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Are Health Checkups Champs really healthy? Acing your health checkup but still feeling sick?

  • Writer: Dr. Ashmita Boopathy Moturi
    Dr. Ashmita Boopathy Moturi
  • 2 days ago
  • 8 min read

Every year, millions of people roll up their sleeves, fast for 12 grueling hours (heroic), and get poked, prodded, and scanned in the name of health. We call it our “annual health check-up.” The results come in: “All normal!” your doctor beams, handing you a sheet full of acronyms and numbers. You breathe a sigh of relief, reward yourself with ice-cream, and assume your body is humming like a well-oiled machine.

Except… you still feel tired every day by 3 p.m., your gut is plotting a slow mutiny, your skin is staging its own texture experiment, and you need 3 cups of super strong coffee to just to wake up.

If everything’s “normal,” why do you feel like you’re held together by caffeine, sarcasm, and multivitamins?


Welcome to the frustrating truth: standard health check-ups are not true indicators of wellness — they’re just really good at spotting overt disease.



NineO2 Detox Health Check up
NineO2 Detox and Wellness Health-Checkup


“Normal” Doesn’t Mean Optimal - “Within Range” Isn’t Always a Gold Star


Let’s start with the most misunderstood word in medicine: normal.

Let’s talk about “the range.” Standard tests give you a reference range — a narrow window of what is considered "normal" for the general population. The operative word here? General. As in, “this is what we see in the average person,” not “this is where you function at your best.”

When your test results fall within the “normal range,” it doesn’t mean you’re thriving. It just means you’re not sick enough to be alarming. In fact, most normal ranges are averages based on a large, and let’s be honest, not always healthy population. They’re statistics, not wellness goals.

Imagine if your car mechanic told you, “Hey, your brakes are normal—not great, but they haven’t failed yet.” You’d be brake-shopping by noon. But when your Hba1C is at 6 (a hair below prediabetes), we throw confetti and call it a day.

It’s like getting a 50% and being told you’re “passing” — sure, but you’re also so close from flunking.


Common Doesn’t Mean Normal

Just because something is common doesn’t make it normal. If we used frequency as a benchmark for health, we’d be calling burnout a lifestyle choice.

Take fatty liver for example. Nearly 1 in 3 adults have it today — many without even knowing. It doesn’t show symptoms until your liver starts waving a white flag. It’s “common,” sure — but it’s not normal. Your liver wasn’t designed to store fat like an emergency pantry. It’s supposed to detox, metabolize, and occasionally forgive your wine habit — not double as a butter storage unit.

Headaches, constipation, acne, PMS, fatigue, sugar cravings, brain fog — they’re everywhere. And they’ve become so routine that we shrug and say, “It’s just part of life.” But they’re not. These are messages, signals from your body that it’s struggling to maintain balance.

Don’t let normal become the new abnormal just because it’s trending.

You can be within the range and still be one meal away from a metabolic crisis. For example, thyroid hormone (TSH) is considered normal up to 4.5 mIU/L in many labs, yet many people feel awful — sluggish, cold, and depressed — once their levels climb past 2.0. Why? Because the exact position within the range matters.

And here’s where it gets more interesting: modern medicine only takes action when you fall outside the range. That's when the prescriptions come out and the diagnoses get printed. Until then, it's a game of “wait and see.”

But functional medicine doesn’t wait. It asks: “Which direction are you heading?” If your blood sugar is creeping up, your cortisol’s looking sketchy, or your liver enzymes are hanging out near the upper limit, a functional medicine practitioner will raise a concerned eyebrow — not because you’re broken, but because you’re on a trajectory. One that can be reversed before it becomes disease.

Modern medicine is excellent at crisis care. Functional medicine is for the savvy few who don’t want to end up in crisis to begin with.


The Myth of “If It Ain’t Broke…”

Standard check-ups are designed to catch diseases — things that are already broken: diabetes, liver failure, cancer, kidney dysfunction. They’re excellent tools for detecting damage once it’s done. But when it comes to early dysfunction, chronic inflammation, hormone imbalances, or that vague but soul-sapping feeling of “blah,” they often draw a blank.

“Well, your labs are fine,” your doctor says. You smile and nod while wondering if “fine” includes like you have been hit by a truck, each morning, as you drag yourself out of bed.

Here’s the uncomfortable reality: by the time something shows up on your standard check-up, it’s often been brewing for years. That’s not a wellness check; that’s a disease detection system wearing a wellness disguise.


What Standard Health Checks Don’t Check

Now let’s look at what most standard health panels don’t include — spoiler alert: it's a long list.

Ever had your pH levels checked to see if your body is in an ideal state of alkalinity? Probably not. But chronic acidity can drive inflammation, pain, and fatigue like a backstage villain quietly pulling the strings.


Electrolyte balance? Your standard panel might glance at sodium and potassium like they’re scanning a menu, but it rarely looks at the full mineral orchestra or how well they’re playing together. Electrolytes regulate hydration, nerve impulses, and muscle contractions — in short, they keep the lights on.


Oxygenation? Not unless you're gasping in an ER. But poor oxygen delivery to tissues is one of the fastest ways to feel tired, foggy, and like you’re living life underwater.


Body temperature gets checked once — maybe — and only to confirm you’re not dying. But sub-optimal body temp (say, consistently below 97.8°F) can indicate sluggish thyroid function or poor metabolic health. If your body runs colder than your ex’s heart, it may be time to look deeper.


Hormonal function? If you're not trying to conceive or melting down in menopause, you might never get a proper panel of hormone tests which are vital for mood, metabolism, and sanity — and when they’re off, so are you.


Insulin sensitivity? Your fasting glucose might look fine, but insulin resistance could still be growing behind the scenes, laying the groundwork for fatigue, weight gain, and full-blown type 2 diabetes. It's like watching smoke rise and waiting for it to turn into fire before calling the fire department.


Resilience to stress — as in, how your body handles the daily chaos of life — is critical to wellness, but barely gets a mention in conventional testing. Cortisol, adrenal function, and nervous system balance? Not on the standard menu.

And here’s a big one that often flies completely under the radar: heavy metal toxicity.

You could be walking around with elevated levels of mercury, lead, arsenic, cadmium, or aluminum, and never know it — because standard blood panels don’t look for them unless you specifically ask (or unless you grew up chewing thermometers, which we hope you didn’t). These toxins can accumulate quietly in tissues and organs over time, interfering with everything from mitochondrial function to brain health, hormones, and immune response. Symptoms like chronic fatigue, brain fog, joint pain, and mood disorders can often trace back to toxic exposure — and yet, your regular health checkup doesn’t even knock on that door.


When Wellness Becomes Invisible

Let’s play a quick game. See if any of these sound familiar:

  • You sleep 8 hours but wake up feeling like you ran a marathon.

  • You bloat so much after meals, you’re one lunch away from being cast in a maternity shoot.

  • Your brain fog is so dense you’re not sure if you locked the door, fed the kids, or don’t remember why you walked into a room.

  • You can’t lose weight no matter how many hrs of time and money you burn at the gym, on personal trainers and expensive salads and spinach smoothies, and your mood swings could fuel a soap opera.

None of these will show up on a standard CBC (Complete Blood Count) or lipid panel. But they are signs that something isn’t right. You’re not sick—but you’re certainly not well.

This is the space between health and disease. It’s the wellness grey zone.


Why This Matters

Wellness isn’t the absence of disease. It’s the presence of vitality.

You don’t want to find out your house is on fire once the roof caves in. You want the smoke detector to go off the moment something starts smouldering. That’s what functional medicine does: it sniffs the smoke, traces the wiring, and rewires the system before the flames show up.


What Health Check-Ups Do Well

Okay, let’s not be entirely cynical. Standard health check-ups are vital. They’ve saved lives, caught early-stage cancers, diagnosed silent heart disease, and helped manage chronic conditions. If you’ve ever heard someone say, “They caught it just in time,” you can thank the annual check-up.

The problem isn’t with the tests — it’s with our expectations of them.

Expecting a standard check-up to tell you whether your hormones are balanced, your gut microbiome is healthy, your cortisol rhythm is sane, and your mitochondria are vibing is like asking a security guard to do your taxes. It’s simply not their job.


What You Actually Need to Measure Wellness

If you want to know how well you are, you have to dig deeper.

  • Functional testing: Think advanced hormone panels, gut microbiome analysis, food sensitivities, nutrient deficiencies, inflammation markers. These are tests that look for function — not just disease.

  • Subjective symptoms: That’s right — how you feel still matters. Don’t let data gaslight you. Your body has wisdom. When it says something’s off, trust it.

  • Lifestyle factors: Are you moving regularly? Sleeping well? Eating real food? Managing stress without needing wine or coffee and a scream into the void? These tell you a lot more about your long-term health than any lipid panel ever could.

Wellness is about resilience, energy, mood stability, digestion, immunity, and recovery. You don’t find those in a standard check-up — you feel them in your day-to-day life.


The Humour in Hypocrisy

Here’s a fun one: Your liver enzymes might be “normal,” but your lifestyle is basically a party bus for inflammation. Your cholesterol’s fine, honestly high LDL aren’t the real concerns, it is the low HDL and high Triglycerides that’s going to get you. But hey — the printout says you’re healthy, so no need to worry, right?

The truth is, we’ve become obsessed with passing lab tests instead of feeling better. But real wellness? That’s not in a report — it’s in how you live, love, work, poop, sleep, and show up in your life.


So, Should You Skip Your Check-Up?

Absolutely not. Get your check-up. Know your baselines. But understand what you’re getting: a snapshot of current disease risk, not a certificate of vibrant health.

Then, if you really want to feel good — like bounce-out-of-bed, sharp-minded, digestion-is-on-point good — go beyond the basics. Find a functional medicine practitioner, work with a holistic health coach, look into integrative testing, or just listen to your body more often than your smartwatch.

Because you deserve more than “not sick.” You deserve to thrive.


In Conclusion: Wellness Is Not a Lab Report 

The next time someone says, “Well, my check-up was normal,” don’t automatically assume they’re the picture of health. Ask how they feel. Ask if they’re thriving, not just surviving.

And if you’ve ever felt like your doctor is saying you’re fine while you’re quietly Googling “can bloating cause personality changes?” — you’re not crazy. You’re just stuck in a medical system designed to catch disease, not cultivate health.

We’ve all been trained to think that if the printout says we’re okay, then the fatigue, cravings, anxiety, and recurring hives must be in our heads. They’re not. They’re in your biology — and biology speaks in whispers long before it screams.

So the next time your doctor says “You’re fine,” smile politely. Then go home, put your feet up, and start listening to your body. It knows the difference between normal and well — even if your blood test doesn’t.

Because when it comes to your health, “barely passing” should never be the goal.

 

Welcome to the ‘Wisdom of Wellness’ club. There’s kombucha in the fridge and a yoga mat with your name on it.

 
 
 

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