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General Wellness

Weight Management Panel (TSH, A1C, Insulin, Lipid, CMP)

Comprehensive panel measuring metabolism-related markers to support healthy weight management goals and assess metabolic health.


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What this test measures

This panel measures a set of metabolic and hormonal markers that collectively influence how the body stores, burns, and regulates energy. It includes a Comprehensive Metabolic Panel (CMP), a Lipid Panel, a Thyroid-Stimulating Hormone (TSH) test, an Insulin level, and a Hemoglobin A1c (HbA1c) test.

The TSH test evaluates thyroid function, which has a direct impact on metabolic rate; the thyroid hormones T4 and T3, produced in response to TSH signaling, govern how efficiently the body converts food into usable energy. The insulin measurement assesses how effectively the body manages blood sugar and can flag insulin resistance, a condition closely linked to difficulty losing weight and elevated diabetes risk. HbA1c provides a two-to-three-month average of blood sugar control, offering a longer-range view than a single glucose reading. The Lipid Panel measures cholesterol and triglycerides, cardiovascular risk markers that frequently shift with changes in body composition. The CMP rounds out the picture with kidney and liver function, electrolyte balance, and protein status, all of which support the metabolic machinery involved in weight regulation.

What's included

Thyroid Stimulating Hormone (TSH)
Hemoglobin A1C (HbA1c)
Insulin, Fasting
Lipid Panel (Total Cholesterol, LDL, HDL, Triglycerides)
Comprehensive Metabolic Panel (14 tests including glucose, kidney markers, liver enzymes, electrolytes, and proteins)

Who should consider this test

You might consider this test if you are experiencing any of the following:

  • Individuals seeking to understand their baseline metabolic health before starting a weight management program
  • Those experiencing unexplained weight gain or difficulty losing weight despite dietary and exercise efforts
  • People with family history of diabetes, thyroid disorders, or metabolic syndrome who want to assess their risk factors
  • Individuals considering or discussing prescription weight management options, including GLP-1 medications, with their healthcare provider
  • Adults with risk factors for metabolic syndrome, such as high blood pressure, abdominal weight gain, or insulin resistance symptoms
  • Those who want to monitor how weight-related changes may be affecting their overall metabolic and cardiovascular health

What to expect

Preparation

Fast for 8-12 hours before the test, consuming only water during the fasting period. Avoid strenuous exercise immediately before testing, as physical activity can temporarily affect insulin and glucose levels. Continue taking prescribed medications unless specifically instructed otherwise by your healthcare provider.

Sample Type

A single blood sample collected from a vein in the arm

Collection

A trained phlebotomist will draw blood from a vein, typically in the arm. The procedure takes just a few minutes and involves minimal discomfort from the needle insertion.

Turnaround

Results are typically available within 1-3 business days and will be securely delivered through your patient portal

Understanding your results

These markers are most informative when interpreted as an interconnected set rather than one at a time. Thyroid function, insulin sensitivity, blood sugar control, lipid levels, and organ performance all influence one another, and a pattern across several results often reveals more than any single value could. Healthcare providers look for relationships between the markers (for example, elevated insulin alongside a rising HbA1c may suggest developing insulin resistance) to assess metabolic efficiency and identify areas where targeted intervention could be most effective.

PopulationReference RangeNotes
AdultsTSH: 0.4-4.0 mU/LNormal TSH levels indicate healthy thyroid function and metabolic rate regulation
AdultsA1C: Below 5.7%Normal A1C reflects good average blood sugar control over the past 2-3 months
AdultsFasting Insulin: 2-25 mU/L (though many experts prefer levels below 10 mU/L for optimal metabolic health)Lower fasting insulin levels typically indicate better insulin sensitivity
AdultsTotal Cholesterol: Below 200 mg/dL, HDL: Above 60 mg/dL, LDL: Below 100 mg/dL, Triglycerides: Below 150 mg/dLLipid levels within these ranges are associated with lower cardiovascular risk

Reference ranges shown are general guidelines. Your lab report will include the specific reference range used by the laboratory that processed your sample, which is the authoritative range for interpreting your results.

What does a “Low” result mean?

Lower-than-normal results can also provide important metabolic insights. Low TSH levels may indicate an overactive thyroid (hyperthyroidism), which can cause unintended weight loss and increased metabolism. Low insulin levels can indicate type 1 diabetes or advanced type 2 diabetes, where the pancreas is no longer producing adequate insulin. Very low A1C levels are generally not concerning unless they occur alongside symptoms of hypoglycemia. Low cholesterol levels are typically not problematic from a cardiovascular standpoint, though extremely low levels may sometimes indicate other health conditions. It's rare to have abnormally low levels of cholesterol, and when present, it's usually due to a health condition causing malnutrition. Healthcare providers will evaluate low results in the context of symptoms and overall health status.

What does a “High” result mean?

Elevated results may suggest various metabolic concerns that can affect weight management. High TSH levels may indicate an underactive thyroid (hypothyroidism), which can slow metabolism and contribute to weight gain. A1C levels between 5.7% and 6.4% indicate prediabetes, while levels of 6.5% or higher suggest diabetes. High fasting insulin levels often indicate insulin resistance, a condition where cells become less responsive to insulin's effects. Elevated insulin levels, especially in the context of normal or elevated blood glucose levels, may indicate insulin resistance or pre-diabetes, where the body produces more insulin to compensate for decreased effectiveness. High cholesterol and triglyceride levels can increase cardiovascular risk and may be associated with metabolic dysfunction. These patterns often occur together and may require comprehensive lifestyle modifications or medical intervention to address.

Privacy & confidentiality

All test orders are authorized and results reviewed by an independent, board-certified physician who is not the patient's personal doctor. Your Weight Management Panel results are completely confidential and protected by strict privacy measures. Results are <u>not reported to your personal doctor</u> unless you specifically choose to share them, and they are <u>not added to your medical records</u> or insurance files. The test and results will <u>not appear on insurance statements</u> or explanation of benefits (EOB), ensuring complete privacy regarding your metabolic health assessment. Your results are securely transmitted through an encrypted patient portal accessible only to you, and no personal health information is shared with employers, insurance companies, or other third parties. This confidential testing allows you to proactively monitor your metabolic health and make informed decisions about weight management strategies without concerns about privacy or insurance implications. All laboratory staff and healthcare providers involved in processing your sample are bound by strict confidentiality requirements and HIPAA regulations to protect your personal health information.

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Last reviewed: April 2026

CPT Code: 84443, 83036, 83525, 80061, 80053

This test may not be available in: NY, NJ, RI

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