TrialTracker_MD 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…
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.
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.
Blood work came back perfect. baseline bloodwork + this community = winning. 🏆
Dr.RaviCardio 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:
- CMP + A1C + fasting insulin
- Complete lipid panel with particle count if possible
- hsCRP, ferritin, B12, vitamin D
- Thyroid panel (TSH + free T4)
- CBC with differential
- Liver panel (ALT, AST, GGT)
- DEXA scan or body composition
Total cost at Quest without insurance: ~$200. Worth every penny for the data.
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Browse GL BiochemA 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?
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.