Dr.LeslieOBGYN said: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…
That reframing is the part I needed. Printing the relevant bit and taking it with me.
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:
- 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.
Dr.KarenChen said:The liver data is among the strongest non-weight findings in the class.
Shot day Thursday report relevant to baseline bloodwork:
Week 44. Currently on 2.4mg. Down 70 lbs from starting weight of 282 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.
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Shop Reference Standardscarl_compliance 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…
Blood work came back perfect. baseline bloodwork + this community = winning. 🏆
Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Tagging this one for the weekly digest.