My midlife health assessment

P

PWMDMD

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The day before my 48th birthday in October, I will be the age my father was when he passed away from a combination of a really terrible lifestyle, cancer, and uncontrolled hypertension. My sister was 44 when she died of a heart attack secondary to extreme morbid obesity.

At my heaviest in 2018, I was 6'5" and 365lbs. I was hypertensive, I had dislipidemia, insulin resistance, every thing you'd expect. In September of 2018, I had the gastric sleeve procedure and within 6 months I lost 100lbs and my labs all normalized. Over the next 5 years, I exercised regularly, changed my diet, but still gained back about 30lbs. In 2023, I started on a GLP-1 and lost the 30 lbs I had gained and I have maintained that weight for 3 years now.

I'm a gymbro now. I life heavy and I'm pretty jacked for a 47 year old dentist. I make sure to get my cardio in. My diet is still on point. I just finished doing a midlife health assessment with a CAC and some labs.

Meds are tirzepatide, levothyroxine, and testosterone.

Currently:
6'5"
265lbs
BP 123/72
Pulse 67

Can bench press 6 plates for reps pretty easily and routinely climb 100 flights of stairs for my cardio.

Here are my labs associated with cardiovascular health.
1782944317685.webp


1782943955897.webp


1782943970907.webp


HbA1C = 4.7

LFTs are normal


I just had a colonoscopy with no findings and my Cologuard came back negative. No aches or pains and I feel really good.

I want to get my D3 up...but overall, I'm pretty pleased.


1782943918384.webp
 
PWMDMD said:
I just had a colonoscopy with no findings and my Cologuard came back negative.
Click to expand...
Congrats on your transformation.

I know someone that had a negative Cologuard with undiagnosed stage 2A colon cancer. There is supposedly a 7% failure rate which is high IMHO. They had some resectioning IIRC 3 years ago and are fine now with minimal chemo.
 
Those numbers that I understand look really good - congratulations!

I've now outlived both parents, but also do a lot of stuff differently. But I can't credit my lifestyle too much - there were some very long-lived aunts, uncles, and grandparents as well.
 
PWMDMD said:
The day before my 48th birthday in October, I will be the age my father was when he passed away from a combination of a really terrible lifestyle, cancer, and uncontrolled hypertension. My sister was 44 when she died of a heart attack secondary to extreme morbid obesity.

At my heaviest in 2018, I was 6'5" and 365lbs. I was hypertensive, I had dislipidemia, insulin resistance, every thing you'd expect. In September of 2018, I had the gastric sleeve procedure and within 6 months I lost 100lbs and my labs all normalized. Over the next 5 years, I exercised regularly, changed my diet, but still gained back about 30lbs. In 2023, I started on a GLP-1 and lost the 30 lbs I had gained and I have maintained that weight for 3 years now.

I'm a gymbro now. I life heavy and I'm pretty jacked for a 47 year old dentist. I make sure to get my cardio in. My diet is still on point. I just finished doing a midlife health assessment with a CAC and some labs.

Meds are tirzepatide, levothyroxine, and testosterone.

Currently:
6'5"
265lbs
BP 123/72
Pulse 67

Can bench press 6 plates for reps pretty easily and routinely climb 100 flights of stairs for my cardio.

Here are my labs associated with cardiovascular health.
View attachment 345834

View attachment 345832

View attachment 345833

HbA1C = 4.7

LFTs are normal


I just had a colonoscopy with no findings and my Cologuard came back negative. No aches or pains and I feel really good.

I want to get my D3 up...but overall, I'm pretty pleased.


View attachment 345831
Click to expand...
Nice work! That's taken a lot of dedication and a bit of help from modern medicine.
 
PWMDMD said:
I'm a gymbro now. I life heavy and I'm pretty jacked for a 47 year old dentist.
Click to expand...
First, huge congrats on all the health improvements.

I learned the hard way you should NOT lift heavy weights nearing 50. My surgeon convinced me I was wearing out my joints doing lifting like that at 60. Your joints only wear down, they do not build up like muscles. Heavy weights accelerates the joint wear and tear.

Lift light weights with high reps, OR, use this bad boy. It will kick your butt!

https://www.trxtraining.com/pages/s...UB2e43X4O1hx1mxTNOrqi0eUCN3YdoGEaAlhREALw_wcB
 
iCurious said:
This is awesome and good for you. Do you mind sharing your macros?
Click to expand...
Honestly, I don't keep track other than to say I almost always focus on a protein and fats and carbs are just accessories. I consume 48g of protein after every workout. Having had gastric sleeve, I can still only eat about ⅓ to ½ a portion so I always also eat the protein first because I still get surprised by how quickly I feel full.
 
gfh77665 said:
First, huge congrats on all the health improvements.

I learned the hard way you should NOT lift heavy weights nearing 50. My surgeon convinced me I was wearing out my joints doing lifting like that at 60. Your joints only wear down, they do not build up like muscles. Heavy weights accelerates the joint wear and tear.

Lift light weights with high reps, OR, use this bad boy. It will kick your butt!

https://www.trxtraining.com/pages/suspension-training-collection-page?gclsrc=aw.ds&&nbt=nb:adwords:g:23535154724:198016296892:796262568227&nb_adtype=&nb_kwd=trx system&nb_ti=kwd-3520135485&nb_mi=&nb_pc=&nb_pi=&nb_ppi=&nb_placement=&nb_li_ms=&nb_lp_ms=&nb_fii=&nb_ap=&nb_mt=e&gad_source=1&gad_campaignid=23535154724&gbraid=0AAAAAD-FZK_CdvfHOMkPbEiaW9CylBUft&gclid=Cj0KCQjw9ZLSBhCcARIsAEhGKgMKpdjzBsy44SyIf2fH6oQUB2e43X4O1hx1mxTNOrqi0eUCN3YdoGEaAlhREALw_wcB
Click to expand...
I don't go as heavy as I used to and I have increased reps. When I say heavy, I really mean I'm working hard.
 
Discipline is so key. I wish I knew the meaning of the word. My wife, on the other hand, is one of the most disciplined persons I have ever met. There is little doubt I would be in deep yogurt without her.

Given my many years of hard living, homelessness fueled by alcoholism, I am in remarkable health for 73. I am one of the lucky ones.
 
Nice! good job. As 50 rolls around I'm reminded that making sure the couch doesn't move does not count as "activity". This year's foray back into cycling has been much harder than prior years (I am starting to loath New England winters), and it dawned on me recently that I don't think anyone on dad's side of the family has made it past 75, so maybe I oughta make some changes.
 
Everybody should be on blood solvents thinners when they get over 40.

It keeps all the pipes clean and eliminates any cholesterol buildup.

It's like putting gasoline into your engine oil.
 
That's awesome that you took control and turned things around. I have an uncle who is currently in a very similar situation you were in, but it is going the opposite way because now he has aches and pains and rarely does any physical activity. He has been on and off GLP-1s and now has some other health issues due to his weight.

My father is 61, and has been doing crossfit for about 10 years now. He is more active now and in better shape than when he was 40 with more energy.
 
grasscutter said:
Everybody should be on blood solvents thinners when they get over 40.

It keeps all the pipes clean and eliminates any cholesterol buildup.

It's like putting gasoline into your engine oil.
Click to expand...
At some point the daily 81mg prophylactic aspirin should be paused.

At what age should aspirin be stopped?

Other recommendations say you should not take a daily aspirin after age 70. If you're between ages 60 and 69, ask your healthcare professional how daily aspirin therapy may affect you.
 
gfh77665 said:
At some point the daily 81mg prophylactic aspirin should be paused.

At what age should aspirin be stopped?

Other recommendations say you should not take a daily aspirin after age 70. If you're between ages 60 and 69, ask your healthcare professional how daily aspirin therapy may affect you.
Click to expand...
Aspirin? No sir, wasn't talking about aspirin. 😂

W A R F A R I N . The proverbial rat poison. :eek:

If a mosquito lands on your arm and sticks his needle in, he's dead! 😁
 
We all get the concept of freely flowing fluids, including blood, as we are BITOGers.
However, is the blanket advice you gave in post 12 truly applicable to "Everybody"?

Since my "annual" is approaching, I'll ask my DOCTOR.
 
grasscutter said:
Everybody should be on blood solvents thinners when they get over 40.

It keeps all the pipes clean and eliminates any cholesterol buildup.

It's like putting gasoline into your engine oil.
Click to expand...
Load of KRAP warning.

OP is under 50, on a decent health journey. Good on him.

The overall fixation on "cholesterol" is dying a very slow death. Science, not protocol.
 
Good job on the improved health. I hate to break it to you, but you are past midlife since most men never live until their late 90’s………35-40 is the real mid life for most men.
 
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