I got a full panel before starting and a repeat at three months, and the second one is more useful than the first purely because I now have something to compare against.
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.
Tell me what I have not thought of.
Short answer first, then the reasoning. 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 and B12, and a full blood count. That set catches the things that change, the things that explain symptoms, and the things that alter the prescribing decision. Almost everything else on the long circulating lists is either invariant, uninterpretable without a specific question, or an incidental finding waiting to cause an unnecessary workup.
Correct me if the detail matters more than I have assumed.
CarlaRPh_TPA 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…
Agreed, and reference ranges are laboratory-specific. Comparing your number to somebody else's range, or to a screenshot from another country, is how people convince themselves something is wrong.
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Shop Reference StandardsMikeFit_NJ said:I got a full panel before starting and a repeat at three months, and the second one is more useful than the first purely because I now have something…
This matches mine closely enough to be worth saying so. 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.
From the other side of the consultation, briefly.
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.