Preventive Health Program

History and Physical details your medical history, your physical examination and my impression and recommendations. 

Lab Reports details your most recent blood work results. Your results are accompanied by a description of each laboratory test explaining the meaning, purpose and significance of each test. 

Test Results includes a copy of pertinent test results that you have had with an explanation of the test and results. 

Your resting metabolic rate will be measured. Knowing your unique metabolic rate is crucial to help you understand how much you need to eat or exercise in order to maintain or lose weight. In addition, the maximum amount of oxygen that you consume during exercise (VO2 max) will be measured. This test measures your ability to perform sustained exercise and is the best indicator of cardiovascular fitness and aerobic endurance. This will also identify your unique target heart zones during exercise enabling you to reach your fitness goals more effectively. Everyone will have their metabolic rate measured. VO2 testing will be done for most patients based on your cardiovascular health.  

The goal in developing this resource is to provide you with information that you can then use to make an informed decision about what is best for your health care needs. The resource contains up to date evidence based information regarding nutrition, exercise, cancer screenings, immunizations and the use of vitamins and supplements.

Download sample report

Many of the medical problems that affect us can be prevented. There are four fundamental keys to a healthy lifestyle which includes balanced nutrition, regular exercise, adequate sleep and healthy relationships. In addition preventing infectious disease through the appropriate use of vaccinations and preventing cancers through reducing risk factors and maintaining screening tests add further health protections.

Eating nutritious foods and maintaining a healthy weight can help prevent or reduce your risk for many health problems such as heart disease, stroke, high cholesterol, high blood pressure, diabetes, arthritis, breathing problems, sleep apnea, and some cancers.

Managing your nutrition goes beyond counting calories; it’s about eating a variety of foods, including plenty of fruits, vegetables, whole grains, and protein, and drinking plenty of water. With Dr. Miranda’s guidance, you can give your eating habits a healthy makeover.  

The benefits of regular physical activity are numerous and have been well documented in scientific studies. Exercise helps you lose weight, improves your mood, reduces depression and anxiety, helps you sleep better, improves your sex life and increases your chances of living longer.

A balanced fitness routine should include cardio or aerobic activity, muscle strengthening activities, and flexibility/balancing activities. Dr. Charles Miranda will help you develop an exercise routine that will work best for you.

A lack of sleep can lead to a lack of focus, decreased attention, slower thinking, risk taking, and mood problems. Untreated sleep disorders can interrupt or decrease your quality of sleep, increasing your risk of obesity, high blood pressure, diabetes, heart disease, stroke, and infections. Most people do not get the recommended amount of sleep every night: 7-8 hours for adults and 9-10 hours for adolescents.

Dr. Miranda understands sleep disorders, including snoring, sleep apnea, insomnia, restless leg syndrome, and narcolepsy. He can suggest ways to improve the quality of your sleep.

Anything that causes stress can have an impact on your health, including an unhealthy relationship with a family member, loved one, friend, or colleague. Stress can lead to all sorts of health problems, including weight gain, depression, hormonal changes, high blood pressure, and more. Discuss your concerns with Dr. Miranda, and he’ll address this as part of your preventive medical care.