Patient Guidelines for Preventive Medicine 2023

This clinic specializes in the detection and treatment of hormonal diseases. This specialization allows us to remain current with the scientific literature in this area and to utilize the newest treatments and tests for our patients. Although our focus is on hormonal diseases, we are concerned for the total person. Prevention of any disease is far more effective than treatment. Shown below are some suggested preventive medicine guidelines for most adults. You are encouraged to discuss these guidelines with us or your primary care physician or provider. We can help you with some of the recommendations shown below, or refer you to another facility or provider who will. Note that the recommendations are age, sex, and health specific. Some of the recommendations will not apply to you, and some persons may need additional or more aggressive preventative measures. We suggest for you to review these guidelines once a year and keep a written log of the tests and procedures (such as vaccinations) which you have done.


Influenza (flu)– Recommended yearly for all adult patients (except those with contraindications).
Diphtheria/Tetanus– Recommended every 10 years (except for those with contraindications). Include whooping cough (pertussis) vaccine at one of the 10-year booster vaccinations (Tdap vaccine).
Pneumococcal Pneumonia (PPSV23 and PCV13)– Recommended for all adults at age 65 and also prior to
age 65 in persons with diabetes mellitus and other chronic diseases. Booster injections
recommended at 10 years intervals.
Zoster (shingles)– Recommended for all persons over 50, even if they have a history of chickenpox
infection or chickenpox vaccination (except those with contraindications), including persons
who have had shingles in the past. Recommended vaccine is Shingrix (2 injections at 1-2 month

Other Vaccines (Usually not addressed through this office. Please discuss with your primary care

Varicella (chickenpox)– Recommended for healthy adults, if born in 1980 or later who do not have a history of chickenpox or prior vaccination for chickenpox.
Measles, Mumps, Rubella (MMR vaccine)– Recommended for all adults he did not have a history of these infections or prior vaccination for these infections.
Papilloma Virus (cervical cancer)– Recommended for all adults less than 27 years of age.
Hepatitis B– Recommended for all patients who are less than 60 years of age and in persons over age 60
who are at severe risk for acquiring the infection.
HIV– One-time screening blood test recommended in all adults less than 75 years of age.
Hepatitis C– Recommend a one-time screening test for all adults between 18-79 years of age.

Cancer Prevention

Colonoscopy– Recommended for most individuals at age 50 and then periodically until the age of 80, with frequency dependent on findings but no less than every 10 years.
Mammogram– Recommended at 1-2 year intervals for most women starting at age 40-50 depending on risk factors.
Pap smear– Recommended for most adult women at 3 year intervals. May be discontinued in some women or at the age of 65. PSA and prostate examination in men– Controversial, but generally starting at age 40-50 and then periodically depending on risk factors.

Laboratory Testing

Blood sugar, thyroid, cholesterol (lipids), liver and kidney function
Suggested at 2-3 year intervals for otherwise healthy adults.

Physical Examination– Generally suggested at 2-3 year intervals for healthy adults.
Ophthalmological (eye)– Recommended yearly for persons with diabetes. Recommended every 2-3 years for otherwise healthy adults over 40 years of age.


Bone densitometry
Women: recommended at the age of 65 in all women and at the age of menopause if they have any risk factors for osteoporosis such as low body weight or smoking. Repeat screening at 2-5 year intervals depending on bone density and other risk factors.
Men: recommended at the age of 65 and then periodically only if there are risk factors for osteoporosis such as a low testosterone level.
Electrocardiogram– Suggested at 2 year intervals in persons with risk factors for heart and blood vessel disease such as diabetes, elevated cholesterol, hypertension, or smoking.
Ultrasound of Abdomen– Recommended in men aged 65-75 with any history of smoking or family history of abdominal aortic aneurysm requiring repair.