TeleDocWell Longevity Score

Answer these quick questions to see where you may benefit from longevity optimization.

Do you struggle to lose weight despite consistent effort?

Do you often feel fatigued or low energy?

Do you sleep fewer than 7 hours most nights?

Has your blood pressure ever been elevated?

Do you have a family history of heart disease or stroke?

Have you had elevated cholesterol, insulin, or A1c?

Do you strength train less than twice per week?

Do you suspect hormone imbalance (thyroid, testosterone, progesterone, etc)?

TeleDocWell Insights

TeleDocWell Insights

Prevention, Metabolic Health & Longevity

March 2026 • Laura Reis, DO

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The Future of Medicine Is Prevention

Most heart disease, stroke, dementia, kidney disease, and metabolic illness develop slowly over years before symptoms appear. The goal of modern longevity medicine is to identify risk early and intervene before disease develops.

At TeleDocWell, our focus is helping patients optimize the key drivers of long-term health: metabolic health, cardiovascular risk, hormone balance, inflammation, and muscle mass/fitness.

Practice Update

Thank you to everyone who continues to refer friends and family to TeleDocWell. We are grateful to be growing a community focused on prevention, longevity, and metabolic health.

A quick personal update — Jomelyn recently welcomed a healthy baby boy, and both mom and baby are doing wonderfully.

Quick Longevity Self-Assessment

Early metabolic dysfunction can develop 10–20 years before disease appears. Ask yourself:

  • Do you struggle to lose weight despite consistent effort?
  • Do you feel tired, low energy, or “wired but tired”?
  • Have cholesterol, ApoB, triglycerides, or fatty liver been elevated?
  • Do you have a family history of early heart disease or stroke?
  • Do you suspect hormone changes affecting energy, mood, or body composition?

If you answered YES to 2+ a TeleDocWell prevention/longevity evaluation may be helpful.

The 5 Labs Everyone Should Know

Many routine panels miss important risk markers. At TeleDocWell, we often evaluate the following labs to identify risk early and personalize a prevention plan.

Lab Why it matters Ideal goal
ApoB Best marker of atherosclerotic particle burden and plaque-driving risk. < 70 mg/dL
Fasting Insulin Early signal of insulin resistance—often rises years before diabetes. < 8
Hemoglobin A1c Average glucose over ~3 months; helps assess long-term metabolic risk. < 5.5%
Lipoprotein(a) Genetic cardiovascular risk marker; many people have never had it checked. < 30
Hormones (thyroid, estradiol/progesterone, testosterone, DHEA) Hormone balance influences energy, metabolism, muscle, mood, and cardiovascular health. Personalized targets

GLP-1 Medications and Metabolic Health

GLP-1 medications such as semaglutide and tirzepatide have become powerful tools in metabolic medicine. For many patients, they can improve insulin sensitivity, reduce inflammation, promote fat loss while preserving muscle, and reduce cardiovascular risk—when used as part of a broader plan.

Hormones and Longevity

Hormone balance plays a major role in metabolism, body composition, energy, and cardiovascular health. For some patients, optimizing hormones such as thyroid, estradiol/progesterone, testosterone, and DHEA can significantly improve quality of life—especially when paired with metabolic and lifestyle foundations.

The Longevity Foundation

  • Resistance training 3–4x/week
  • Cardiovascular activity most days
  • Sleep optimization (7–9 hours)
  • Stress management
  • Metabolic monitoring with targeted labs

Free Download: Top 5 Longevity Labs Everyone Should Know

Many routine lab panels miss the most important markers of metabolic and cardiovascular health.

Download our quick guide to the five most important labs for prevention and longevity.

  • ApoB
  • Fasting Insulin
  • Hemoglobin A1c
  • Lipoprotein(a)
  • Hormone Panel

Interested in Optimizing Your Health?

Many patients come to TeleDocWell for help with metabolic health, GLP-1 therapy, hormone optimization, cardiovascular risk reduction, and longevity planning.

Thank You

Our mission is simple: help patients stay healthy, active, and independent for as long as possible. Prevention is the most powerful medicine.

— Dr. Laura Reis

Educational information only; not medical advice. Individual needs vary. Please schedule a visit for personalized guidance.