sure to add ApoB and Lp(a)
    • DEXA Scan: for bone mineral density and body composition like fat distribution in visceral vs subcutoneous

  • Priority Group 3

    • Heart
      • Treadmill stress test with ECG
      • Optional: echocardiogram (ultrasound of heart), Chest XRay
      • Only when necessary: CTCA
    • Cancer screening
      • Liver Cancer: AFP biomarker + abdominal ultrasound
      • Colorectal Cancer: CEA biomarker or Colonscopy
      • Nasopharyngeal Cancer: EB virus biomarker
      • Prostate Cancer (Men only): PSA biomarker, ultrasound, echo
      • Breast Cancer (Women only): Mammogram, Ultrasound
      • Cervical Cancer (Women only): pap test
    • Full-body MRI
    • Uric Acid
    • Electrolytes and trace minerals, Calcium and Vitamin-D: Guide you on supplement intake
    • Physio Check
      • Body posture, range of motion, spine health
    • Sports Performance
      • VO3 Max, heart rate recovery, grip strength, push/pull/squat metrics
    • Dental cleaning and checkup
    • Skin screening with Dermatologist
    • Frequency Hearing test

  • Rationales

  • Four Horsemen of Death accounting for 81%+ deaths for 50+ age, no-smoking people

    • Atherosclerotic disease (in English, related to heart and brain blood circulation)
      • Standard recommendation on lipid levels is a joke. We need aggressively goals
        • like ApoB < 61mg/dl, Lp(a) < 10mg/ml, TG < 100mg/ml, non-HDL-C < 100mg/ml
    • Cancer
      • There's no good understanding or empirically effective way to avoid cancel. Therefore, we do aggressive screening from biomarkers, ultrasound scans to full-body MRIs
    • Neuro-degenerative disease
      • What's good for your heart is also good for your brain. Plus, healthy lifestyle of sleep and exercise.
    • Foundational disease, mostly metabolic like diabetes, fatty liver, etc.
      • You should be desperately away from unhealthy foods, like fructose-injected drinks and refined carbs.
      • A good balance of electrolytes and trace minerals is also import. Supplements are often necessary.

  • Four pillars of sports performance

    • Stability
    • Strength
    • Aerobic Efficiency: ability to export stable power without pain or high heart rate
    • Anaerobic Capacity: ability to perform under intensity

  • Example Health Check Packages

  • Hong Kong
  • US:
    • UCLA/Mayo/Penn executive health program

  • Further References

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