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ForumsLab Results & BiomarkersFinally in the normal range for everything - first time in 20 years — 6 month update

Finally in the normal range for everything - first time in 20 years — 6 month update

Dr.LipidDallas Fri, Aug 30, 2024 at 2:02 PM 12 replies 2,000 viewsPage 1 of 3
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Dr.LipidDallas
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Aug 30, 2024 at 2:02 PM#1

I got a full panel before starting and a repeat at three months, and the second one is more useful than the first purely because I now have something to compare against.

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.

What I am trying to establish is how often to repeat it, because quarterly seems to be the convention and I cannot find the reasoning.

I have searched first, so if this is covered somewhere point me at it and I will read it.

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PeptideChemSF
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Aug 30, 2024 at 2:19 PM#2

Answering the narrow version, because the broad one does not have a single answer. The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value. One out-of-range result in isolation generates anxiety and unnecessary tests; the same result next to the trend and the rest of the panel usually generates a shrug.

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GenomicsKate
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Aug 30, 2024 at 2:36 PM#3
PeptideChemSF said:
The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value.

No disagreement with PeptideChemSF. One condition attached. One addition: if the lab changes analytical platform between your draws, the comparison breaks and nobody tells you. It is worth asking when a value moves inexplicably.

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mark_tokyo
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Aug 30, 2024 at 2:53 PM#4
Dr.LipidDallas said:
I got a full panel before starting and a repeat at three months, and the second one is more useful than the first purely because I now have something…

Can confirm the pattern Dr.LipidDallas describes. Quarterly for the first year is convention rather than evidence, and it is defensible for a simple reason: it is roughly the interval over which HbA1c becomes informative again, since it reflects about three months of glycaemia. After the first year, and once doses are stable, annual is reasonable unless something specific is being followed.

Last edited: Aug 30, 2024 at 5:53 PM
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Dr.SleepRoch
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Aug 30, 2024 at 4:23 PM#5

From the other side of the consultation, briefly.

Blood work came back perfect. baseline bloodwork + this community = winning. 🏆

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