9
History
• Body weight history
• Medical history
• Medications
• Family history
• Nutrition history
• Social history and support systems
• Review of systems
• Socioeconomic and cultural history
• Physical activity history
• Routine preventive medical care
Physical Exam
• Vital signs • General physical exam
Laboratory
Routine
• CBC
• Comprehensive metabolic panel
(CMP)
• Fasting lipid levels
• TSH
• 25-hydroxy vitamin D
• HbA1c
Individualized
• Urinalysis
• Glucose tolerance
• Fasting proinsulin, C-peptide,
and insulin
• Testosterone
• Insulin resistance
• Dexamethasone suppression
• Pregnancy and reproductive
hormones in women
• Vitamins and minerals after
bariatric surgery
• Advanced lipid testing
• High-sensitive C-reactive
protein
• Uric acid
• Brain imaging
• Liver imaging
• EKG
• Arteriosclerotic cardiovascular
disease (ASCVD) tests
• Sleep studies
• Calorimetry
• Resting metabolic rate (RMR)
Secondary/Contributing Causes of SFD and FMD
• Genetic syndromes
• Medical conditions
• Psychological and behavioral conditions
