The Test I Stopped Ordering, and What I Order Instead
What a standard stress test can miss, and the framework I now use to assess cardiovascular risk in women.
∙ Paid
A patient came to see me after years of working with one of the most well-regarded integrative MDs in the DC area. She’d done the full workup, Genova, DUTCH, Vibrant Wellness, panel after panel, more than four thousand dollars of testing between them. She had access to the best of the best. Nobody had ever ordered the one thing I wanted to look at first, her fasting insulin, and nobody had ever talked to her about what a standard cardiac stress test can and can’t see.
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