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ForumsLab Results & BiomarkersComprehensive lab panel guide — what to order before starting GLP-1 Page 2

Comprehensive lab panel guide — what to order before starting GLP-1

BethLabQueen Mon, Feb 26, 2024 at 4:00 PM 406 replies 14,360 viewsPage 2 of 20
PeptideChemSF
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Feb 26, 2024 at 11:13 PM#6

One concrete data point for the thread. Post reference ranges alongside numbers when you share them. Units differ by country — glucose and lipids especially — and half the confusion in these threads is unit mismatch rather than disagreement.

38 16steve_okc, dave_SLC, FDA_TrackerJim and 35 others
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wei_SG
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Feb 27, 2024 at 2:04 AM#7

A narrower follow-up, since the general answer is now clear:

What actually belongs on a baseline panel, as opposed to the enormous list that gets pasted around here?

39 17SaraMom3, Dr.MetabolicMD, RetaRick_CA and 36 others
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Dr.ObesityMed
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Feb 27, 2024 at 4:55 AM#8
PeptideChemSF said:
Post reference ranges alongside numbers when you share them.

Adding the part of the answer the thread has not reached. A defensible baseline is short: HbA1c and fasting glucose, a lipid panel with ApoB if you can get it, ALT and AST, creatinine with eGFR, TSH, ferritin and B12, and a full blood count. That set catches the things that change, the things that explain symptoms, and the things that alter the prescribing decision. Almost everything else on the long circulating lists is either invariant, uninterpretable without a specific question, or an incidental finding waiting to cause an unnecessary workup.

40 18SurmountFan_IN, PeptideChemSF, A1cHero_PHX and 37 others
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BethLabQueen
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Feb 27, 2024 at 7:46 AM#9

Reporting back.

Took the whole panel in rather than the one flagged line, and the conversation lasted two minutes instead of generating three more tests.

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ChrisMacros
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Feb 27, 2024 at 9:25 PM#10
Dr.ObesityMed said:
A defensible baseline is short: HbA1c and fasting glucose, a lipid panel with ApoB if you can get it, ALT and AST, creatinine with eGFR, TSH, ferritin…

Agreed, and reference ranges are laboratory-specific. Comparing your number to somebody else's range, or to a screenshot from another country, is how people convince themselves something is wrong.

Correct me if the detail matters more than I have assumed.

Last edited: Feb 28, 2024 at 12:25 AM
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