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Evidence-based GLP-1 & peptide discussion since 2023
ForumsLab Results & BiomarkersInsulin levels — what worked for you? Page 2

Insulin levels — what worked for you?

CryptoCarl Wed, Feb 12, 2025 at 4:35 AM 12 replies 1,790 viewsPage 2 of 3
JessicaH_TX
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Dec 2023
Houston, TX
Feb 12, 2025 at 6:04 AM#6
pete_manc_UK said:
The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. I would drop the "get everything" instinct further than this thread does. Every extra test is another chance at a false positive, and incidental findings have their own cost in scans, biopsies and worry.

29 24wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 26 others
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NicoleRaleigh
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Aug 2024
Raleigh, NC
Feb 12, 2025 at 6:38 AM#7
CryptoCarl said:
My prescriber ordered three tests and this board recommends about twenty, and I would like to know which of those two lists is right.

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

28 23MikeFit_NJ, InsuranceTom, WendyG_ATL and 25 others
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Dr.EM_Chicago
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May 2024
Chicago, IL
Feb 12, 2025 at 7:12 AM#8
JessicaH_TX said:
I would drop the "get everything" instinct further than this thread does.

PSA: get baseline labs BEFORE starting baseline bloodwork therapy. You need a "before" picture to measure progress. My recommended pre-treatment panel:

  1. CMP + A1C + fasting insulin
  2. Complete lipid panel with particle count if possible
  3. hsCRP, ferritin, B12, vitamin D
  4. Thyroid panel (TSH + free T4)
  5. CBC with differential
  6. Liver panel (ALT, AST, GGT)
  7. DEXA scan or body composition

Total cost at Quest without insurance: ~$200. Worth every penny for the data.

27 22Dr.ReproEndo, lucas_SP_BR, lisa_labSD and 24 others
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steph_laguna
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Nov 2024
Laguna Beach, CA
Feb 12, 2025 at 7:46 AM#9

One thing that is still open after FDA_TrackerJim’s answer:

How often to repeat it, because quarterly seems to be the convention and I cannot find the reasoning?

26 21DanielChem_CHI, marco_milano, pam_columbus and 23 others
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CryptoCarl
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May 2024
Arizona
Feb 12, 2025 at 10:27 AM#10

OP back with an update, since a thread like this is useless without one.

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

Last edited: Feb 12, 2025 at 2:27 PM
22 20ChrisMacros, KetoKyle, CanadaChris and 19 others
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