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Advanced Longevity & Integrative Psychiatry Lab Testing in Washington, D.C.: The Labs Your Doctor Won’t Order (But Should)

Writer's picture: Ryan Sheridan, NPRyan Sheridan, NP

Bloodwork labs

Most primary care doctors don’t actually optimize your health—they just check for disease. If you’re not actively dying, they’ll call your labs “normal” and send you on your way.


But normal isn’t the same as optimal.


If you care about longevity, mental clarity, and metabolic resilience, you need to go beyond the standard primary care panels. You need real data, tracked over time, and actionable insights that actually move the needle on your health.


That’s what I do.


As a longevity-focused integrative psychiatric nurse practitioner in Washington, D.C., I go beyond traditional psychiatric care and take a whole-body approach to mental and physical health. That means I order the tests that actually matter, help you make sense of them, and give you a data-driven strategy to optimize your health for decades—not just the next few months.


Let’s talk about what your primary care doctor isn’t testing, why that’s a problem, and how we fix it.


Why Work With Me for Your Longevity & Psychiatry Labs Instead of Your Primary Care Doctor?


Let’s be real—most primary care doctors operate under a system that isn’t built for optimizing health.


They work within a reactive model. Their goal isn’t to prevent disease 20 years down the line; it’s to catch problems once they’ve already started. And even then, the priority is often managing symptoms, not fixing root causes.


Here’s What Your PCP Will Do (And Why That’s Not Enough):


🔹 Deny Your Lab Requests – You ask for advanced cardiovascular markers, a full hormone panel, or deeper thyroid testing, and they’ll either refuse or say, “It’s not necessary.” Why? Because insurance companies don’t like “unnecessary” testing.


🔹 Run the Most Basic Tests Possible – If you’re lucky, they’ll order a CBC, CMP, and a standard lipid panel, which doesn’t tell you anything useful about longevity, metabolic health, or brain function.


🔹 Tell You Everything is “Normal” Even When You Feel Like Crap – A TSH level of 4.2? “Normal.” Testosterone just barely scraping by? “Normal.” Blood sugar creeping up? “Let’s wait and see.” The truth? Normal in medicine doesn’t mean healthy. It just means you’re not technically sick yet.


🔹 Push Medications Instead of Addressing Root Causes – Instead of figuring out why your hormones, energy, or mental clarity are off, they’ll jump straight to prescriptions without fixing the underlying dysfunction.


Here’s What I Do Instead with Your Longevity & Psychiatry Labs:


I order labs based on your actual health goals, not some insurance company’s definition of “necessary.” If you want to track cognitive longevity, metabolic health, or hormone balance, we test for it. Period.


I analyze trends over time. One-off lab results don’t mean much. If your markers are creeping in the wrong direction, I catch it before it becomes a full-blown problem.


I give you real, actionable strategies. No vague “eat better and exercise” nonsense. If your insulin resistance is increasing, we adjust your diet, fine-tune macros, and explore targeted supplements or medications. If inflammation is high, we fix it with precise interventions.


I respect your right to take control of your own health. If it’s important to you, it’s important to me. I don’t dismiss your concerns or tell you to “just wait and see.” I take your health as seriously as you do.


If you want real longevity, cognitive optimization, and peak metabolic health, you need a provider who actually understands these things. And that’s exactly what I do.


How Often Should These Labs Be Checked?


Let’s talk about tracking. A single lab test is a snapshot in time—useful, but not enough. If you want to actually improve your health, you need to see trends over time.


If you’ve ever seen a doctor order a test, tell you everything looks “fine,” and then five years later suddenly call you pre-diabetic or hypothyroid, you already understand why tracking matters.


Nothing happens overnight—dysfunction builds slowly, but if you’re not tracking, you won’t see it coming.


This is how we stay ahead of problems instead of reacting to them after the damage is done.


What Labs Do You Recommend for Longevity and Psychiatry? How Often We Recheck Labs:


1. Metabolic Health & Insulin Resistance (Blood Sugar, Insulin, GGT, etc.)


🔹 If optimizing for longevity: Every 6-12 months to monitor trends.

🔹 If insulin resistance is present: Every 3-6 months until markers are optimal.

🔹 If you’re on a metabolic protocol (e.g., fasting, berberine, metformin): Every 3 months initially, then every 6-12 months once stable.


2. Inflammatory & Cardiovascular Markers (hs-CRP, Oxidized LDL, ApoB, Lp(a), etc.)


🔹 If optimizing for longevity: Every 6-12 months.

🔹 If inflammation is elevated: Every 3-6 months with targeted interventions.

🔹 If family history of heart disease: Every 6 months to stay ahead of potential risks.


3. Hormone Panels (Testosterone, DHEA, Reverse T3, SHBG)


🔹 For optimization & longevity: Every 6-12 months.

🔹 If symptoms present (fatigue, low libido, mood swings, weight gain): Every 3-6 months until stable.

🔹 If on hormone therapy or interventions: Every 3 months initially, then 6-12 months once optimized.


4. Nutritional & Cognitive Health Markers (Omega-3 Index, Magnesium, Vitamin D, B Vitamins, etc.)


🔹 For maintenance: Annually.

🔹 If deficiencies are found: Every 3-6 months until corrected.


Take Control of Your Longevity & Mental Health—No One’s Going to Do It For You


Here’s the hard truth: your health is your responsibility.


No one is going to make sure you live a long, high-functioning, disease-free life except you. The medical system isn’t designed to optimize health—it’s designed to manage disease once it shows up.


If you want more than just survival, you need to take action. You need to be proactive, track your health, and work with a provider who actually gives a damn about your long-term well-being.


You Have Two Choices for Your Longevity & Wellness


🚫 Option 1: Keep doing what everyone else does. Get standard labs, be told you’re “fine,” and slowly watch your metabolism, brain function, and energy decline as you age.


Option 2: Work with someone who actually understands longevity, mental performance, and metabolic health. Get advanced lab testing, real analysis, and a data-driven strategy to optimize your life.


I’m not here to waste your time. If you’re in Washington, D.C. and you’re serious about taking control of your longevity, performance, and health, book a consultation. Let’s build a plan that works for you.


Ryan Sheridan, NP

If you're not in the DMV, I can still help in a consultative and coaching capacity.


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