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  • Kirin and Tokyo Uni discover cellular aging reduces nutrient absorption using biomimetic tech

    Kirin and Tokyo Uni discover cellular aging reduces nutrient absorption using biomimetic tech

    Kirin Holdings and the University of Tokyo, Japan, have discovered that nutrient absorption decreases in aging intestinal epithelial cells. They say this finding is a global first, which may potentially lead to functional ingredient innovations…

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  • Essential Baseline Lab Tests for Preventive Health Assessment

    Essential Baseline Lab Tests for Preventive Health Assessment

    Introduction
    Establishing individualized reference values
    Core laboratory panels
    Useful add-on panels based on risk
    Emerging and optional advanced biomarkers
    References
    Further reading


    Why smarter baseline lab testing, grounded in biological variation and clinical evidence, matters more than broad annual screening panels.

    Image Credit: Peekadook / Shutterstock.com

    Introduction

    Routine annual examinations often fail to improve patient outcomes and may even lead to overdiagnosis. Consequently, regulatory bodies such as the United States Preventive Services Task Force (USPSTF) now prioritize targeted, risk-based screening rather than indiscriminate testing.1

    This article discusses recent evidence from both peer-reviewed research and public health agency recommendations to distinguish between medically necessary screening and actionable health monitoring.

    Establishing individualized reference values

    A critical limitation of conventional laboratory reporting is the reliance on population-based reference intervals that are typically based on data from the central 95% of a healthy population. However, growing evidence indicates that the range of values for a specific analyte within-subject biological variation (CVI) is narrower.2

    For example, a systematic review and meta-analysis of biological variation previously established that the CVI for serum creatinine is approximately 5%. Based on this tight homeostatic control, the reference change value (RCV) for estimated glomerular filtration rate (eGFR) is conservatively estimated at approximately ±12.5%.2

    Consequently, a rise in creatinine from 0.8 mg/dL to 1.0 mg/dL represents a statistically significant decline in renal function, even if both values remain within the normal population range of 0.6–1.2 mg/dL.2

    Family history, chronic conditions, and new lifestyle interventions

    Baseline testing is strongly recommended for individuals with genetic predispositions to chronic diseases, particularly cardiovascular diseases (CVDs) and diabetes, where early deviations from individual baselines may inform preventive care strategies.1

    Public health agencies further support baseline testing and follow-up in individuals with chronic conditions or those experiencing major lifestyle transitions, such as weight loss or intensive physical training, which can meaningfully alter metabolic parameters.1,5

    Core laboratory panels

    Core laboratory panels refer to standardized groupings of diagnostic tests that constitute the foundation of metabolic baseline health.

    Complete blood count (CBC)

    The CBC metric is used to quantify an individual’s oxygen-carrying capacity, immune status, and hemostatic potential. The CBC includes indices such as mean corpuscular volume (MCV) and red cell distribution width (RDW), which provide mechanistic insights into an individual’s hematopoietic health.1

    CBC also measures the white blood cell (WBC) differential that encompasses immune cells like neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Persistent deviations in specific subtypes may indicate allergic disease, chronic infection, or inflammatory conditions.4

    Recent evidence-based clinical guidelines emphasize that ferritin levels should be assessed in conjunction with hemoglobin, as iron deficiency can present with nonspecific symptoms like fatigue before anemia develops.4

    Full blood count – what it tells your doctor about your health

    Comprehensive metabolic panel (CMP)

    The CMP consists of a series of tests that assess renal filtration, hepatic integrity, electrolyte levels, and glucose concentrations. Kidney function assessment is based on blood urea nitrogen (BUN), creatinine, and estimated glomerular filtration rate (eGFR). Since creatinine has a low CVI of about 5%, establishing a baseline is crucial for detecting early deviations.2

    Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) are markers of hepatocellular injury. Persistent elevations may warrant further evaluation for underlying metabolic or hepatic conditions.1

    Lipid profile

    CVD remains the leading cause of death globally, thus emphasizing the importance of routine lipid assessments for mitigating both the direct burden of CVD and its numerous comorbidities. Lipid profile tests include atherosclerotic CVD (ASCVD) predictors like low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides, and non-HDL cholesterol.

    Non-HDL cholesterol, calculated by subtracting HDL from total cholesterol, is increasingly recognized as a significant predictor of CVD risk because it encompasses all atherogenic lipoproteins. Evidence demonstrates that nonfasting lipid measurements provide clinically acceptable accuracy for LDL-C estimation, particularly when modern calculation methods are used.6

    HbA1c and fasting glucose

    Hemoglobin A1c (HbA1c) is widely used for diabetes screening in clinical practice. HbA1c levels exceeding 6.5% indicate diabetes, whereas values between 5.7% and 6.4% reflect prediabetes.1

    Thyroid function tests

    Thyroid-stimulating hormone (TSH) is the primary laboratory marker for thyroid dysfunction. While population-wide screening in asymptomatic adults remains controversial, targeted testing is commonly applied in individuals with symptoms or clinical risk factors.1

    Image Credit: Studio Nut / Shutterstock.com

    Useful add-on panels based on risk

    Vitamin D

    The 2024 Endocrine Society Clinical Practice Guidelines recommend against routine 25-hydroxyvitamin D testing in healthy populations aged 75 or younger, given the lack of clear benefit for disease prevention. However, for higher-risk groups such as pregnant individuals, adults aged 75 years and older, and those with high-risk prediabetes, empiric supplementation without routine testing may reduce adverse outcomes.7

    Inflammation Markers: hs-CRP

    The 2025 Scientific Statement from the American College of Cardiology (ACC) identifies high-sensitivity C-reactive protein (hs-CRP) as a validated marker of residual inflammatory risk, particularly in individuals with well-controlled LDL-C.3

    In the JUPITER trial, rosuvastatin therapy among individuals with normal LDL-C but elevated hs-CRP resulted in a significant reduction in the primary combined endpoint compared with placebo, demonstrating the utility of hs-CRP in refining cardiovascular risk stratification.3

    Iron studies

    Ferritin is the most sensitive conventional test for iron stores, with values below 30 µg/L diagnostic of iron deficiency in adults. Contemporary guidance emphasizes that iron deficiency – particularly in females – often precedes anemia and warrants early detection and treatment.4

    Emerging and optional advanced biomarkers

    ApoB and lipoprotein(a)

    Apolipoprotein B (ApoB) provides a direct measurement of atherogenic particle number. Research indicates that a lower LDL-C/ApoB ratio is an independent predictor of cardiovascular and all-cause mortality, reflecting discordance between cholesterol mass and particle burden.8

    Lipoprotein(a) is a genetically determined risk factor implicated in ASCVD. Specifically, each 50 nmol/L increment in lipoprotein(a) has been associated with an approximately 11% increased risk of ASCVD.9

    References

    1. Araujo, G. C., Ribeiro, C. B., Costa, M. C. M., et al. (2025). Evidence-Based Periodic Health Examinations for Adults: A Practical Guide. Cureus. DOI:10.7759/cureus.79963, https://www.cureus.com/articles/344597-evidence-based-periodic-health-examinations-for-adults-a-practical-guide#!/
    2. Thöni, S., Keller, F., Denicolò, S., et al. (2022). Biological variation and reference change value of the estimated glomerular filtration rate in humans: A systematic review and meta-analysis. Frontiers in Medicine 9. DOI:10.3389/fmed.2022.1009358, https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1009358/full
    3. Mensah, G. A., Arnold, N., Prabhu, S. D., et al. (2025). Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement. JACC. DOI:10.1016/j.jacc.2025.08.047, https://www.sciencedirect.com/science/article/pii/S0735109725075552
    4. Sholzberg, M., Hillis, C., Crowther, M., & Selby, R. (2025). Diagnosis and management of iron deficiency in females. Canadian Medical Association Journal 197(24); E680-E687. DOI:10.1503/cmaj.240570, https://www.cmaj.ca/content/197/24/E680
    5. American Diabetes Association Professional Practice Committee for Diabetes (2025). Introduction and Methodology: Standards of Care in Diabetes – 2026. Diabetes Care 49(1) S1–S5. DOI:10.2337/dc26-sint, https://diabetesjournals.org/care/article/49/Supplement_1/S1/163916/Introduction-and-Methodology-Standards-of-Care-in
    6. Sathiyakumar, V., Park, J., Golozar, A., et al. (2018). Fasting Versus Nonfasting and Low-Density Lipoprotein Cholesterol Accuracy. Circulation 137(1); 10-19. DOI:10.1161/circulationaha.117.030677, https://www.ahajournals.org/doi/10.1161/circulationaha.117.030677
    7. Demay, M. B., Pittas, A. G., Bikle, D. D., et al. (2024). Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism 109(8); 1907-1947. DOI:10.1210/clinem/dgae290, https://academic.oup.com/jcem/article/109/8/1907/7685305
    8. Xiao, L., Zhang, K., Wang, F., et al. (2023). The LDL-C/ApoB ratio predicts cardiovascular and all-cause mortality in the general population. Lipids in Health and Disease 22(1). DOI:10.1186/s12944-023-01869-1, https://lipidworld.biomedcentral.com/articles/10.1186/s12944-023-01869-1
    9. Al-Dalakta, A., Cho, L. S., & Sarraju, A. (2025). Lipoprotein(a) in clinical practice: What clinicians need to know. Cleveland Clinic Journal of Medicine 92(11); 679-685. DOI:10.3949/ccjm.92a.25020, https://www.ccjm.org/content/92/11/679
    10. Drago, L. (2025). Navigating microbiome variability: implications for research, diagnostics, and direct-to-consumer testing. Frontiers in Microbiology 16. DOI:10.3389/fmicb.2025.1580531, https://www.frontiersin.org/articles/10.3389/fmicb.2025.1580531/full

    Further Reading

    Last Updated: Jan 20, 2026

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  • Glasgow Film Festival ‘here to stay’ as 2026 line-up revealed

    Glasgow Film Festival ‘here to stay’ as 2026 line-up revealed

    Signature Entertainment A scene from The Wizard of the Kremlin. Jude Law is dressed as Vladimir Putin, in a suit and with thinning blond hair. He is staring at the man next to him, who is also in a jacket and suit and has dark hair. They are standing outside with various other figures milling about.Signature Entertainment

    Jude Law’s portrayal of Vladimir Putin in The Wizard of the Kremlin is one of the major premieres at the Glasgow film festival

    The programme head of the Glasgow Film Festival has said the long-running festival is “here to…

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    3. Sharif says Kabul has shown no serious commitment to curb militant groups  Ariana News
    4. Afghanistan has not given any…

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  • ‘You’ll find out’: Trump refuses to say how far he would go to seize Greenland | Donald Trump

    ‘You’ll find out’: Trump refuses to say how far he would go to seize Greenland | Donald Trump

    Donald Trump ratcheted up the uncertainty over how far he would be willing to go to acquire Greenland as he warned the Nato alliance on Tuesday that it was only as strong as the United States allowed it to be.

    “You’ll find out,” Trump said…

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  • Trump’s stated reasons for taking Greenland are wrong – but the tactics fit with the plan to limit China’s economic interests

    Trump’s stated reasons for taking Greenland are wrong – but the tactics fit with the plan to limit China’s economic interests

    In 2019, during his first term, U.S. President Donald Trump expressed a desire to buy Greenland, which has been a part of Denmark for some 300 years. Danes and Greenlanders quickly rebuffed the offer at the time.

    During Trump’s second…

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  • Trump made many statements on US economy. Most are untrue | Donald Trump News

    Trump made many statements on US economy. Most are untrue | Donald Trump News

    United States President Donald Trump has made a range of claims about the state of the US economy.

    In a long and meandering address to the media on Tuesday, the first year anniversary of his second term as president, Trump’s claims ranged from…

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  • Widespread selloff hits stocks as Trump's threats over Greenland unnerve investors – Reuters

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    3. Global markets on alert as Europe to suspend approval of US trade deal  BBC
    4. Trump’s…

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