I recently obtained my first cat 1 medical exam and the AME signed it off as no problem and that no further tests were recommended. However I just received a letter from TC saying otherwise; I require an ecg stress test, a blood lipid panel, and a specific eye test to check for ocular muscle balance. Is this normal for a first time medical? Will I have to continue to book these extra tests every time I renew my medical?

I had my first Cat 1 last year at the age of 53. I had to do an ECG and Audio test but the examiner told me I would need them. I did them, then ran to TC to write my CPL exam....

Not the other ones you mention.....an examiner thing? Age? Noticed something? or random screening of the AME perhaps?

Hope it works out for you!

Shawn