Blood test

minipepbeast

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Little Rock, AR
At my upcoming physical next month, I'll be getting blood work done. Do I need to request any particular tests, or is a comprehensive panel enough? Right now I'm running reta, nad+, and cjc/ipa. A glow cycle just wrapped up, and I plan to introduce ss31 and motsc.
 
here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
 
minipepbeast said:

At my upcoming physical next month, I'll be getting blood work done. Do I need to request any particular tests, or is a comprehensive panel enough? Right now I'm running reta, nad+, and cjc/ipa. A glow cycle just wrapped up, and I plan to introduce ss31 and motsc.

What's your goal, and what compounds are you currently using? Calling it a "comprehensive panel" doesn't really tell me much.

If you're running CJC/IPA (or any GH/GH secretagogue), adding an IGF-1 level/score makes sense.

For a baseline, just about every time I do bloodwork I include CBC, CMP, Lipid Panel with ApoB, and Insulin, plus anything specific I'm actually checking. Those 4 only run $34.40, so they're worth ordering whenever I'm at the lab, though if I went more than once in the same month I'd probably only do them once.

Past that, I tailor things to whatever I'm curious about, tracking (like regular TRT labs), or broader baseline follow-ups.
 
wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Is it enough to simply inform your doctor that you'd like these items tested?
 
minipepbeast said:

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Is it enough to simply inform your doctor that you'd like these items tested?

If you want insurance to pick up the tab, you'll have to give the doctor a medical rationale he can use to justify ordering whichever tests.

As for me, I bypass the doctor entirely and cover the cost of my own labs. I'm not sure I'll even bother with my annual, and even if I do, I doubt I'll ask them to run any advanced labs (or make a case for extra tests).
 
woundcarping said:

minipepbeast said:

At my upcoming physical next month, I'll be getting blood work done. Do I need to request any particular tests, or is a comprehensive panel enough? Right now I'm running reta, nad+, and cjc/ipa. A glow cycle just wrapped up, and I plan to introduce ss31 and motsc.

What's your goal, and what compounds are you currently using? Calling it a "comprehensive panel" doesn't really tell me much.

If you're running CJC/IPA (or any GH/GH secretagogue), adding an IGF-1 level/score makes sense.

For a baseline, just about every time I do bloodwork I include CBC, CMP, Lipid Panel with ApoB, and Insulin, plus anything specific I'm actually checking. Those 4 only run $34.40, so they're worth ordering whenever I'm at the lab, though if I went more than once in the same month I'd probably only do them once.

Past that, I tailor things to whatever I'm curious about, tracking (like regular TRT labs), or broader baseline follow-ups.
My issue, I think, is not knowing which markers I ought to check. Seems like a deep research dive is in order.
 
minipepbeast said:

woundcarping said:

minipepbeast said:

At my upcoming physical next month, I'll be getting blood work done. Do I need to request any particular tests, or is a comprehensive panel enough? Right now I'm running reta, nad+, and cjc/ipa. A glow cycle just wrapped up, and I plan to introduce ss31 and motsc.

What's your goal, and what compounds are you currently using? Calling it a "comprehensive panel" doesn't really tell me much.

If you're running CJC/IPA (or any GH/GH secretagogue), adding an IGF-1 level/score makes sense.

For a baseline, just about every time I do bloodwork I include CBC, CMP, Lipid Panel with ApoB, and Insulin, plus anything specific I'm actually checking. Those 4 only run $34.40, so they're worth ordering whenever I'm at the lab, though if I went more than once in the same month I'd probably only do them once.

Past that, I tailor things to whatever I'm curious about, tracking (like regular TRT labs), or broader baseline follow-ups.
My issue, I think, is not knowing which markers I ought to check. Seems like a deep research dive is in order.

That's the reason I wanted to know what your goals are and what you're pursuing in life. 🤣 Since you're using CJC/IPA, I realize you're interested in checking IGF. My IGF baseline sits at 1.4, so I don't expect much benefit from Tessa/Ipa, but I'll try it anyway. That also tells me I should monitor my IGF so I don't push it dangerously high.

If weight loss is happening, the amount and how aggressive it is might matter.

Because I'm on TRT, I get labs tied to that whenever the dose changes and periodically per the Rx requirements (and my own curiosity).

A couple months back I did a broad baseline of 40 tests/panels to spot any trouble areas that would need closer watching.

If your relationship with the doctor is honest, you could lay out everything you're doing and ask what labs they suggest, saying that overall you want the most comprehensive testing that's practical within whatever limits you set (self pay, insurance only, some mix, etc).
 
minipepbeast said:

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Is it enough to simply inform your doctor that you'd like these items tested?
Like the other person mentioned, you have to explain the medical reason behind needing these tests. Certain ones are really straightforward. Tumor markers, though, are a different story—those won't be covered, and you'll be paying for them yourself.

When it comes to standard stuff—Lipids, Liver, Kidneys, and so on—you can look up reasons that would support getting them. And given that you're taking a weight loss medication, Pancreas testing should be simple to justify as well. No need for them to find out it's reta.

best of luck
 
wonttellyou said:

minipepbeast said:

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Is it enough to simply inform your doctor that you'd like these items tested?
Like the other person mentioned, you have to explain the medical reason behind needing these tests. Certain ones are really straightforward. Tumor markers, though, are a different story—those won't be covered, and you'll be paying for them yourself.

When it comes to standard stuff—Lipids, Liver, Kidneys, and so on—you can look up reasons that would support getting them. And given that you're taking a weight loss medication, Pancreas testing should be simple to justify as well. No need for them to find out it's reta.

best of luck
I'll just tell them I'm perimenopausal, everything's out of whack, and I want a full workup. 🤣
 
wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Great tips. Perfect timing since I’m about to ask my doctor for fresh labs. On 4/20 I already got most of these checked through a blood draw, but there are a few you mentioned that I missed. 🙏 Thanks.
 
woundcarping said:

minipepbeast said:

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH

wonttellyou said:

here is what I run:

Hematology & Bone Metabolism

  • Phosphate
  • Calcium
  • LDH (Lactate Dehydrogenase)
  • Complete Blood Count (CBC) incl. Differential (Hb, Hct, RBCs, WBCs, Platelets, MCV/MCH/MCHC)
Liver Values

  • LDH
  • Albumin
  • Total Bilirubin
  • GGT
  • ALT (SGPT)
  • AST (SGOT)
Lipids & Cardiovascular

  • Troponin T
  • Creatine Kinase (CK)
  • NT-pro-BNP
  • ApoB (Apolipoprotein B)
  • Triglycerides
  • HDL
  • LDL
  • Total Cholesterol
Kidney Values

  • Uric Acid
  • Cystatin C
  • Urea (BUN)
  • eGFR (Estimated Glomerular Filtration Rate)
  • Creatinine
Inflammation & Immune Status

  • ESR (Erythrocyte Sedimentation Rate)
  • hs-CRP (High-Sensitivity C-Reactive Protein)
Metabolism & Blood Sugar

  • Amylase
  • Lipase
  • Insulin
  • HbA1c
  • Glucose
Thyroid

  • Thyroglobulin
  • TG Antibodies
  • TPO Antibodies
  • fT4
  • fT3
  • TSH
Iron, Vitamin, and Mineral Status

  • Vitamin D (25-OH)
  • Vitamin D (1,25-OH)
  • Homocysteine
  • Chloride
  • Potassium
  • Sodium
  • Selenium
  • Copper
  • Zinc
  • Magnesium
  • Folic Acid
  • Vitamin B12
  • Transferrin Saturation
  • Transferrin
  • Ferritin
  • Iron
Coagulation

  • D-Dimer
  • Fibrinogen
  • aPTT
  • PT (Quick) / INR
Tumor Markers

  • AFP (Alpha-1-Fetoprotein)
  • CA 72-4
  • PSA (Prostate-Specific Antigen)
  • CA 19-9
  • CEA
Hormones

  • Inhibin B
  • HGH (Growth Hormone / Somatropin)
  • IGFBP-3
  • IGF-1
  • C-Peptide
  • Cortisol
  • DHEAS
  • SHBG
  • Prolactin
  • Testosterone
  • Progesterone
  • Estradiol (E2)
  • FSH
  • LH
Is it enough to simply inform your doctor that you'd like these items tested?

If you want insurance to pick up the tab, you'll have to give the doctor a medical rationale he can use to justify ordering whichever tests.

As for me, I bypass the doctor entirely and cover the cost of my own labs. I'm not sure I'll even bother with my annual, and even if I do, I doubt I'll ask them to run any advanced labs (or make a case for extra tests).
I see my usual physician, and then I get labs done elsewhere, plus I have another doctor who reviews those results so I can get a second opinion on whatever comes up. When it comes to certain topics, my main doctor can be pretty unpleasant, whereas with the other one I'm able to talk quite freely.
 
It really hinges on your location, what you're able to spend, how old you are, and whether you have other medical conditions. That comprehensive list up top covered a lot, but the price tag would be steep.

For a core set, you'd want FBE, U&E, LFT, hs-crp, lipids, TFT, iron studies, b12, folate, and hormones since you mentioned perimenopause. IGF-1 makes sense given the drugs you're taking that influence it. Blood sugar and hb1ac should be routine too, especially because your drugs can shift them. If blood pressure is high or obesity is severe, add urine protein.

Whether you'll have to justify requests like IGF-1 (cjc/ipa) can go either way.
 
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