Changing Bloodwork Requisites

lgetlegend

Active member
Trusted Member
Hey guys I just got a requisite for bloodwork, the Doctor was being very conservative and wouldn’t put all the things I wanted tested on there. Have any of you ticked off more boxes to have more things tested for? She ticked off LH, Test, TSH, Estradiol. What are the most important things to add? Do I need Cholesterol, Prolactine and FSH?
 
Hey guys I just got a requisite for bloodwork, the Doctor was being very conservative and wouldn’t put all the things I wanted tested on there. Have any of you ticked off more boxes to have more things tested for? She ticked off LH, Test, TSH, Estradiol. What are the most important things to add? Do I need Cholesterol, Prolactine and FSH?
Definitely cholesterol and for me I always want fasted glucose c-reactive protein, alc, ast, but if you check off boxes it's illegal I don't imagine they would charge you but it's fraud of some sort
 
Definitely cholesterol and for me I always want fasted glucose c-reactive protein, alc, ast, but if you check off boxes it's illegal I don't imagine they would charge you but it's fraud of some sort
I’m pretty confident my current cholesterol and all are fine, I am an athlete and very healthy individual, If I was going to risk getting in trouble maybe it would be better doing it for skmething else? I read that FSH should be checked and that isn’t being tested. What are the absolute most important things to have tested where without them the test is useless if you know what I’m asking, what are the absolute musts when it comes to bloodwork pre-cycle?
 
I'm not sure I'm not as experienced ill let some other guys answer but you can ask the nurse who draws the blood to check stuff. Mine did she just has to tell the doctor that she did
 
My justification is I'm a tax paying citizen and I pay into it, so unlike private healthcare we have to rely on the system. If I have a justifiable reason to check something I will check the boxes myself on a req. I've never been called out by the doctor for it, but if I was I'd make sure to have a base of why I did it. I think the worst that could come of it is the doctor ending the relationship with the patient maybe a note on your file.
 
My justification is I'm a tax paying citizen and I pay into it, so unlike private healthcare we have to rely on the system. If I have a justifiable reason to check something I will check the boxes myself on a req. I've never been called out by the doctor for it, but if I was I'd make sure to have a base of why I did it. I think the worst that could come of it is the doctor ending the relationship with the patient maybe a note on your file.
Whats the most important things to test?
 
Definitely cholesterol and for me I always want fasted glucose c-reactive protein, alc, ast, but if you check off boxes it's illegal I don't imagine they would charge you but it's fraud of some sort
It's not necessarily illegal. Definitely frowned upon lol. Best case scenario, the doctor doesn't notice when they give you your blood work. Worst case scenario, they accuse you of doing it, in which you have the right to deny, obviously.
 
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FSH/LH is a questionable metric if you're currently taking exogenous hormones, as hormones decrease both of these dramatically. This is especially true since, naturally, these can change by the minute (as any signaling hormone can), and by time of day (so a single point of bloodwork does very little to tell you anything about yourself). But as long as you're getting LH tested, that's an important baseline to keep track of during future, subsequent bloods.

Prolactin is another hormone that can change within a 30m window. It's produced antagonistically with Dopamine, so even things like a great mood, orgasm, or ADHD medications (and illegal drugs) can totally skew your results - more dopamine, less prolactin. Unless you're lactating (or planning on nursing, if you're female), have itchy nipples, have serious issues with libido, or are chronically requiring/abusing certain medications/drugs, you're likely fine.

Don't modify your bloodwork requisition, lol. Just be more aggressive with your doctor next time, if you're really worried. ESPECIALLY because some tests aren't covered under OHIP (or other provincial health programs) and can end up costing you $$ if you're not careful. I think testing for IGF, for example, costs around 250$.
 
FSH/LH is a questionable metric if you're currently taking exogenous hormones, as hormones decrease both of these dramatically. This is especially true since, naturally, these can change by the minute (as any signaling hormone can), and by time of day (so a single point of bloodwork does very little to tell you anything about yourself). But as long as you're getting LH tested, that's an important baseline to keep track of during future, subsequent bloods.

Prolactin is another hormone that can change within a 30m window. It's produced antagonistically with Dopamine, so even things like a great mood, orgasm, or ADHD medications (and illegal drugs) can totally skew your results - more dopamine, less prolactin. Unless you're lactating (or planning on nursing, if you're female), have itchy nipples, have serious issues with libido, or are chronically requiring/abusing certain medications/drugs, you're likely fine.

Don't modify your bloodwork requisition, lol. Just be more aggressive with your doctor next time, if you're really worried. ESPECIALLY because some tests aren't covered under OHIP (or other provincial health programs) and can end up costing you $$ if you're not careful. I think testing for IGF, for example, costs around 250$.
Nice post sir. I wouldn't do it for fear of ruining my relationship and trust with my Dr. Vitamin D is another cost+ one but can be covered by provincial health if req'd by a specialist, doesn't even matter what the specialty is IME
 
Nice post sir. I wouldn't do it for fear of ruining my relationship and trust with my Dr. Vitamin D is another cost+ one but can be covered by provincial health if req'd by a specialist, doesn't even matter what the specialty is IME
I'm very curious, can you get D3 depot injections OTC (as you can with B12), or only with an Rx from your doctor? Cost notwithstanding.
 
I'm very curious, can you get D3 depot injections OTC (as you can with B12), or only with an Rx from your doctor? Cost notwithstanding.
Sorry, no idea. I should clarify - I was referring to the 25-Hydroxy Vitamin D Bloodtest.

PS - now I'm off to clarify something else we were discussing in another thread, I might need to up my caffeine intake today :)
 
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