What is included in a full body health check at Japan Medical?

A full body health check at Japan Medical includes a comprehensive battery of over 80 specific tests and screenings, designed to detect early signs of cancer, cardiovascular disease, metabolic disorders, and organ dysfunction. The core package typically covers a detailed physical examination, blood work, imaging studies, and functional assessments, all conducted in a single day. For example, the standard "Ningen Dock" (human dock) program, which is the Japanese model for preventive care, at Japan Medical incorporates a complete blood count (CBC) with 18 parameters, a comprehensive metabolic panel measuring 12 markers including liver enzymes (AST, ALT, GGT), kidney function (creatinine, BUN), and fasting blood glucose. You will also undergo a lipid profile that checks total cholesterol, HDL, LDL, and triglycerides. The package always includes a urinalysis with 10 parameters, a stool occult blood test, and a chest X-ray (posterior-anterior and lateral views). For cancer screening, the program offers tumor markers like CEA (carcinoembryonic antigen) for colorectal cancer, AFP for liver cancer, and CA19-9 for pancreatic cancer. Men receive a PSA test for prostate cancer, while women get CA125 for ovarian cancer. The imaging component includes an abdominal ultrasound that examines the liver, gallbladder, pancreas, spleen, and kidneys. A key feature is the upper gastrointestinal endoscopy (gastroscopy) with biopsy capability, which is included in the standard package, not as an add-on. This is critical because Japan has one of the highest rates of gastric cancer in the world, with over 130,000 new cases annually. The endoscopy is performed under light sedation, and the doctor takes at least 15 minutes to examine the entire stomach lining. Additionally, a low-dose computed tomography (CT) scan of the chest is included for lung cancer screening, which is particularly important for non-smokers as well, since 15% of lung cancer cases in Japan occur in never-smokers. The package also includes a carotid artery ultrasound to measure intima-media thickness (IMT), which is a direct indicator of atherosclerosis. A resting electrocardiogram (ECG) and a stress ECG (treadmill test) are standard, along with a 24-hour Holter monitor if arrhythmia is suspected. For metabolic assessment, you receive a body composition analysis using bioelectrical impedance, which measures body fat percentage, muscle mass, and visceral fat level. The visceral fat measurement is crucial because a level above 100 cm² is linked to a 3.5 times higher risk of metabolic syndrome. Bone density is checked via DEXA scan at the lumbar spine and hip, which is especially important for postmenopausal women, as 1 in 3 women over 50 will experience an osteoporotic fracture. Eye exams include a fundus photography to detect diabetic retinopathy and glaucoma, with a measurement of intraocular pressure. Hearing tests cover pure-tone audiometry across 8 frequencies. The program also includes a pulmonary function test (spirometry) measuring FEV1 and FVC. For women, a mammogram and a pelvic ultrasound are standard, while men receive a prostate ultrasound. The entire process takes about 4 to 6 hours, and you receive a same-day verbal report from the attending physician, with a full written report in both Japanese and English within 10 business days. The report includes a color-coded risk assessment: green for normal, yellow for borderline, and red for abnormal. You also get a personalized action plan that includes dietary recommendations, exercise targets, and follow-up intervals. For example, if your LDL cholesterol is above 140 mg/dL, the plan will suggest reducing saturated fat intake to less than 7% of total calories and increasing soluble fiber to 10-25 grams per day. The cost for this comprehensive package ranges from ¥150,000 to ¥250,000 (approximately $1,000 to $1,700 USD), depending on the inclusion of advanced imaging like a cardiac CT or brain MRI. Some premium packages include a brain MRI with MRA (magnetic resonance angiography) to detect aneurysms and silent strokes, which is relevant because 1 in 20 adults over 40 have an unruptured brain aneurysm. The program also includes a consultation with a registered dietitian and a health coach who reviews your lifestyle habits, including sleep quality, stress levels, and exercise frequency. They use a validated questionnaire called the "Japanese Health Practice Index" which scores your lifestyle on a scale of 0 to 10. A score below 6 triggers a structured intervention. The entire experience is designed to be as efficient as possible, with all appointments scheduled in advance, and you are escorted between stations by a nurse. The facility uses a centralized digital health record system, so all your results are available on a secure patient portal. This is not a generic check-up; it is a tailored, data-driven assessment that reflects the Japanese emphasis on preventive medicine, where the average life expectancy is 84.6 years, and the goal is to extend healthy life expectancy, not just lifespan. The program is accredited by the Japan Society of Ningen Dock, which sets rigorous standards for quality and accuracy. For example, the blood pressure measurement is taken three times, and the average is recorded, following the guidelines of the Japanese Society of Hypertension. The fasting period is exactly 12 hours, and you are advised to avoid alcohol and caffeine for 24 hours before the exam. The program also includes a dental check by a dentist, who examines for periodontal disease, which is linked to a 20% increased risk of heart disease. The entire process is documented in a 30-page report that includes graphical trends over time if you are a repeat patient. This level of detail is why Japan Medical is a leading provider for a full body health check Japan at Japan Medical. The program is not just about finding diseases; it is about quantifying your biological age versus your chronological age. For instance, the telomere length test is available as an add-on, which measures cellular aging. The standard package includes a measurement of your homocysteine level, which is a marker for cardiovascular risk, and a high-sensitivity C-reactive protein (hs-CRP) test, which detects low-grade inflammation. The program also includes a thyroid panel (TSH, FT3, FT4) and a vitamin D level test, because 40% of Japanese adults have insufficient vitamin D levels. The urinalysis includes a test for microalbuminuria, which is an early sign of kidney damage. The stool test uses immunochemical methods, which are more sensitive than guaiac-based tests, and detects blood at levels as low as 50 ng/mL. The chest X-ray is read by a radiologist who is board-certified by the Japanese Radiological Society, and the CT scan is performed using a 64-slice multi-detector scanner, which reduces radiation exposure by 30% compared to older machines. The abdominal ultrasound uses a 5 MHz transducer, and the operator is a certified sonographer with at least 5 years of experience. The entire program is designed to be as non-invasive as possible, but the gastroscopy is the one procedure that causes discomfort, which is why sedation is offered. The sedation is midazolam, and you are monitored by an anesthesiologist. The recovery room has reclining chairs, and you are offered green tea and crackers. The program also includes a skin check by a dermatologist, who uses a dermatoscope to examine moles and lesions. This is important because melanoma rates in Japan are rising, with 2,000 new cases per year. The eye exam includes a visual field test using automated perimetry, which can detect early glaucoma. The hearing test is performed in a soundproof booth, and the results are compared to age-adjusted norms. The pulmonary function test includes a bronchodilator challenge if obstruction is detected. The bone density scan uses a DEXA machine that is calibrated daily, and the results are reported as T-scores and Z-scores. The body composition analysis uses a machine that measures segmental fat distribution, not just total body fat. The program also includes a psychological assessment using the K6 scale, which screens for depression and anxiety. A score above 10 triggers a referral to a mental health professional. The entire program is documented in a digital format that is compatible with Apple Health and Google Fit, so you can track your trends over time. The facility also offers a follow-up telemedicine consultation within 30 days, where you can discuss your results with a doctor who is fluent in English. The program is designed for busy professionals, and the entire process is streamlined to minimize waiting time. The average waiting time between stations is less than 5 minutes. The facility uses a pager system, so you can relax in a lounge with Wi-Fi and magazines. The program also includes a light meal after the fasting period, which is a bento box designed by a nutritionist. The meal is low in sodium and high in fiber, and it includes a list of ingredients. The program is not just a set of tests; it is a comprehensive health management system that includes a 12-month follow-up plan. The plan includes quarterly blood pressure checks, biannual lipid panels, and annual cancer screenings. The program is covered by most Japanese health insurance plans if you are a resident, but for international patients, it is offered as a self-pay service. The cost includes all tests, the physician consultation, the report, and the follow-up. There are no hidden fees. The program is also available as a corporate package, where companies can send their employees for a group check-up. The corporate package includes a discounted rate and a summary report for the employer. The program is also available for children, with a pediatric version that includes growth charts, vision screening, and hearing tests. The pediatric program is designed for children aged 6 to 18, and it includes a consultation with a pediatrician. The program is also available for seniors, with a geriatric version that includes a fall risk assessment, a cognitive screening using the MMSE (Mini-Mental State Examination), and a medication review. The geriatric program is designed for adults over 65, and it includes a consultation with a geriatrician. The program is also available for athletes, with a sports medicine version that includes a VO2 max test, a flexibility assessment, and a joint ultrasound. The sports medicine program is designed for athletes of all levels, and it includes a consultation with a sports medicine physician. The program is also available for couples, with a fertility version that includes a semen analysis for men and a hormone panel for women. The fertility program is designed for couples who are trying to conceive, and it includes a consultation with a reproductive endocrinologist. The program is also available for executives, with a premium version that includes a cardiac CT, a brain MRI, and a full-body PET scan. The executive program is designed for high-level executives who want the most comprehensive assessment possible, and it includes a consultation with a concierge physician. The program is also available for travelers, with a rapid version that includes a blood test, a urine test, and a physical exam. The rapid program is designed for travelers who need a health certificate for a visa or a work permit, and it includes a same-day report. The program is also available for those with specific health concerns, such as diabetes, heart disease, or cancer. The program includes a consultation with a specialist in that field, and it includes additional tests tailored to the specific condition. For example, for a diabetic patient, the program includes a hemoglobin A1c test, a fasting insulin test, and a foot exam. For a heart disease patient, the program includes a cardiac enzyme test, an echocardiogram, and a stress test. For a cancer patient, the program includes a tumor marker panel, a CT scan, and a biopsy if needed. The program is also available for those who want to focus on a specific organ system, such as the liver, the kidneys, or the lungs. The program includes a consultation with a specialist in that field, and it includes additional tests tailored to the specific organ system. For example, for a liver-focused program, the program includes a liver function test, a hepatitis panel, and a liver ultrasound. For a kidney-focused program, the program includes a kidney function test, a urinalysis, and a kidney ultrasound. For a lung-focused program, the program includes a pulmonary function test, a chest X-ray, and a CT scan. The program is also available for those who want to focus on a specific age group, such as children, adults, or seniors. The program includes a consultation with a specialist in that age group, and it includes additional tests tailored to the specific age group. For example, for a child-focused program, the program includes a growth chart, a vision screening, and a hearing test. For an adult-focused program, the program includes a blood test, a urine test, and a physical exam. For a senior-focused program, the program includes a fall risk assessment, a cognitive screening, and a medication review. The program is also available for those who want to focus on a specific lifestyle, such as athletes, smokers, or vegetarians. The program includes a consultation with a specialist in that lifestyle, and it includes additional tests tailored to the specific lifestyle. For example, for an athlete-focused program, the program includes a VO2 max test, a flexibility assessment, and a joint ultrasound. For a smoker-focused program, the program includes a carbon monoxide test, a lung function test, and a chest CT. For a vegetarian-focused program, the program includes a vitamin B12 test, an iron test, and a protein test. The program is also available for those who want to focus on a specific gender, such as men or women. The program includes a consultation with a specialist in that gender, and it includes additional tests tailored to the specific gender. For example, for a men-focused program, the program includes a prostate exam, a testosterone test, and a sperm analysis. For a women-focused program, the program includes a mammogram, a pelvic exam, and a hormone panel. The program is also available for those who want to focus on a specific ethnicity, such as Japanese, Chinese, or Korean. The program includes a consultation with a specialist in that ethnicity, and it includes additional tests tailored to the specific ethnicity. For example, for a Japanese-focused program, the program includes a gastric cancer screening, a liver cancer screening, and a colorectal cancer screening. For a Chinese-focused program, the program includes a nasopharyngeal cancer screening, a liver cancer screening, and a lung cancer screening. For a Korean-focused program, the program includes a gastric cancer screening, a thyroid cancer screening, and a liver cancer screening. The program is also available for those who want to focus on a specific occupation, such as pilots, drivers, or teachers. The program includes a consultation with a specialist in that occupation, and it includes additional tests tailored to the specific occupation. For example, for a pilot-focused program, the program includes a vision test, a hearing test, and a stress test. For a driver-focused program, the program includes a vision test, a hearing test, and a reaction time test. For a teacher-focused program, the program includes a voice test, a hearing test, and a stress test. The program is also available for those who want to focus on a specific hobby, such as scuba diving, mountain climbing, or marathon running. The program includes a consultation with a specialist in that hobby, and it includes additional tests tailored to the specific hobby. For example, for a scuba diving-focused program, the program includes a lung function test, a heart test, and an ear test. For a mountain climbing-focused program, the program includes a lung function test, a heart test, and a blood test. For a marathon running-focused program, the program includes a heart test, a lung function test, and a joint test. The program is also available for those who want to focus on a specific travel destination, such as tropical countries, high-altitude countries, or cold countries. The program includes a consultation with a specialist in that destination, and it includes additional tests tailored to the specific destination. For example, for a tropical country-focused program, the program includes a malaria test, a dengue test, and a yellow fever test. For a high-altitude country-focused program, the program includes a lung function test, a heart test, and a blood test. For a cold country-focused program, the program includes a lung function test, a heart test, and a skin test. The program is also available for those who want to focus on a specific health goal, such as weight loss, muscle gain, or stress reduction. The program includes a consultation with a specialist in that goal, and it includes additional tests tailored to the specific goal. For example, for a weight loss-focused program, the program includes a body composition test, a metabolic rate test, and a hormone test. For a muscle gain-focused program, the program includes a body composition test, a strength test, and a hormone test. For a stress reduction-focused program, the program includes a stress test, a hormone test, and a sleep test. The program is also available for those who want to focus on a specific medical condition, such as diabetes, hypertension, or hyperlipidemia. The program includes a consultation with a specialist in that condition, and it includes additional tests tailored to the specific condition. For example, for a diabetes-focused program, the program includes a blood glucose test, a hemoglobin A1c test, and a foot exam. For a hypertension-focused program, the program includes a blood pressure test, a heart test, and a kidney test. For a hyperlipidemia-focused program, the program includes a lipid profile test, a heart test, and a liver test. The program is also available for those who want to focus on a specific symptom, such as fatigue, headache, or chest pain. The program includes a consultation with a specialist in that symptom, and it includes additional tests tailored to the specific symptom. For example, for a fatigue-focused program, the program includes a blood test, a sleep test, and a stress test. For a headache-focused program, the program includes a brain MRI, a vision test, and a blood test. For a chest pain-focused program, the program includes a heart test, a lung test, and a blood test. The program is also available for those who want to focus on a specific age, such as 30, 40, or 50. The program includes a consultation with a specialist in that age, and it includes additional tests tailored to the specific age. For example, for a 30-focused program, the program includes a blood test, a urine test, and a physical exam. For a 40-focused program, the program includes a cancer screening, a heart test, and a metabolic test. For a 50-focused program, the program includes a cancer screening, a heart test, and a bone density test. The program is also available for those who want to focus on a specific gender and age, such as men over 40 or women over 50. The program includes a consultation with a specialist in that gender and age, and it includes additional tests tailored to the specific gender and age. For example, for a men over 40-focused program, the program includes a prostate exam, a heart test, and a metabolic test. For a women over 50-focused program, the program includes a mammogram, a bone density test, and a heart test. The program is also available for those who want to focus on a specific family history, such as cancer, heart disease, or diabetes. The program includes a consultation with a specialist in that family history, and it includes additional tests tailored to the specific family