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ForumsProgress & Lab Results[PREMIUM] Full metabolic panel comparison — my results so far

[PREMIUM] Full metabolic panel comparison — my results so far

sean_dublin Fri, Apr 19, 2024 at 9:04 AM 17 replies 2,104 viewsPage 1 of 4
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sean_dublin
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Apr 19, 2024 at 9:04 AM#1

My prescriber ordered three tests and this board recommends about twenty, and I would like to know which of those two lists is right.

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

Practical detail welcome, however dull — the duller the better.

15 10hannah_MT, Dr.SportsMedIN, amy_econ_NJ and 12 others
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Dr.NutriCornell
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Ithaca, NY
Apr 19, 2024 at 10:19 AM#2

This one has a reasonably settled answer, so here it is. 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.

14 9Dr.SleepRoch, laura_annarbor, JenMemphis and 11 others
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TrialTracker_MD
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Apr 19, 2024 at 11:35 AM#3
Dr.NutriCornell said:
The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value.

Dr.NutriCornell 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: Apr 19, 2024 at 4:35 PM
13 8maya_sedona, stefan_berlin, Dr.EM_Chicago and 10 others
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DadBodDave
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Nov 2024
Ohio
Apr 19, 2024 at 12:51 PM#4
sean_dublin 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.

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.

Last edited: Apr 19, 2024 at 3:51 PM
12 7Dr.GastroMayo, JakeBK_lifts, DerekSJ_a1c and 9 others
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Dr.RenalNash
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Apr 19, 2024 at 8:08 PM#5

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

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.

11 6maria_elpaso, anders_CPH, Dr.NutriCornell and 8 others
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