The Integrated Health Screen

This screening procedure is based on The Health Equation diagnostic approach. Mr Gerry Gajadharsingh DO, will perform all the elements of the Individual Health Screen. In addition the following functional tests, which look at nutritional, stress and exercise factors, are included:

  • Holter 24hr ECG Analysis
  • The integrated health screen blood test (EQ1) includes all the parameters of the EQ2, EQ6 -Haematology (Full blood Count & 5 part differential/ Biochemistry (24 parameters) screen. This looks at red blood cells, white blood cells, and inflammatory markers ESR/CRP, kidney function, liver function, blood glucose, lipid profile, uric acid, calcium, phosphate and iron markers. We also test for thyroid function (EQ6) using TSH, Free T4 and Free T3 and in addition:
  • Red Cell Magnesium Whole Blood, Red Cell Zinc Whole Blood, Ferritin, and Vitamin D 25OH, important nutritional markers, HbA1C (3 month glucose marker), Amylase an Lipase (pancreatic markers)
  • Urine Analysis
  • Quantitative Faecal Immunochemical Test (QFIT) over age 45
  • Comprehensive Adrenal Stress Index (CASI) a saliva test to monitor 2 stress hormones, cortisol and DHEA and secretory IgA ( 2 week turnaround), a saliva test to be done at home.

You will fitted with a Holter device for 24 hours to record the electrical activity of your heart. This will need to be dropped back to the practice to be uploaded online to the laboratory in order for the technician to reproduce the 24 hr ECG analysis report.

Many patients present with fatigue, and it is important to assay hormones connected with adrenal function, commonly cortisol and DHEA. Because there is diurnal variation in these hormones (the hormones go up and down depending on the time of the day), it is more useful to have several measurements during the day to see a pattern rather than just the one sample obtained by blood test.

Patients are provided with a saliva test kit for the CASI, including instructions on collecting the samples and posting the completed kit directly to the Genova laboratory for testing.

Functional Blood Analysis

We also use cutting edge software from the USA, to analyse your blood results, Functional Blood Analysis. Most clinicians interpret blood results using “medical reference ranges” provided by the laboratories. Which means if there is no obvious pathology, patients are told they are “normal”. Now this can be a good thing, but sometimes when results are lower end of normal or higher end of normal we can give a “functional” interpretation of these results, offering very useful advice to patients. It certainly has helped us being more accurate in advice, treatment & management for many patients who had previously been told “there is nothing wrong with you”.

The report is quite comprehensive and comes as part of your health screen.

  • Functional Blood Analysis
  • Functional Nutritional Assessment (indication of nutritional status)
  • Functional Index Report (indication of the level of dysfunction that exists in the various physiological systems of the body)

You will also receive input from one of our affiliated exercise/rehab specialists

  • A 90-minute consultation with one of our affiliated  Exercise & Rehabilitation specialists to develop an exercise strategy
  • An individual exercise programme with digital videos/photos

In addition for Men

  • PSA Profile (Total and Free PSA) from age 50 or earlier if requested, blood test.
  • Prostate-specific antigen (PSA) is a glycoprotein that is produced by the prostate gland and the urethra. Normally, very little PSA is secreted in the blood. Increases in glandular size and tissue damage caused by benign prostatic hypertrophy, prostatitis, or prostate cancer may increase circulating PSA levels.Higher total PSA levels and lower percentages of free PSA are associated with higher risks of prostate cancer.The percentage of measured prostate-specific antigen (PSA) existing in the free form (free: total PSA ratio) is useful in assessing the risk of prostate cancer in patients with borderline or moderately increased total PSA (4.0-10.0 ng/mL) and has been used to help select men who should have follow-up prostate biopsy or further investigations.

For women

The NHS offers comprehensive screening for breast and cervical cancer, therefore we do not offer mammogram or cervical smears as part of womens’ health screening.

As the likelihood of getting breast cancer increases with age, all women aged from 50 to their 71st birthday, and registered with a NHS GP, are automatically invited for breast cancer screening via mamogramme every 3 years.

You may be eligible for breast screening before the age of 50 if you have a very high risk of developing breast cancer

Cervical screening isn’t a test for cancer, it’s a test to check the health of the cells of the cervix.

Most women’s test results show that everything is normal, but for around 1 in 20 women the test shows some abnormal changes in the cells of the cervix.

Most of these changes won’t lead to cervical cancer and the cells may go back to normal on their own.

But in some cases, the abnormal cells need to be removed so they can’t become cancerous.

All women who are registered with a NHS GP are invited for cervical screening:

  • aged 25 to 49– every 3 years
  • aged 50 to 64– every 5 years
  • over 65– only women who have recently had abnormal tests

Food Intolerance testing (at additional cost, if clinically indicated)

Whilst still controversial in medical circles, many patients request such testing.

Currently the UK incidence of true allergy (a fast acting immune mediated response, normally IgE) is only about 3%; there is growing evidence that there are many slow acting responses particularly to food, some of which may not be immune mediated.

Here at The Health Equation, our preferred test is the Food Allergen Cellular Test (FACT), tested on blood samples. The FACT tests a large number of foods for the production of leukotriene (an inflammatory mediator). A positive (graded) response indicates that the individual has intolerance against that particular food. FACT also gives a total IgE count, which if abnormal, may indicate that classic allergy testing (IgE) is appropriate for individual allergens.

The Integrated Health Screen will last approx 75 minutes with Mr Gajadharsingh and a separate 90 mins with one of our exercise specialists and will include a comprehensive written report (usually at least 34 pages), this will include all your results, any follow up investigations or opinions from Medical Specialists suggested and lot of advice to help you be proactive about your health. It also includes a Cardiovascular Risk Assessment, a FRAX Fracture Risk Assessment via NOGG and a Smokers Lung Cancer Risk Assessment

Patients may also request a 15 minute follow up consultation, in person or by phone, if they need clarification on certain aspects of their report or for follow up advice.

Some tests such as x-rays and other imaging , if clinically indicated, will be arranged at one of our local hospitals and charged separately. It is not necessary to see the Diagnostic Consultant-Complementary Medicine or Exercise Specialist  all on the same day.

Gerry Gajadharsingh gives me great piece of mind. I have consulted him with various health problems over the past 10 years or so, and he has helped me enormously. I think he is brilliant and have recommended him to others and will continue to do so. He can help with so many health problems and he would be my first port of call with most health issues.
Ms. Pam Roaf, Hertfordshire
Gerry unfailingly put right whatever problems I had with my neck and shoulders in a calm and caring way. Even though I ignored his common sense advice about posture, he didn’t give up on me. I have unhesitatingly recommended him to friends.
Ms. Fiona Bruce, London
Gerry is an excellent opinion as an alternative therapist and my patients speak very highly of his service. He achieves results in those with very complex and challenging symptoms.
Dr Mary Vanderpump MB ChB MD FRCP, President British Thyroid Association Consultant Physician & Endocrinologist