Precision Health Assessment

Go Beyond a Standard Executive Physical

Our flagship Precision Health Assessment is an unparalleled deep dive into your current health, risks, and longevity trajectory. In addition to taking a detailed history and performing a physical exam, we use gold-standard diagnostics to discover your body composition, bone density, liver health, cardiopulmonary fitness testing (VO2 max), resting metabolic rate, insulin sensitivity, hormone levels, mineral and vitamin levels, advanced lipid profile, inflammatory markers, and more. This goes far beyond what occurs in a typical annual physical, or what nearly any other executive physical can offer. Even among young, seemingly healthy patients, our Precision Health Assessment often uncovers important, previously unknown findings.

We also offer best-in-the-nation multimodal whole-body imaging, Cleerly AI-enhanced coronary CT angiographic modeling, GRAIL genomic multi-cancer screening, advanced clinical-grade genetic testing, cutting-edge breast cancer screening, DUTCH urine hormone metabolite testing, and a full suite of virtually any blood test desired at either of America’s top two reference labs as well as over a dozen other specialty lab partners.

When we identify issues and opportunities early, we can intervene at the best possible time: now. The assessment includes a long-form written report detailing our findings, what they mean, and a personalized plan to optimize your health and extend your healthspan, addressing every aspect of your health and well-being. If we recommend medical intervention or further investigation, we will provide specific details, and you can either take your plan to your doctor or work with Dr. Abendroth to implement it by joining our best-in-class concierge program.

What’s Included

Information Gathering

You’ll complete a detailed intake form so we can learn more about you before you walk in the door. Once you’re here, we’ll discuss your history, concerns, and goals, and provide a brief orientation to the Precision Health Assessment.

Physical examination

You will undergo a multi-system physical examination. We do not perform routine gynecological or breast examinations; we recommend that women perform self-breast examinations, undergo breast cancer screening, and see a gynecologist for routine Pap smears.

Advanced Blood Work

Unless you've been to a clinic like this before, this will likely be the most comprehensive blood work you have ever had done. Our lab panel was carefully curated by Dr. Abendroth. It includes all the basics you would expect, like complete blood count, liver enzymes, electrolytes, etc, but also a comprehensive hormone assessment for men and women, advanced lipid profiling, fatty acid profile, omega-3 cell membrane content, insulin sensitivity markers, inflammatory markers, oxidation markers, vitamins, minerals, and more.

Fibroscan Liver Elastography

This painless, non-invasive test uses ultrasound and vibration and is the gold standard for detecting liver fat and scarring. There is an epidemic of fatty liver disease in America affecting around 1/3rd of adults. Most people are unaware of it. Fatty liver disease (MASLD) has become the leading cause of liver failure, having overtaken alcohol. Your liver is critical to every other system in your body, from skin quality to brain function. If we catch it early, we can reverse fatty liver and even early fibrosis. If it goes on too long, it may become irreversible cirrhosis and liver failure.

DEXA Body Composition Scan

The clinical Gold Standard in body composition analysis. This whole-body scan uses DEXA technology to determine the proportions of bone, fat, and lean mass in your body, far more accurately than InBody or BIA. Perhaps most importantly, it tells us how much dangerous visceral abdominal fat you have and how much muscle mass you have, two factors that are key to metabolic health and longevity. Of course, it also tells us the number everyone wants to know: total body fat percentage.

DEXA Bone Density Scan

Typically only covered by insurance after the age of 60, when you may already have osteoporosis, we do a DEXA scan in the office during your appointment. This is the only way to find out your bone density. It is astonishing how many young people have low bone density, and there are actions you can take to improve it. Dr. Abendroth diagnosed his own osteoporosis at age 38 and has reversed the trend of bone loss — something he never would have uncovered without DEXA, until a life-altering fracture gave the first clue.

VO2 Max Testing

VO2 Max is a measure of the maximum amount of oxygen your body can utilize in one minute. It goes down as you age, and it’s loss is responsible for decreasing capacity for physical activity with aging. Your VO2 Max is among the best predictors of your remaining healthspan and is tightly correlated with longevity. Fortunately, it can be improved with proper training. The VO2 max test is conducted on a bicycle ergometer while wearing a mask that measures the gases you breathe out. We can see exactly how you compare with age- and sex-matched peers, where your trajectory is headed, and, most importantly, exactly what you can do to improve it. The test provides more information than just VO2 max, including anaerobic threshold, Zone 2, maximal heart rate, and more, which are used to create a personalized fitness plan designed to increase your VO2 Max so you can live longer, better.

Grip Strength

In addition to VO2 max, we test several physical performance metrics, such as balance and grip strength. Grip strength serves as a proxy for overall strength and correlates with longevity; balance decreases with age, increasing the risk of falls and injuries, and can be trained.

EKG

This heart test is used to establish a baseline upon which to compare future EKG’s, and also to detect arrhythmias and other heart problems.

Additional Optional Add-ons

  • Screen for over 50 types of cancers including pancreatic, ovarian, lung, and many more with GRAIL’s Galleri blood-based cancer testing. Rather than genetic tests that screen for hereditary risk, Galleri tests for the genetic fingerprints of active cancer itself.

  • Detail the health of each coronary artery with Cleerly CTA to get the best picture of your cardiovascular health

  • Turn over every stone and ensure your health with whole-body MRI imaging at our partner, Innovative Radiology, where we can detect hidden cancers, aneurysms, and more.

  • Advanced breast cancer screening is also available through Innovative Radiology—and not available anywhere else in the state.

  • Targeted genetic testing, like ApoE allele testing, to stratify Alzheimer’s risk and adjust the intensity of intervention, as well as clinical-grade genetic testing for hereditary diseases, mutations, and cancer risk.

  • Additional labs like Anti-Müllerian Hormone (ovarian reserve), DUTCH urine hormone metabolite testing, KBMO food sensitivity testing, stool microbiome testing, SIBO breath testing, and many more are available, depending on your needs.

Your Comprehensive Report

The assessment concludes with a long-form written report by Dr. Abendroth that details your results and what they mean. It provides a thorough interpretation of your current health status, risk profile, and trajectory. The report synthesizes that information into specific, evidence-based, personalized, actionable recommendations and medical advice tailored to your needs and preferences, covering nutrition, exercise, sleep, stress management, hormones, supplements, medications, and other key interventions designed to help you reduce risk and optimize long-term vitality & performance. If further evaluation or referrals are suggested, we will discuss those as well.

The Process

  • Reach out to us, ask any questions you have may have, and schedule a Precision Health Assessment when you are ready.

    After you pay your deposit and schedule your first visit, you will receive your intake forms. These should be completed as soon as possible, and must be completed by 24 hours before your first visit.

  • Meet with Dr. Abendroth to go over your history and concerns and complete your in-office testing, including DEXA scans, VO2 max testing, and liver elastography. Your lab tests will be ordered at this time, including any additional tests you that may be indicated based on your history and concerns.

    Any specialized optional lab kits, such as GRAIL cancer screening, Myriad Genetics testing, etc, will be sent to you. We will also help arrange any imaging studies that may have been ordered, like Whole Body Imaging or Cleerly CTA.

  • Return to the office to review and discuss all your findings and recommendations, and receive a detailed, written report and health optimization plan. You will have plenty of time to ask questions and discuss everything in detail.

    If there are any urgent findings that cannot wait until the second appointment, Dr. Abendroth will call you to discuss them.

  • Your report will contain a detailed and comprehensive set of recommendations. Where to go from there will depend on your results and desires.

    You may be able to implement the plan on your own or with help from a health coach, personal trainer, or nutritionist. Some plans will require a doctor to implement fully if hormones, medications, or ongoing monitoring are required. Occasionally, we find problems that require referral to a specialist. Everyone’s report is different, and we’re here to help with whatever comes up.

    The Precision Health Assessment does not establish a treatment relationship with Abendroth Modern Medicine. Because prescriptions require monitoring, adjustments, and refills, nothing will be prescribed unless you become a patient of the clinic.

    Concierge Medicine
    This is the best way to have a frictionless relationship with your doctor and experience the highest level of care available. Membership includes direct access to Dr. Abendroth via his personal cell, unlimited in person and remote visits, health coaching, annually updated Precision Health Assessment testing & report, no-cost repeat in-office testing, an actively managed and updated health optimization plan including medication and hormone management, discounts on aesthetic services, professional supplements, and Oura rings, and more. Become a clinic member and have unlimited visits in any format. You’ll get as much time as you need, from brief text-based check-ins and questions to phone calls, video visits, or in-person visits, with no per-interaction fee, no copayments, no deductibles, and no insurance company dictating any aspect of your care.

    If you join the practice within a week of your Precision Health Assessment report, half of the assessment fee will be applied toward your first year of membership.

    An initial Precision Health Assessment is required to become a concierge medicine patient, as we cannot do what we do without the information obtained from it. See the Concierge Medicine page for more details.

Q&A

  • We charge $3,200 for the Precision Health Assessment. Any additional add-on testing, such as GRAIL cancer screening, whole-body imaging, etc., will incur additional fees, which will be discussed.

    If you choose to become a concierge patient after your Assessment, 50% of your Precision Health Assessment fee will be applied to the first year’s concierge retainer fee.

  • You can pay for your Precision Health Assessment with HSA or FSA funds. This also qualifies as an executive physical, which is a tax deductible business expense that may be available to you.

    We can provide an itemized receipt upon request. If you become a concierge member, we can break apart your annual membership fee into the Precision Health Assessment component (we do one every year), and the concierge medicine component.

    Always discuss these issues with your accountant or plan administrator to verify tax qualifications and financial implications.

  • Insurance does not cover in-depth, proactive, preventive medicine. We are not in-network with any insurance company and never bill insurance for our services.

    We can provide you with a superbill, which you can submit to your insurance company to try to get partial reimbursement. We cannot assist with that process.

  • It takes 2 to 4 weeks to complete this assessment. There are two office visits: one for your intake and in-office testing, and one to review your results. Between those two, you will need to have your blood drawn, get any imaging or specialized testing done, and get all the results of that testing back. Dr. Abendroth then needs time to review all the results and synthesize your comprehensive written report.

  • We frequently discover previously unknown medical problems. More than half of our patients receive a new diagnosis. Far more than that discover physiologic weaknesses or risk factors that don’t meet the criteria of a bona fide medical diagnosis.

    While finding problems can be distressing, it is better to find them early when they are most amenable to intervention. That’s why we do this.

  • We routinely have patients who fly in from out of state for their Precision Health Assessment. Establishing care in person lets us legally treat you in your state year-round, and your annual PHA, included with membership, maintains that capability.


    Our location, just 10 minutes from the Des Moines International Airport and some of Iowa's best hotels, makes the trip convenient and stress-free.