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Bloodwork: What panels to get

Posted on 4/16/24 at 11:14 am
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 11:14 am
So there have been couple questions from some posters on what panels to get done, here are a couple that i recommend

if going through Marek, you can use code: "StanEfferding" for 10% off

I will say this, if you can get down to see our resident Doctor Jose as a PCP, i would say do that as he understand most here want to lift and have goals. If not and you have a PCP, give them the print out from the links below and have them order those test. That is what i do.


if you are a male and want a complete picture of where you are health wise and where you can optimize things or where you need to focus

the Marek complete panel is the way to go. I recommend having this panel completed at least once every 3 years once you are over the age of 30. It can be done annually as that would be best, but I know some insurances dont cover everything and it can get expensive

if you are doing telehealth, you can add zoom meetings to meet with doctor and go over everything.


it covers the following for males

Sex Hormones:
Total Testosterone (LC/MS) [uncapped]
Free Testosterone (Equilibrium Ultrafiltration) [uncapped]
Estradiol, Sensitive / Ultrasensitive (LC/MS)
Sex Hormone Binding Globulin (SHBG)
Progesterone
Prolactin
Cortisol

Gonadotropins:
Luteinizing Hormone (LH)
Follicle-Stimulating Hormone (FSH)

Neurosteroids:
Pregnenolone
Dehydroepiandrosterone Sulfate (DHEA-S)

Thyroid:
TSH
Free T3
Free T4
Thyroglobulin Antibody (tgAb)
Thyroid Peroxidase Antibody (TPOab)
Reverse T3

Growth Hormone/IGF-1:
Insulin-Like Growth Factor I (IGF-1)

Lipids:
ApoA1
ApoB
ApoA1:ApoB Ratio
Total Cholesterol
HDL Cholesterol
LDL Cholesterol
LDL:HDL Ratio
VLDL Cholesterol
Triglycerides
Lipoprotein(a)

Blood:
Complete Blood Count w/ Differential (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count (RBC); red cell count; white blood cell count (WBC))
Reticulocyte Count

Metabolic:
Comprehensive Metabolic Panel (albumin:globulin (A:G) ratio; albumin, serum; alkaline phosphatase, serum; bilirubin, total; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; globulin, total; potassium, serum; protein, total, serum; sodium, serum)

Insulin Sensitivity:
Blood glucose
Fasting Insulin
HbA1c
Uric Acid

Liver Function:
AST
ALT
BUN
Bilirubin, Total
?-Glutamyl Transferase (GGT)

Kidney Function:
Creatinine w/ eGFR
SDMA (Symmetric Dimethylarginine)

Vitamins:
Vitamin D, 25-OHD (25-Hydroxy)
Vitamin B12
VItamin B9 (Folate) / Folic Acid
Magnesium, RBC

Iron Panel:
Iron
Transferrin Saturation / Iron Saturation
TIBC
UIBC
Ferritin

Inflammatory Markers:
C-Reactive Protein, High Sensitivity (hsCRP)

Heart Health:
ADMA (Asymmetric Dimethylarginine)
Homocyst(e)ine
Trimethylamine N-oxide (TMAO)
Fibrinogen (Factor I) Activity

Tumor Markers:
Prostate Specific Antigen (PSA)

Urinalysis:
Complete Urinalysis (color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment)



This post was edited on 4/16/24 at 11:25 am
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 11:14 am to
the 2nd middle tier option is the Marek Power Project Panel

LINK

it includes the following for Males


Sex Hormones:
Total Testosterone (LC/MS) [uncapped]
Free Testosterone (Equilibrium Ultrafiltration) [uncapped]
Estradiol, Sensitive / Ultrasensitive (LC/MS)
Sex Hormone Binding Globulin (SHBG)
Progesterone
Prolactin
Cortisol

Gonadotropins:
Luteinizing Hormone (LH)
Follicle-Stimulating Hormone (FSH)

Neurosteroids:
Dehydroepiandrosterone Sulfate (DHEA-S)

Prostate Health:
Prostate Specific Antigen (PSA)

Thyroid:
TSH
Free T3
Free T4

Growth Hormone/IGF-1:
Insulin-Like Growth Factor I (IGF-1)

Lipids:
Total Cholesterol
HDL-Cholesterol
LDL-Cholesterol
HDL/LDL Ratio
Triglycerides
ApoB
Lipoprotein(a)

Blood:
Complete Blood Count w/ Differential (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count (RBC); red cell count; white blood cell count (WBC))

Metabolic:
Comprehensive Metabolic Panel (albumin:globulin (A:G) ratio; albumin, serum; alkaline phosphatase, serum; bilirubin, total; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; globulin, total; potassium, serum; protein, total, serum; sodium, serum)

Insulin Sensitivity:
Blood glucose
Fasting Insulin
HbA1c

Liver Function:
AST
ALT
BUN
Bilirubin, Total
?-Glutamyl Transferase (GGT)

Kidney Function:
Creatinine w/ eGFR

Vitamins:
Vitamin D, 25-OHD (25-Hydroxy)

Iron Panel:
Iron
Transferrin Saturation / Iron Saturation
TIBC
UIBC
Ferritin

Inflammatory Markers:
C-Reactive Protein, High Sensitivity (hsCRP)

Urinalysis:
Complete Urinalysis (color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment)
This post was edited on 4/16/24 at 11:16 am
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 11:14 am to
the 3rd and most economical option is the stan efferding check up panel. If you are on a budget, this is the panel you should get.

LINK


Sex Hormones:
Total Testosterone
Free Testosterone
Estradiol Standard

Prostate Health:
Prostate Specific Antigen (PSA)

Thyroid:
Thyroid Stimulating Hormone (TSH)

Blood:
Complete Blood Count w/ Differential (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count (RBC); red cell count; white blood cell count (WBC))

Metabolic:
Comprehensive Metabolic Panel (albumin: globulin (A:G) ratio; albumin, serum; alkaline phosphatase, serum; bilirubin, total; BUN: creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; globulin, total; potassium, serum; protein, total, serum; sodium, serum)

Insulin Sensitivity:
HBa1c
Fasting Insulin

Iron:
Iron and Total Iron-Binding Capacity
Ferritin

Inflammatory Markers:
C-Reactive Protein, High Sensitivity (hsCRP)

Lipid Panel:
Lipid Panel (Total Cholesterol, HDL, LDL, VLDL, Trigs, HDL/LDL Ratio)

Metabolic:
Comprehensive Metabolic Panel (albumin:globulin (A:G) ratio; albumin, serum; alkaline phosphatase, serum; bilirubin, total; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; globulin, total; potassium, serum; protein, total, serum; sodium, serum)
This post was edited on 4/16/24 at 11:21 am
Posted by IBeenYeetin
Member since Sep 2019
268 posts
Posted on 4/16/24 at 3:17 pm to
Not sure what the downvotes on this are for, this is useful stuff. Thanks
Posted by WDE24
Member since Oct 2010
54132 posts
Posted on 4/16/24 at 3:56 pm to
If you go through your pcp, is the cost comparable to what is listed through this service? Have you had issues with insurance covering most of the cost?
Posted by DrDenim
By the airport
Member since Sep 2022
441 posts
Posted on 4/16/24 at 4:11 pm to
I've been planning to get the comprehensive panel done through Marek for a long time, I'm just a procrastinator and I keep saying "once I get a job I'll do it," and then I put it all off for another month. I've never seen these particular panels before, in fact, last time I checked their site it must have been before they started working with Stan and Dave Tate because I don't recall seeing them under the "our team" tab.

Do you know why these panels aren't discoverable on their site when you try to navigate through the "lab packages" tab?

I'm comparing all of this now, and the incredibly minor differences between the Power Project panel and the comprehensive panel make me scratch my head. I think I'll still go with the comprehensive panel, but the lab review phone call is tempting.
Posted by DrDenim
By the airport
Member since Sep 2022
441 posts
Posted on 4/16/24 at 4:13 pm to
Marek doesn't do insurance at all, to my understanding. I've heard this said on many podcasts and their FAQ on their site says "Marek Diagnostics will not communicate with insurance companies." So it's all out of your pocket.
Posted by Big Scrub TX
Member since Dec 2013
33397 posts
Posted on 4/16/24 at 4:31 pm to
quote:

the Marek complete panel is the way to go
I'm on the verge of ordering this (basically, it's the power panel + interpretation with a real doctor?)

Question: do you trust their security/privacy/etc. Are you convinced they aren't bad actors (or at the very least, aren't indifferent actors that don't care about your shite)?
Posted by tiger91
In my own little world
Member since Nov 2005
36703 posts
Posted on 4/16/24 at 4:50 pm to
Good list -- I'm female so some don't apply to me but I go to a cardiac prevention center in Lafayette -- she does the majority of that list twice a year. Somehow she has a deal with her labs that the cost ends up being $150 or so (she uses two different labs).

With my family history and that nominal cost, I'm good with it. I wills ay she has $500 per year "fee" but my visits are ~$100 and I've never paid for the carotid ultrasounds either (maybe once per year?).

AND the bonus for me is she'll call in meds if I'm sick with easy things .. sinus infection, uti, etc.
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 7:15 pm to
I think the complete panel is a couple other markers but dose not have doctors call

Marek is one of the largest diagnostic companies and are completely legit

But if you can, ask you pcp to order these so it’s covered under insurance. Don’t have to go through marek
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 7:16 pm to
They have female panels too


Here are all the affiliate panels

LINK
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 7:18 pm to
Should be covered through pcp, if not marek is prolly cheaper if you use one of the discount codes
Posted by lsu777
Lake Charles
Member since Jan 2004
30986 posts
Posted on 4/16/24 at 7:19 pm to
The comprehensive just has couple extra things that look for certain markers
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