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Evidence-based GLP-1 & peptide discussion since 2023
ForumsProgress & Lab ResultsMy doctor could not believe my bloodwork

My doctor could not believe my bloodwork

BethLabQueen Thu, Mar 5, 2026 at 6:50 PM 35 replies 1,105 viewsPage 1 of 7
BethLabQueen
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Mar 5, 2026 at 6:50 PM#1

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.

Post reference ranges alongside numbers when you share them. Units differ by country — glucose and lipids especially — and half the confusion in these threads is unit mismatch rather than disagreement.

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.

I have searched first, so if this is covered somewhere point me at it and I will read it.

50 20maya_sedona, stefan_berlin, Dr.EM_Chicago and 47 others
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pete_manc_UK
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Mar 5, 2026 at 7:02 PM#2

Taking the question as asked, rather than the general version of it. 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.

Last edited: Mar 6, 2026 at 1:02 AM
49 19RunnerRach, TrialNerd_Beth, HPLC_Greg and 46 others
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carlos_SATX
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Mar 5, 2026 at 7:14 PM#3
pete_manc_UK 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…

Agreeing with pete_manc_UK, and the qualification matters more than the agreement. One addition: if the lab changes analytical platform between your draws, the comparison breaks and nobody tells you. It is worth asking when a value moves inexplicably.

48 18Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 45 others
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MASHdoc_SA
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Mar 5, 2026 at 7:26 PM#4
BethLabQueen 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…

Same position here, arrived at the long way round. 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.

Last edited: Mar 5, 2026 at 10:26 PM
47 17LabKate, kate.chem, DataDave and 44 others
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roxy_nash
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Mar 5, 2026 at 8:31 PM#5

From the other side of the consultation, briefly.

Shot day Thursday report relevant to baseline bloodwork:

Week 48. Currently on 1.7mg. Down 34 lbs from starting weight of 246 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.

46 16kim_atl_prep, sarah_TO, wendy_avl and 43 others
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