Understanding your CMP — my results so far

TrialTracker_MD said:

The single most useful discipline is bringing the whole panel to a clinician rather than one flagged value.

Pushing back on TrialTracker_MD here. 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.

chris_chi24 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.

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.

JessicaH_TX said:

I would drop the "get everything" instinct further than this thread does.

Blood work came back perfect. baseline bloodwork + this community = winning. 🏆

One thing that is still open after newstart_MO’s answer:

How often to repeat it, because quarterly seems to be the convention and I cannot find the reasoning?

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.