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‘I have a blood test coming up — how should I prepare?’: Ask a doctor

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‘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. 

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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. 

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“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. 

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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.”

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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. 

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“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. 

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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.

      

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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. 

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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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Goodbye, Late-Night Cravings! How To Curb Hunger and Make Weight Loss Easier

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Goodbye, Late-Night Cravings! How To Curb Hunger and Make Weight Loss Easier


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Lurking dementia risk exposed by breakthrough test 25 years before symptoms

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Lurking dementia risk exposed by breakthrough test 25 years before symptoms

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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge.

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That’s according to new research from the University of California San Diego, which found that a specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk.

The researchers analyzed blood samples from 2,766 participants in the Women’s Health Initiative Memory Study in the late 1990s, according to the study’s press release. 

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The women ranged from 65 to 79 years of age and showed no signs of cognitive decline at the start of the study.

After tracking the participants for up to 25 years, the researchers concluded that the biomarker phosphorylated tau 217 (p-tau217) was “strongly associated” with future mild cognitive impairment and dementia. 

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A new blood test could determine a woman’s dementia risk as early as 25 years before symptoms emerge. (iStock)

Women who had higher levels of p-tau217 at the beginning of the study were “much more likely” to develop the disease. The findings were published today in JAMA Network Open.

“The key takeaway is that our study suggests it may be possible to detect risk of dementia two decades in advance using a simple blood test in older women,” first author Aladdin H. Shadyab, a UC San Diego associate professor of public health and medicine, told Fox News Digital. 

“These biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia.”

“Our findings show that the blood biomarker p-tau217 could help identify individuals at higher risk for dementia long before symptoms begin,” he added.

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This long lead time could open the door to earlier prevention strategies and more targeted monitoring, rather than waiting until memory problems are already affecting daily life, according to Shadyab.

A specific biomarker protein associated with early pathological processes of Alzheimer’s disease was “strongly linked” to future dementia risk. (iStock)

“As the research advances, these biomarkers may help us identify who is at greatest risk and develop strategies to delay or prevent dementia,” he said.

This risk relationship wasn’t the same across the board, however. Women over 70 with higher p-tau217 levels had “poorer cognitive outcomes” compared to those under 70, as did those with the APOE ε4 gene, which is a known risk factor for Alzheimer’s disease.

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The study also found that p-tau217 was a stronger predictor of dementia in women who were randomly assigned to receive estrogen and progestin hormone therapy compared to those who received a placebo.

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“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” said senior author Linda K. McEvoy, senior investigator at Kaiser Permanente Washington Health Research Institute and professor emeritus at the Herbert Wertheim School of Public Health, in the release. 

“Blood-based biomarkers like p-tau217 are especially promising because they are far less invasive and potentially more accessible than brain imaging or spinal fluid tests,” a researcher said. (iStock)

“This is important for accelerating research into the factors that affect the risk of dementia and for evaluating strategies that may reduce risk.”

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Blood tests for Alzheimer’s disease are still being studied and are not recommended for routine screening in people without symptoms, Shadyab noted. 

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More research is needed before this approach can be considered for clinical use prior to cognitive symptoms. 

Future studies should investigate how other factors — like genetics, hormone therapy and age-related medical conditions — might interact with plasma p-tau217, the researchers added.

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“The study examined only older women, so the findings may not necessarily apply to men or younger populations,” Shadyab noted. “We also examined overall dementia outcomes rather than specific subtypes such as Alzheimer’s disease.”

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Key fitness measure is strong predictor of longevity after certain age, study finds

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Key fitness measure is strong predictor of longevity after certain age, study finds

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For women over 60, muscle strength plays a critical role in longevity, a new study confirms.

Researchers at the University at Buffalo, New York, followed more than 5,000 women between the ages of 63 and 99, finding that those with greater muscle strength had a significantly lower risk of death over an eight-year period.

The findings were published in JAMA Network Open.

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Muscle function was measured using grip strength and how quickly participants could complete five unassisted sit-to-stand chair raises. 

These are two tests commonly used in clinical settings to evaluate muscle function in older adults, the researchers noted.

A recent study shows that stronger muscle strength in women over 60 is linked to a lower risk of death over eight years. (iStock)

“In a community cohort of ambulatory older women, muscular strength was associated with significantly lower mortality rates, even when we accounted for usual physical activity and sedentary time measured using a wearable monitor, gait speed and blood C-reactive protein levels,” study lead author Michael LaMonte, research professor of epidemiology and environmental health at the University at Buffalo, told Fox News Digital.

“Movement is the key — just move more and sit less.”

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Many earlier studies did not include those objective measurements, making it difficult to determine whether muscle strength itself was linked to longevity, according to LaMonte. “Our study was able to better isolate the association between strength and death in later life,” he added.

Even for women who don’t get the recommended amount of aerobic physical activity, which is at least 150 minutes per week, muscle strength remained important for longevity, the researchers found.

Women with greater muscle strength were more likely to live longer, even if they did not meet the recommended amount of aerobic exercise. (iStock)

“The findings of lower mortality in those who had higher strength but were not meeting current national guidelines on aerobic activity were somewhat intriguing,” LaMonte said.

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Federal guidelines recommend strengthening activities one to two days per week, targeting major muscle groups.

Resistance training does not have to require a gym membership, LaMonte noted. These exercises can be performed using free weights, resistance bands, bodyweight movements or even household items, such as soup cans.

Experts recommend working major muscle groups one or two days a week using weights, bands or bodyweight exercises. (iStock)

“Movement is the key — just move more and sit less,” he said. “When we can no longer get out of the chair and move around, we are in trouble.”

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LaMonte acknowledged several limitations of the study. The researchers assessed muscle strength in older age but did not explore how earlier levels in adulthood might influence long-term health outcomes.

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“We were not able to understand how strength and mortality relate in younger ages,” he said, noting that future research should explore whether building strength earlier could have an even greater impact on longevity.

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