Post by Institute of Health Optimisation and Mentorship (IHOM)

Their lipids are normal. HbA1c is 35. TSH unremarkable. Every investigation: clear. Five years later.... type 2 diabetes. Poor surgical recovery. A first cardiac event. We designed our diagnostics to detect pathology after it declares itself. We did not design them to detect the physiological trajectory that precedes it. These are different instruments. Measuring different things. In this carousel, we explore: → Why normal blood work does not equal physiological health → What may be changing before any value shifts → The concept of the BioTerrain, the ground on which disease either takes hold or does not → Why disease detection and health assessment are two different clinical processes When every investigation is normal, are you confident you have assessed your patient's health, or only that you have not yet found disease? Save this post if it made you pause. Share it with a colleague who has had this consultation. #PhysicianEducation #MetabolicMedicine #ClinicalReasoning #HealthOptimisation #FunctionalMedicine #PreventiveMedicine #LongevityMedicine #InternalMedicine #MedicalEducation #Metabolism #HealthSpan #GrandRounds #BioTerrain #PhysiologicalReserve #MetabolicHealth #ClinicalMedicine #MedTwitter #MedEd #HealthcareLeadership #ChronicDiseasePrevention