Most chronic disease announces itself quietly — through lab values that are creeping in the wrong direction, risk markers that standard panels never check, and symptoms that get dismissed as normal aging. We catch it earlier, when prevention still works.
The standard annual physical was designed to detect disease — not prevent it. It checks basic metabolic markers, a routine lipid panel, and blood pressure. By the time those values fall outside the normal range, the underlying process has usually been building for years.
Cardiovascular disease, insulin resistance, hormonal decline, and metabolic dysfunction all develop gradually. The markers that reveal them early — ApoB, Lipoprotein(a), fasting insulin, HOMA-IR, advanced lipid particle analysis — are almost never ordered at a standard checkup.
A preventive health evaluation at Beacon Hormone & Wellness goes beyond the standard panel. We assess cardiovascular risk, metabolic function, hormonal status, and lifestyle factors together — giving you a complete picture of where you stand today and what trajectory you are on.
Prevention works best early. Lifestyle interventions — nutrition, movement, sleep, stress management — are most effective when implemented before chronic disease sets in. We find the risk early and act on it when it matters most.
A comprehensive evaluation that goes well beyond a standard annual physical. Full health history, symptom assessment, advanced lab ordering, and a personalized prevention plan. The goal is to identify what is building before it becomes irreversible.
Advanced cardiovascular risk evaluation including ApoB, Lipoprotein(a), triglyceride-to-HDL ratio, fasting insulin, and inflammatory markers. We also discuss coronary calcium CT scoring — one of the most powerful predictors of cardiovascular events available.
Standard cholesterol panels tell an incomplete story. ApoB measures the number of atherogenic lipoprotein particles — a more accurate predictor of cardiovascular risk than LDL alone. Lipoprotein(a) is genetically determined and only needs to be checked once in a lifetime.
A thorough lab panel covering hormonal, metabolic, cardiovascular, nutritional, and thyroid markers in one comprehensive draw. Billed separately at wholesale cost, ordered right after your intake is reviewed.
A focused consultation for patients who want to identify and address risk factors for chronic disease before damage occurs. Root cause analysis, lifestyle-first medicine, and a clear action plan — not a prescription pad and a referral.
Prevention is not a one-time event. Regular lab re-testing, lifestyle monitoring, and plan adjustments through the monthly membership keep your prevention strategy current and effective as your health evolves.
Here are the markers most commonly absent from routine bloodwork that carry the highest clinical value for prevention:
Lab Testing — Billed Separately (~$225)
Once your intake forms are complete and reviewed, your advanced lab panel is ordered right away through Fullscript at wholesale cost, so your results are ready before your visit.
The Visit — $175
60-minute comprehensive visit, once your labs are back. Full health history, family history, and risk factor review, interpreted in full clinical context. Personalized prevention plan built around your specific risk picture and goals.
Ongoing Monitoring — $135/mo
Regular lab re-testing, lifestyle monitoring, and plan adjustments. A provider who tracks your prevention trajectory over time.
Labs are billed separately from your $175 visit — about $225 through Fullscript at wholesale cost, HSA/FSA accepted subject to your plan's rules. Additional specialized testing, if warranted by your results, is discussed with you before ordering.
Bloodwork tells us a great deal — but sometimes the clearest answers come from imaging. When your clinical picture calls for it, I order and interpret two of the most useful, evidence-based tests in preventive medicine. These aren't ordered for everyone; they're used when they'll genuinely change your understanding or your plan.
A CAC scan is a quick, low-dose CT of your heart that directly measures the calcified plaque in your coronary arteries. Instead of estimating your heart risk from cholesterol numbers, it shows what's actually there.
Why it's powerful:
Honest limitations:
Most people know DEXA for bone density — but the same scan precisely measures your body composition: lean muscle mass, fat mass, and, importantly, visceral fat (the metabolically dangerous fat around your organs) that the scale and BMI completely miss.
Why it's useful:
Honest limitations:
These are tools, not requirements. I recommend CAC or DEXA only when your clinical picture makes them genuinely worthwhile — never as a standard add-on for everyone. When they're warranted, I'll order them, help you find a convenient location, and interpret the results in the full context of your labs, history, and goals.
Prevention is a strategy, not a single appointment. Our preventive medicine services are designed to identify risk years before disease appears — and give you the tools to change the trajectory.
Comprehensive cardiovascular evaluation including ApoB, lipoprotein(a), advanced lipid particles, and coronary calcium scoring recommendations when clinically appropriate.
Beyond the standard lipid panel — ApoB, Lp(a), LDL particle number, and inflammatory markers. The tests that actually predict cardiovascular events.
Early identification of insulin resistance, prediabetes, and metabolic dysfunction — often a decade before standard labs would catch it. Reversible when caught early.
The annual check-up most people should be getting but rarely do. Full history, risk factor assessment, advanced labs, and a personalized prevention plan.
Evidence-based strategies to extend not just lifespan but healthspan — the years lived in good function. Nutrition, exercise, sleep, stress, and targeted interventions when supported by data.
Many patients are on medications that could be reduced or discontinued with the right lifestyle and monitoring plan. An honest look at what you actually need.
The patients who benefit most from preventive medicine are often the ones least served by insurance-based care — people who are "too healthy" for attention but whose risk factors are quietly accumulating. Our telemedicine practice serves Washington State residents across every region — from the upper Kittitas County communities of Cle Elum, Roslyn, and Suncadia, to the I-90 mountain corridor through North Bend and Snoqualmie, to Tacoma, Olympia, and the South Sound.
Eastside Seattle residents in Mercer Island, Redmond, Kirkland, Sammamish, Issaquah, and Woodinville frequently turn to telemedicine for the thorough preventive evaluation that primary care rarely has time to provide. Island residents on Bainbridge, Vashon, and in the San Juan Islands around Friday Harbor, along with Kitsap Peninsula communities including Poulsbo, Port Orchard, and Gig Harbor, receive the same comprehensive cardiovascular and metabolic risk assessment via secure video. Residents throughout Tacoma, Olympia, and the South Sound round out our statewide reach.
Labs are coordinated at a draw site near you. Your comprehensive panel — including advanced markers like ApoB, Lp(a), and fasting insulin — is billed separately at wholesale cost, ordered right after your intake is reviewed.
Most people have never seen a truly complete picture of their metabolic and hormone health. Once your intake is reviewed, we order your full lab panel first — then sit down for a $175, 60-minute visit and go through exactly what your results mean. Available to all Washington State residents via secure video — no referral needed. If a draw site isn't reasonably accessible, we'll discuss alternatives.