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. Patients can use Rupa Health (cash-pay, typically $150-250 for a panel that would cost $600-900 at retail) or run labs through their own insurance — whichever is most affordable for your situation.
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:
Initial Consultation — $175
60-minute comprehensive visit. Full health history, family history, and risk factor review. Advanced lab panel ordered.
Lab Review & Prevention Plan — Included in $175
Your follow-up visit is included in the initial $175 fee — no additional cost. Results 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. Patients can use Rupa Health (cash-pay, typically $150-250 for a comprehensive panel that would cost $600-900 at retail) or run labs through their own insurance — we help you decide which is most affordable.
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 Lake Chelan wine country and the alpine town of Leavenworth.
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 and Gig Harbor, receive the same comprehensive cardiovascular and metabolic risk assessment via secure video. Southwest Washington residents in Camas and Ridgefield near the Columbia River Gorge round out our statewide reach.
Labs are coordinated at Quest Diagnostics locations near you. Patients can choose Rupa Health (cash-pay, typically the most affordable option for advanced panels including ApoB, Lp(a), and fasting insulin) or use their own insurance for lab work.
Your $175 includes a 60-minute initial consultation AND a follow-up visit to review labs and build your plan. Available to all Washington State residents via secure video — no referral needed. Most patients have a lab draw site within 15 minutes of home.