Baseline Blood Tests

[christopher]

I'll be using Quest....

Goin to the doc today to get a script.....

What are the specific tests to request to establish a baseline...?

 

[JanSz]

I'll be using Quest....

Goin to the doc today to get a script.....

What are the specific tests to request to establish a baseline...?

Complete metabolic Panel
Hepatic Function Panel
Lipid Panel
CBC

Total Estrogens
estrone
Estradiol, sensitive
Estradiol, Bioavailable
Progesterone
Pregnenolone
Total Testosterone
Free Testosterone (calculated)
Bio-available Testosterone (calculated)
Albumin
sex hormone–binding globulin (SHBG), serum
DHT (dihydrotestosterone)
Hematocrit
prolactin, serum
FSH (3rd Generation)
LH
Thyroid Stimulating Hormone (TSH)
Free (T3) triiodothyroxine
Free T4
Total T4
Total T3
DHEA Sulfate
Cortisol, AM/PM
SOMATOMEDIN C (IGF-1)
IGF-BP3
C-reactive protein (high-sensitivity)
Fibrinogen
Hemoglobin A1C
Lp(a) lipoprotein
Bilirubin
AST (SGOT)
ALT(SGPT)
VLDL
Homocysteine
Insulin, fasting
Glucose, plasma
Magnesium
Vitamin D, 1, 25-Dihydroxy
Folate
Vitamin A
Ferritin
B12, selenium, zinc, copper
Free PSA
FreePSA/Total PSA
aldosterone

 

[christopher]

Thankx...I just got the script....

Get the blood draw in the am after a fast....:run:

 

[JanSz]

Thankx...I just got the script....

Get the blood draw in the am after a fast....:run:

Go right away to the Quest's lab, afternoon when there is less traffic.
Tell them to look at your script and get your account ready.
Tell them that you will come again in couple days for the actual blood draw.
It is a big order, early in the morning they rush, make it easy on them, lees stress. less chance for screw up.

Do not eat from 9PM day before, drink glass or two of clean water 1-2 hours before test, so you stay hydrated.

I ask them to take a blood from another place than crook of the elbow, save veins for another time.

Take a good shower do not put anything on your skin.

 

[christopher]

Im wondering if I really NEED all of hose tests to establish a baseline....

And will it determine the presence of adrenal fatigue/thyroid...?

 

[christopher]

DR John....if bringing these tests to you for analysis...Is this the panel that you would want..?

 

[hardasnails1973]

DR John....if bringing these tests to you for analysis...Is this the panel that you would want..?

More information you provide better an over all picture can be determined

 

[cpeil2]

Im wondering if I really NEED all of hose tests to establish a baseline....

And will it determine the presence of adrenal fatigue/thyroid...?

It is a very thorough panel that will send up a red flag if you have nearly anything wrong.

If you have an idea what's wrong, and/or you are concerned about cost, you could get away with fewer tests.

T3 and T4 are the most useful tests for looking at thyroid status. For adrenals - aldosterone, DHEA-s and AM and PM cortisol.

You should definitely get CBC, blood lipids, chem panel and metabolic panel.

 

[JanSz]

Im wondering if I really NEED all of hose tests to establish a baseline....

And will it determine the presence of adrenal fatigue/thyroid...?

It is up to you.
I still missed renin in my list, not sure if renin is with a blood test or other way.
There is a set:
aldosterone, renin, sodium and potassium

 

[christopher]

Before I took the tests, I got the codes and made sure they were all covered...

Insurance pays for all the tests!!!! :cheers:

I'll post the results when I get them....

In addition, Anyone know how to test for EFA defeciency...?:think:

 

[christopher]

Since I'm not on any testosterone supps, I DO take the blood tests after a fast, correct....?

Im pretty sure BC isnt gonna cover a panel like this again, and I want to be sure I'm establishing a baseline for treatment,.....

I was reading another thread where Dr. John mentioned that, due to the circumstance and timing, tests were essentially useless from a treatment/acessment standpoint....I want to be sure Im not making any similar mistakes......

And BTW, I may be taking these results to Dr John, if he deems them appropriate....

Thankx

 

[JanSz]

Before I took the tests, I got the codes and made sure they were all covered...

Insurance pays for all the tests!!!! :cheers:

I'll post the results when I get them....

In addition, Anyone know how to test for EFA defeciency...?:think:

Have you just used codes that I posted or your doctor attempted to diagnose your situation and figure out what codes are applicable to you?

From point of view that insurance is covering the cost, anything is good.

If you have got any new codes please post them.
------------------------------------------------------------------
My experience, doctors do not have much "patience" to deal with this nitty gritties, does hi really care that you will have to pay unnecesarily.
Effort of treating patient so he gets well is big enough job.

 

[cpeil2]

Since I'm not on any testosterone supps, I DO take the blood tests after a fast, correct....?

Im pretty sure BC isnt gonna cover a panel like this again, and I want to be sure I'm establishing a baseline for treatment,.....

I was reading another thread where Dr. John mentioned that, due to the circumstance and timing, tests were essentially useless from a treatment/acessment standpoint....I want to be sure Im not making any similar mistakes......

And BTW, I may be taking these results to Dr John, if he deems them appropriate....

Thankx

Testosterone doesn't really have anythying to do with it. The fasting is necessary in order to get accurate baseline levels for blood glucose and trigycerides. That's the only reason as far as I know.

 

[christopher]

Have you just used codes that I posted or your doctor attempted to diagnose your situation and figure out what codes are applicable to you?

From point of view that insurance is covering the cost, anything is good.

If you have got any new codes please post them.
------------------------------------------------------------------
My experience, doctors do not have much "patience" to deal with this nitty gritties, does hi really care that you will have to pay unnecesarily.
Effort of treating patient so he gets well is big enough job.

I got the script from my doc and the reason that he ordered the tests...In my case, I'm always tired so we used fatigue...

Fatigue has a reason code.... Called BC and they said that code was acceptable and payable at 100%.

Then I got the codes from quest for all of the above referenced tests, and sent the test codes to BC...They came back as paid also....

Basically, I pre-approved my pymt.....

 

[christopher]

22 Vials of blood!!!

UnbeLiEvaBle..:jaw: