Anti-Aging Medical Testing

imgresDid you know that women are destined to spend one half of their lives in menopause? And guess what?  Contrary to common lore, it’s a time that you can begin to feel your best.  No longer are you at the mercy of monthly mood changes, weight gain and all the evils that can accompany rising and falling hormones.

Ancient Chinese sages were among the first experts in menopause.  They wrote about a woman’s “tides” shifting, so that a woman was no longer giving out into the world, but rather gathering her inner strength.  It is a time of introspection and enhanced intuition.

Menopause is a time to take stock of your life physically, emotionally and spiritually.  What are you doing with your time and energy? Its time for you to come first and prepare for the second half of your life.

Its a great time to write the bucket list, prepare a vision board, interview a life coach, create a woman’s group, start a journal, and see an educated anti-aging doctor.

I repeat, see an anti-aging doctor.  If you are proactive about your physical and emotional health, you will enjoy your second act much more.  Tests can be done at most labs to provide you and your doctor with a comprehensive overview of your health risks and preventive needs going forward.  I recommend the following tests:

For bone health:  Measure your bone density.  Your Vitamin D3 (25 OH) levels should be around 60, but not over 80.

For breast health:  I recommend having an annual mammogram, and, because many women are deficient in Iodine (which can predispose to breast cancer), please request a random urine or blood iodine test.  I give all of my patients a multivitamin with iodine.  My favorite is Nutrient 950 (without iron at our age), by Pure Encapsulation.

For gastrointestinal health:   Its important to be up to date with your screening Colonoscopy screenings.  These should be done every 5 to 10 years depending on your history.  Also if you haven’t had one, have a hepatitis B and C screen.

For heart health:  Ask your doctor for a thyroid screen, including measurements for free T3, free T4, reverse T3, and TSH. Your TSH should be between 1.0-2.0.  Other important tests to get are: Homocysteine, MTHFR (genetic marker), cardio-CRP, diabetic screen with HbA1c, and fasting lipids.

For overall vitality, ask for these blood tests:

DHEA-S, CBC, red blood cell Magnesium, and IGF-1 (indirect measure of growth hormone).

Many of your questions about all of this are answered in my book, The Natural Hormone Makeover.

Take this blog to your doctor and make sure to follow through after the results are in.  Take the time to meet with your doctor to review the results and make a plan.  It takes a team and a commitment- after all, you would do a 65,000 mile tune-up for your car.  You deserve nothing less.

To your health and a great second act, Phuli Cohan, MD

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Phuli Cohan, MD

Phuli Cohan, MD

Phuli Cohan MD is an anti-aging physician with a cutting edge view of medicine. She graduated Simmons College in 1978 with a degree in Women Studies and Chemistry. She completed her medical degree from Brown University. After training in family medicine, she traveled to New Zealand where she studied both Internal Medicine and Chinese Medicine. After working in Hawaii for 3 years she completed Emergency Medical boards in Australia, where she also did a Chinese gynecology apprenticeship in Melbourne. She is boarded in anti-aging medicine and published her first book, The Natural hormone Makeover (Wiley), in 2008. Dr. Cohan is passionate about women’s health and is dedicated to educating women and their doctors about the importance and safe uses of all hormones. You can follow her at 

  2 comments for “Anti-Aging Medical Testing

  1. May 3, 2014 at 4:05 pm

    I appreciate the beautiful way the Chinese sages describe menopause as a shifting tide and your suggestions of nourishing activities to engage in is right on.

    I hope you and your readers will participate in my Flourish at 50 & Beyond Book Project. I am looking for women to share how they Flourish and live vibrantly. All shared stories will be featured on my blog and some will be chosen for my book.
    Flourish at 50 & Beyond: Stepping into your Season of Ageless Vibrancy.

    Sign up and learn more here

  2. May 3, 2014 at 4:27 pm

    Since I have dense beast tissue I opt out of mammas and instead get a Breast Sonogram and Breast Thermography which can detect changes in breast tissue long before a breast cancer develops. I don’t want to expose myself to the radiation risk Mammos expose me too. I wish more physician’s would recommend Breast Thermography and I also hope that it someday is covered by insurance since it was approved by as a diagnostic tool in the late 60’s.

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