Tests for obesity

Laboratory examination for obesity🍩
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The scope of analyzes should be based on clinical assessment, i.e. determined by the doctor at the appointment. Laboratory tests complement the already existing clinical data and https://pillintrip.com/ru/medicine/boxagrippal.
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The list of studies varies somewhat between reputable sources, the summary is⏬
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❗️Most important
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1️⃣ diagnosis of disorders of carbohydrate metabolism
• fasting blood glucose
(glycated hemoglobin is also better, if there is a financial opportunity, I would prefer it this way)
• if necessary (determined by the doctor) – glucose tolerance test (oral glucose tolerance test)
2️⃣ thyroid function
• thyroid stimulating hormone (TSH)
3️⃣ lipid profile
• total cholesterol
• HDL cholesterol
• LDL cholesterol
• triglycerides
4️⃣ liver enzymes:
• alanine aminotransferase (ALT)
• aspartate aminotransferase (AST)
• gamma-glutamyl transpeptidase (gamma-HT)
(with an increase in enzymes – ultrasound of the liver (abdominal organs))
5️⃣ kidney function
• creatinine
• calculation of the glomerular filtration rate (free calculation indicator)
6️⃣ uric acid
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It seems that the list is long, but all this is one vein puncture and one or two test tubes
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➡️Not a laboratory test, but I will write, therefore it is very important to assess cardiovascular risk
-absolute after 40 years
-relative up to 40 years
(and studies of the cardiovascular system according to indications)
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➰ to exclude endocrine causes
obesity additionally:
exclusion of hypercortisolism, hyperprolactinemia, Cushing’s disease / syndrome, if clinically indicated
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May still be useful
ℹ️ markers of inflammation:
• highly sensitive C-reactive protein
• ferritin
ℹ️ bilirubin
ℹ️ for symptoms of obstructive sleep apnea – follow-up examination
ℹ️When BMI> 40 – determination of the level of vitamin D (25 (OH) D) (possibly parathyroid hormone (PTH) if indicated)
ℹ With symptoms of hypogonadism – testosterone, LH, FSH
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📍European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care’19
📍Obesity Workup, 2018 https://emedicine.medscape.com
📍UpToDate, 2019
📍 Draft Clinical Guidelines for the Treatment of Obesity in Adults, 2019 (RAE)