Medical Journal
International
Online
LGS Protocol
Laboratory Test Order
Ordering Practitioner:
Dr. Eduardo Beltran, MD
Saint Patrick Institute of Medical Sciences (SPIMS)
Patient Information
Patient Name: Julie Potvin
Date of Birth:
Sex: Female
Patient ID: 73930247
Address: Quebec - CA
Phone:
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Laboratory Tests Requested
1. Hematology
Complete Blood Count (CBC) with Differential
ESR (Erythrocyte Sedimentation Rate)
2. Basic Metabolic Panel
Glucose (fasting)
Sodium
Potassium
Chloride
COâ‚‚ (Bicarbonate)
BUN
Creatinine
Calcium
3. Comprehensive Metabolic Panel (CMP)
Total Protein
Albumin
AST (SGOT)
ALT (SGPT)
Alkaline Phosphatase
Bilirubin (Total and Direct)
4. Lipid Panel
Total Cholesterol
HDL Cholesterol
LDL Cholesterol
Triglycerides
5. Endocrine / Hormonal Panel
Thyroid Stimulating Hormone (TSH)
Free T4
Free T3
Reverse T3
Cortisol (AM)
6. Metabolic & Nutritional Markers
Vitamin D (25-Hydroxyvitamin D)
Calcitriol
Parathyroid Hormone (PTH)
Vitamin B12
Folate
Homocysteine
Ferritin
Iron
​
7. Inflammatory Markers
C-Reactive Protein (CRP – High Sensitivity)
8. Glycemic Control
Hemoglobin A1c
Insulin (fasting)
9. Autoimmune Screening
ANA
Anti-TPO antibodies
Anti-TG antibodies
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Fasting required (8–12 hours)
Morning blood draw preferred
​
Dr. Eduardo Beltran
NPI: 1164232831
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