Health
‘I have a blood test coming up — how should I prepare?’: Ask a doctor
It’s common for doctors to recommend getting bloodwork following a medical appointment or routine check-up.
Blood tests can identify deficiencies in vitamins or minerals, immune system problems, or signs of infection, as well as whether organs like the liver, heart or kidneys are functioning correctly, according to the University of Pittsburgh Medical Center.
Fox News Digital spoke with a doctor about how to be prepared for your next blood test.
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Reasons for blood tests
Doctors may order blood tests for three main reasons: screening, diagnostics or monitoring.
Blood tests can identify deficiencies in vitamins or minerals, immune system problems, or signs of infection, as well as whether organs like the liver, heart or kidneys are functioning correctly. (iStock)
Screenings are unrelated to symptoms and are based on age, risk factors or the last time you were checked, according to Brintha Vasagar, MD, a family physician with Bayhealth Family Medicine in Dover, Delaware.
These tests can screen for things like cholesterol, glucose, HIV or hepatitis C.
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Tests for diagnosis are based on the symptoms you have communicated to your physician, said Vasagar.
“We carefully choose bloodwork to help rule in or rule out diseases that might be causing those symptoms,” she told Fox News Digital.
Doctors may order blood tests for three main reasons: screening, diagnostics or monitoring.
Blood tests for monitoring could be performed if you already have a diagnosis and your physician wants to make sure the treatments are working and to check for any negative side effects, Vasagar said.
These tests will help your physician make recommendations for changing medicines or lifestyle habits.
What to expect from a blood draw
A technician will take you to a private area and confirm your name and date of birth, Vasagar shared.
After seating you in a chair, the technician will place a tight band around your upper arm to help your veins become more accessible.
Next, the technician will clean the area and insert a small needle to collect vials of blood, the doctor said.
After seating you in a chair, the technician will place a tight band around your upper arm to help your veins become more accessible. (iStock)
“Some blood tests require different types of testing, which is why we sometimes need several vials of blood,” she said.
“When they have what they need, they will remove the needle and hold pressure to help your blood clot.”
The technician will label each vial of blood with your identifying information and ask you to verify that it is correct, Vasagar added.
What to do before your blood test
If you have any fear or anxiety about getting blood work, experts recommend discussing your concerns with your health care provider ahead of time.
“They see many people who are anxious about needles and blood, and they can help you calm down,” noted the University of Pittsburgh Medical Center.
“Some people like to schedule for first thing in the morning so that their fasting time takes place overnight and is less impactful to their daily routine.”
“I usually prepare patients with what we expect the results to be, and when they can expect to meet with me again or receive a call to discuss results,” said Vasagar.
“I also tell patients that they will always receive communication about those results, even if they are normal, so if they have not heard anything, they should call.”
If you have any fear or anxiety about getting blood work, experts recommend discussing your concerns with your health care provider ahead of time. (iStock)
You can carry on with your normal routine the day before a blood test. However, if your doctor has asked you to fast, you should avoid eating or drinking anything other than plain water for eight to 12 hours before your blood test, said Vasagar.
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“Some people like to schedule for first thing in the morning so that their fasting time takes place overnight and is less impactful to their daily routine,” she said.
Fasting is only required for specific blood tests, so it’s important to check with your doctor.
Drinking plenty of water before your appointment will help prepare your veins so that your technician can draw blood more easily. (iStock)
If fasting isn’t required, it’s a good idea to eat and drink before getting your blood drawn to prevent lightheadedness, according to Vasagar.
“If you start feeling dizzy, tell your technician so they can help you lie down and get you a snack and water,” the doctor said.
Drinking plenty of water before your appointment will help prepare your veins so that your technician can draw blood more easily, she added.
More smart planning tips
Blood will be drawn from your arm, so dress in a way that allows the technician to access your arm.
“Layering is a great way to stay warm while allowing for easy bloodwork,” Vasagar suggested.
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Feeling prepared can be a good way to combat anxiety. Make a plan to get to your appointment on time and bring your photo ID and insurance card.
If you are fasting, you can bring snacks, water or coffee to have as soon as you are finished, the doctor advised.
Having a blood test takes just a few minutes and generally isn’t painful, experts agree. (iStock)
If it makes you feel more comfortable, bring a relative or friend along, or listen to music with headphones to distract you from the needle, the same source suggested.
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Remember that having a blood test takes just a few minutes and generally isn’t painful, experts agree.
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Health
Common eating habit may trigger premature immune system aging, study finds
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Eating too much salt has long been linked to high blood pressure, but new research suggests it could trick the immune system into prematurely aging the blood vessels.
A preclinical study recently published in the Journal of the American Heart Association has identified a biological chain reaction that links a salty diet to cardiovascular decay.
Scientists at the University of South Alabama observed that mice on a high-salt diet experienced rapid deterioration in their blood vessel function.
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After just four weeks of high sodium intake, the small arteries responsible for regulating blood flow lost their ability to relax, according to a press release.
The team found that the cells lining these vessels had entered a state of cellular senescence, a form of premature cellular aging in which cells stop dividing and release a mix of inflammatory signals that can damage surrounding tissue.
Excess salt has long been linked to high blood pressure, but a new study goes deeper into its effects on the cardiovascular system. (iStock)
The researchers tried to replicate this damage by exposing blood vessel cells directly to salt in a laboratory dish, but the cells showed no harmful effects.
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This suggests that salt isn’t directly causing damage to the vascular lining but that the real culprit may be the body’s own defense mechanism, the researchers noted.
Excess salt may trigger the immune system to release a molecule called interleukin-16 (IL-16), which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study.
Excess salt may trigger the immune system to release a molecule called interleukin-16, which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study. (iStock)
Once these cells age, they fail to produce nitric oxide, the essential gas that tells arteries to dilate and stay flexible.
To test whether this process could be reversed, the team turned to a class of experimental drugs known as senolytics.
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Using a cancer medication called navitoclax, which selectively clears out aged and dysfunctional cells, the researchers were able to restore nearly normal blood vessel function in the salt-fed mice, the release stated.
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By removing the decaying cells created by the high-salt diet, the drug allowed the remaining healthy tissue to maintain its elasticity and respond correctly to blood flow demands.
Excess salt may trigger the immune system into stopping the cells from dividing, the study suggests. (iStock)
The study did have some limitations. The transition from mouse models to human treatment remains a significant hurdle, the team cautioned.
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Senolytic drugs like navitoclax are still being studied for safety, and the team emphasized that previous trials have shown mixed results regarding their impact on artery plaque.
Additionally, the researchers have not yet confirmed whether the same IL-16 pathway is the primary driver of vascular aging in humans.
Health
Healthy diets spark lung cancer risk in non-smokers as pesticides loom
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Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests.
The observational study, led by Jorge Nieva, M.D., of the USC Norris Comprehensive Cancer Center at Keck Medicine, was presented this month at the American Association for Cancer Research (AACR) annual meeting in San Diego. It has not yet been peer-reviewed.
Researchers looked at dietary, smoking and demographic data for 187 patients who were diagnosed with lung cancer at age 50 or younger.
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They found that among non-smokers, there was a link between healthier-than-average diets – rich in fruits, vegetables and whole grains – and the chance of lung cancer development.
Young lung cancer patients ate more servings of dark green vegetables, legumes and whole grains compared to the average U.S. adult, the researchers found.
Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests. (iStock)
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association.
“Commercially produced (non-organic) fruits, vegetables and whole grains are more likely to be associated with a higher residue of pesticides than dairy, meat and many processed foods,” according to Nieva. He also noted that agricultural workers exposed to pesticides tend to have higher rates of lung cancer.
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“There is a large subset of lung cancer patients whose disease is not caused by smoking,” Nieva told Fox News Digital.
The disease is becoming more common in non-smokers 50 and younger, especially women – despite the fact that smoking rates have been falling for decades, the researcher noted.
The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association. (iStock)
“These patients tend to have eaten much healthier diets before their diagnosis than the average American,” he went on. “We need to support research into understanding why Americans – and women in particular – who no longer smoke very much are still having lung cancer,” he said.
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The study did have some limitations, Nieva acknowledged, primarily that it relied on survey data and was limited by the participants’ memories of their food intake.
“Also, the survey participants were self-selected, and this could have biased the findings,” he told Fox News Digital.
“There is a large subset of lung cancer patients whose disease is not caused by smoking.”
The researchers did not test specific foods for pesticides, relying instead on average pesticide levels for certain types of food. Looking ahead, they plan to test patients’ blood and urine samples to directly measure pesticide levels, Nieva said.
Although the study shows only an association and does not prove that pesticides caused lung cancer, Nieva recommends that people wash their produce before eating and choose organic foods whenever possible.
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“This work represents a critical step toward identifying modifiable environmental factors that may contribute to lung cancer in young adults,” said Nieva. “Our hope is that these insights can guide both public health recommendations and future investigation into lung cancer prevention.”
“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but is by no means certain,” a doctor said. (AP Photo/Charlie Neibergall)
Dr. Marc Siegel, Fox News senior medical analyst, said the study is “interesting,” but that it “raises far more questions than it answers.”
“It is a small study (around 150) and observational, so no proof,” the doctor, who was not involved in the research, told Fox News Digital.
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“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but it is by no means certain,” Siegel went on. “How much exposure is needed? How much of it gets into food and in which areas? This requires much further study.”
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Kayla Nichols, communications director for Pesticide Action & Agroecology Network, a distributed global network, said the organization agrees with the study’s conclusion that more research should be done on the rise in lung cancer, particularly in individuals eating diets higher in produce and fiber.
“There is a large subset of lung cancer patients whose disease is not caused by smoking,” the researcher told Fox News Digital. (iStock)
“There is a bounty of existing research that already links pesticide exposure to increased risk of multiple types of cancers,” Nichols, who was also not involved in the study, told Fox News Digital. She called for more research on chronic, low-level exposures to pesticides, as well as more effective policies to protect the public from pesticide residues on food.
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The study was supported by the National Institutes of Health and the National Cancer Institute, as well as industry partners including AstraZeneca and Genentech, among others.
Fox News Digital reached out to several pesticide companies and trade groups for comment.
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