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ForumsProgress & Lab Results[PREMIUM] Full metabolic panel comparison — 30+ biomarkers at baseline vs 12 months

[PREMIUM] Full metabolic panel comparison — 30+ biomarkers at baseline vs 12 months

DataDave Sat, May 9, 2026 at 10:49 AM 17 replies 774 viewsPage 1 of 4
DataDave
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May 9, 2026 at 10:49 AM#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.

The narrow version of the question is what actually belongs on a baseline panel, as opposed to the enormous list that gets pasted around here.

I would rather have one careful answer than five confident ones.

23 18VendorMark, COA_Karl, MikeFit_NJ and 20 others
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BethLabQueen
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May 9, 2026 at 11:18 AM#2

Taking the question as asked, rather than the general version of it. 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.

Last edited: May 9, 2026 at 12:18 PM
22 17Dr.PulmRoch, maya_sedona, stefan_berlin and 19 others
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pete_nash
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May 9, 2026 at 11:47 AM#3
BethLabQueen said:
The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value.

BethLabQueen has the substance of this right. The condition it depends on is worth stating. 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.

Last edited: May 9, 2026 at 5:47 PM
21 16mike_mod, SarahChen_PharmD, sarah.morrison and 18 others
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Dr.EndoIndy
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May 9, 2026 at 12:16 PM#4
DataDave 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…

Same position here, arrived at the long way round. 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.

Happy to go further on any of that.

20 15DeniseRN_TPA, SandraNC_45, Dr.EndoIndy and 17 others
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Dr.NutriCornell
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May 9, 2026 at 2:55 PM#5

Adding the clinical framing, because it changes how the question reads.

Shot day Thursday report relevant to baseline bloodwork:

Week 16. Currently on 1.7mg. Down 62 lbs from starting weight of 274 lbs.

This week's observations: Energy levels excellent, zero nausea.

Labs due next week — looking forward to seeing the metabolic panel. I'll post results in the Lab Results section when they come in.

19 14pat_auckland, Dr.GastroMayo, JakeBK_lifts and 16 others
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