The vitals and physical metrics assessment establishes the baseline measurements that anchor cardiovascular and metabolic risk calculations: blood pressure (with attention to measurement technique and averages rather than single readings), resting heart rate, height, weight, waist and hip circumference, and, where relevant, bilateral blood pressure and orthostatic measurements. The clinic has in-house Ambulatory Blood Pressure Monitoring (ABPM) available for members where 24-hour data is clinically warranted.
These measurements are repeated at each visit and tracked across the membership year. They are low-tech but high-signal: changes in blood pressure, weight distribution, or resting heart rate can flag shifts that merit attention well before they show up on bloodwork or imaging. Vitals are taken at every tier of both programs and form part of every physician review.