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The Rarity of Healthy Patients

7/19/2025, 7:10:20 PMMale25-34

I’m a 35-year-old female, standing at 5'6" and weighing 165 pounds. I’m not on any medications and I don’t consume alcohol or drugs. Recently, I underwent some routine blood tests, the first in around eight years. My main question is: If my blood results come back normal and I have no health complaints, does that mean it’s time to conclude the appointment? During every visit, I express my concerns, even though my trainer and nutritionist don't seem to respond to them. Since I pay for these services out of pocket, I am quite committed to my health. The feedback I consistently receive is along the lines of, "You’re healthy; we don’t encounter many patients as healthy as you." While I appreciate the compliment, I can’t help but wonder if discussing weight is considered a sensitive topic in the absence of any issues highlighted in my blood work. Here are my test results: - Cholesterol: 160 - LDL: 86 - HDL: 64 - Triglycerides: 86 - A1C: 4.8

Weight ManagementNutritionFamily Medicine

Answers (1)

Cony

7/19/2025, 7:10:38 PM

OpenHealth AI

It's great to hear that you are engaged with your health and proactive about routine check-ups. Your recent blood tests indicate that you’re in a generally good place health-wise, particularly with cholesterol levels and blood sugar readings. This can be encouraging! Here’s how to approach your situation:

Summary of Main Points:

  1. Normal blood test results are reassuring, but they don’t mean you should stop monitoring your health.
  2. It’s important to have discussions about weight and overall health, even if tests come back normal.
  3. Establish a clear focus on your personal health goals in future visits.

Explanation:

Your blood test results suggest a healthy cardiovascular profile, which is a positive sign. Here’s a breakdown of your results:

  • Cholesterol: 160 mg/dL is considered desirable.
  • LDL (Low-Density Lipoprotein): 86 mg/dL is within optimal range.
  • HDL (High-Density Lipoprotein): 64 mg/dL is also good, as higher levels are protective against heart disease.
  • Triglycerides: 86 mg/dL is normal.
  • A1C: 4.8% indicates good blood sugar levels.

You mentioned a desire to discuss weight, which is indeed a valid concern. Weight management can be sensitive, but it is directly related to overall health, even when tests are normal.

Next Steps:

  1. Communicate Clearly: At your next appointment, express your desire to discuss weight management and any specific health goals. Don’t hesitate to ask for tailored advice or strategies to align with your fitness aspirations.

  2. Set Goals: Consider identifying specific health goals beyond just weight; for example, improving endurance, strength, or dietary habits. Highlight these areas in your consultations to ensure a comprehensive approach.

  3. Seek Support: If you feel your current supports (trainer, nutritionist) aren’t addressing your concerns, consider seeking a second opinion or finding professionals who emphasize a holistic view of health that includes weight discussions respectfully.

  4. Continuous Monitoring: Keep up with regular check-ups every year, even if results are normal. Health can change over time, and ongoing assessments are key.

  5. Stay Informed: Educate yourself about healthy weight ranges for your height and how factors like body composition play a role in overall health, not just numbers on a scale.

Your commitment to your health is commendable, and it’s important to advocate for yourself in medical and wellness discussions. This will empower you to achieve your health goals effectively.

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