Specifications include, but are not limited to: 1. Lab Analysis: (chemistry panel 23, CBC, lipid profile, TSH & Urinalysis) and heavy metals as needed. 2. Comprehensive Medical History 3. Medical Exam: Comprehensive physical exam includes: head, eyes, ears, nose, throat, heart, lungs, gastrointestinal, genitourinary, lymph nodes, musculoskeletal, skin, neurological and hernia check (must be conducted in a private area by a physician). 4. Anthropometric measurements 5. Chest X-ray as needed 6. Pulmonary function evaluation for Suppression personnel 7. Body composition measurements 8. Resting electrocardiogram 9. Submaximal ergometer graded exercise treadmill or bicycle stress test, which must be monitored on-site by a board certified physician. 10. Vision and hearing screening.