Comprehensive Blood/Urine Testing Panel

[Urban Monk]

Dinoiii,

I thought it would be great to construct a comprehensive blood/urine testing protocol to get an accurate picture of one's health. So far, I've come up w/ the follow with the help of a few others. Could you share your thoughts on the list?

Please feel free to add/subtract/ or comment on any test listed:

1. Chem panel
2. liver panel
3. kidney panel
4. VAP TM Cholesterol Test (10270X)
5. Comprehensive Metabolic Panel w/EGFR
6. CBC w/ diff
7. Iodine
8. Calcium
9. Carbon dioxide
10. Chloride
11. Copper, serum
12. Ferritin
13. Transferrin (891X)
14. Magnesium
15. Potasium
16. Selenium
17. Sodium
18. Zinc
19. Alkaline phosphase
20. ALT
21. AST
22. BUN/creatinine ratio
23. Creatinine
24. Globulin, calculated
25. Protein Total
26. Urea nitrogen
27. Bilirubin, Total
28. Bilirubin, Direct
29. C-Reactive Protein (CRP), Highly Sensitive, CSF - (17401X)
30. Fibrinogen
31. Hematocrit
32. Hemoglobin A1C
33. Homocysteine, cardio
34. Lipoprotein (A) Lp(A)
35. VITAMIN SCREEN
36. VITAMIN B PANEL 2 - (9067)
37. VITAMIN D PANEL (5678X)
38. T3 Free
39. T3 uptake
40. T3,Total
41. T4,Free
42. T4,Total
43. reverse T3 (rT3)
44. Ultrasensitive TSH
45. Thyroid Peroxidase and Thyroglobulin Antibodies (7260X)
46. Glucose, fasting
47. Insuline, serum
48. PSA, Total
49. PSA, %, free
50. IGF Binding protein-3
51. IGF-1
52. Aldosterone
53. Cortisol AM/PM
54. DHEA sulfate
55. Prolactin
56. FSH
57. LH
58. Progesterone, LC/MS/MS
59. Pregnenolone
60. Estradiol, Ultrasensitive, LC/MS/MS (30289X)
61. Estradiol, Free, LC/MS/MS (36169X)
62. Estrogens, Fractionated, LC/MS/MS (36742X)
63. Estrogen, Total, Serum (439X)
64. Testosterone, Free, Bio/Total (LC/MS/MS)
65. Dihydrotestosterone, Free, Serum (36168X)
66. Rhein's 24 Hour Urine Test

[dinoiii]

Originally Posted by Urban Monk

Dinoiii,

I thought it would be great to construct a comprehensive blood/urine testing protocol to get an accurate picture of one's health. So far, I've come up w/ the follow with the help of a few others. Could you share your thoughts on the list?

I think I have done this kind of thing in the past.

I'll take them in 5's:

Please feel free to add/subtract/ or comment on any test listed:
[list=1][*]Chem panel[*]liver panel[*]kidney panel[*]VAP TM Cholesterol Test (10270X)[*]Comprehensive Metabolic Panel w/EGFR

Well, lets see...you can easily accomplish 1, 2, 3, and 5 with a CMP. Understanding that a "Chem-Panel" (Chem-6 or Chem-7) includes the kidney fxn (BUN and Creatinine) and a CMP w/ EGFR will be essentially the same thing as 1-3, BUT will do the calculation of glomerular filtration rate for you, though I am uncertain why we have become so lazy we can't just do it and save the silly expense.

[*]CBC w/ diff[*]Iodine[*]Calcium[*]Carbon dioxide[*]Chloride

Unless ill, etc... I don't see the CBC doing much for you. If you are doing a cycle, it may point out a relative polycythemia (you can look that one up), but realistically, it too can be considered an expense unneeded in many instances. Perhaps unlocking a B12 and/or Folate deficiency...other than that, without symptomatology and/or provided you use my supplementation protocols, this should be your last concern. For women it may hold more pertinence in giving us a look at the potential for iron deficiency, but really even then in light of no symptoms, I am hard-pressed to call it justified (maybe establishing a baseline had one not been done).

Cl and CO2 will be accomplished with your metabolic panel in the CMP.

Iodine would be less of a concern if you just keep with my prescription of dietary recommendations, but honestly - still an unneeded cost without some form of pretest probability suggesting anything more than a false negative would be ideal.

As far as calcium, I am hit or miss with this one.

[*]Copper, serum[*]Ferritin[*]Transferrin (891X)[*]Magnesium[*]Potasium

Copper in light of no disease state (i.e. - presence of Keyser Flyscher rings et al...) would be unwarranted. Perhaps a nice complement IF you have been supplementing a lot of zinc without appropriate copper replacement for precipitous periods - but these are two ends of the spectrum of extremes.

Ferriting and/or Transferrin - again, Iron Deficiency thoughts ONLY.

Magnesium and Potassium - most doctors don't understand when to order these appropriately as is. Potassium is included in your CMP, but I would pontificate why it could be high or low and it is intimately tied to magnesium...


More of these later...




D_

[Urban Monk]

Let's keep going here. This info is invaluable!