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HOW-TO7 min read·2026-04-01

How to Run Baseline Labs Before Starting Any Protocol

Learn which labs to order, when to test, where to order them, and how to establish your protocol baseline.


# How to Run Baseline Labs Before Starting Any Protocol Baseline labs are non-negotiable. Without them, you have no way to measure protocol effects or identify adverse changes. A proper baseline takes 4-6 weeks to prepare and establish—rushing this step wastes time and money.

Why Baseline Matters

Baseline labs serve three critical functions:

1. Safety gate: They catch contraindications before you start. Elevated liver enzymes, thyroid dysfunction, or uncontrolled blood pressure mean you shouldn't start certain protocols without medical oversight.

2. Effect measurement: You can't measure change without a starting point. "I feel better" is subjective. "IGF-1 rose from 145 to 210" is measurable.

3. Reversion tracking: When you finish a protocol, baseline lets you see how completely you return to pre-protocol values. Some markers revert quickly; others take weeks.

The Universal Baseline Panel (For Any Protocol Type)

Order this panel 4-6 weeks before starting:

Metabolic & liver function:

Fasting glucose
Insulin (fasting)
HbA1c
AST, ALT, GGT
Total bilirubin, direct bilirubin
Albumin, total protein
Alkaline phosphatase

Lipids:

Total cholesterol
LDL cholesterol
HDL cholesterol
Triglycerides
ApoB (increasingly important for metabolic health)

Thyroid (complete):

TSH
Free T4
Free T3
TPO antibodies
Thyroglobulin antibodies

Kidney function:

BUN (blood urea nitrogen)
Creatinine
eGFR (estimated glomerular filtration rate)

Blood cell counts:

Complete blood count (CBC): WBC, RBC, hemoglobin, hematocrit, platelets

Inflammation markers:

C-reactive protein (hs-CRP, high-sensitivity)

Minerals:

Electrolytes (sodium, potassium, chloride, CO2)
Calcium, magnesium, phosphate
Iron, ferritin, TIBC

Reproductive hormones (add for sex-specific protocols):

Men: Total testosterone, free testosterone, DHT, SHBG
Women: Estradiol (E2), progesterone, FSH, LH

Growth factors (add for GH protocols):

IGF-1
IGFBP-3

Immune (add for immune peptides):

Vitamin D (25-OH vitamin D)
Vitamin B12
Folate

Protocol-Specific Baseline Additions

If running GLP-1 peptides, add:

Pancreatic markers: amylase, lipase
Detailed metabolic panel (above already covers this)
Hemoglobin A1c (already included above)

If running GH-releasing peptides, add:

IGF-1 and IGFBP-3 (already listed above)
Cortisol (morning, fasting—optional but useful)

If running thymosin peptides, add:

Full immune panel: lymphocyte subsets (CD4, CD8, CD3), if available

If running collagen peptides or BPC-157, add:

Nothing specific; use universal panel

If running GHK-Cu or other copper compounds, add:

Serum copper levels
Ceruloplasmin

Where to Order Labs: Your Options

Option 1: Direct-to-consumer lab testing (fastest, often cheapest)

Ulta Lab Tests, Quest Direct, LabCorp OnDemand, Any Lab Test Now
Cost: $150-300 for comprehensive panel
Time: Results in 3-5 days
No doctor required; you order, draw blood, get results
Best for: Baseline establishment, initial checks

Option 2: Your primary care doctor

Cost: Dependent on insurance (often covered with copay)
Time: 1-2 weeks for appointment + results
Benefit: Doctor reviews, provides context
Drawback: May refuse to order optional markers (ApoB, hs-CRP)

Option 3: Functional medicine / naturopathic doctor

Cost: $200-500 for panel + consultation
Time: 1-2 weeks
Benefit: Detailed marker interpretation, optimization guidance
Drawback: Variable quality, some less evidence-based

Best approach: Use direct-to-consumer labs for baseline (fast, complete), have results reviewed by a doctor.

Preparation: How to Get Accurate Results

Timing: Test in the morning, fasted (12 hours, water only). Testosterone, cortisol, glucose all vary by time of day and fed/fasted state.

4 weeks pre-baseline: Stop taking any novel supplements or compounds (resume after baseline). You want true baseline, not "baseline with extra variables."

3 days before test: Don't crush yourself with intense exercise (can elevate CK, which clouds interpretation). Light movement only.

24 hours before: No alcohol. Alcohol affects liver enzymes and lipids.

Day of test:

Fast (water only, nothing else)
Get blood drawn before 10am (hormones fluctuate through the day)
Sit for 5 minutes before draw (reduces hemolysis—red blood cell destruction, which skews results)

Storing and Organizing Your Results

Digital backup: Many labs email results as PDF. Store in a cloud backup (Google Drive, Dropbox). Don't lose this—you need it for comparisons.

MyProtocolStack storage: Upload your baseline panel to MyProtocolStack before starting your protocol. The platform lets you store complete lab histories and compare values across time. When you upload follow-up labs mid-protocol and post-protocol, having baseline side-by-side makes pattern recognition immediate.

Spreadsheet backup: Create a simple spreadsheet with dates and key markers (IGF-1, testosterone, AST, glucose, etc.). Print it—paper copies don't disappear.

Common Mistakes to Avoid

Starting protocol without truly fasted glucose/insulin: You'll get false high readings. Retest when fasted.

Not getting repeat baseline testing after 4-6 weeks: Initial labs might reflect recent stress or illness. Retest once you're in a stable baseline phase.

Skipping lipids because "you feel healthy": Lipids shift with peptide protocols. You need the baseline to see the change.

Testing too soon after stopping a previous protocol: Wait 4-6 weeks after stopping one protocol before baselining another. Your body needs time to revert.

Not organizing results: After 3 protocols, you'll have 9-12 lab panels. Without organization, comparison is impossible.

Timeline Example

Week -6: Decide to start protocol on Week 0

Week -6: Order baseline labs (universal + protocol-specific panel)

Week -5: Get blood drawn (morning, fasted)

Week -5: Results returned by day 3-5; store digitally and in MyProtocolStack

Week -4: Consult with provider if any red flags; finalize protocol plan

Week -3: Source peptides, prepare injection supplies

Week -2: Establish tracking system (dosing log, symptom notes)

Week -1: Review protocol, prepare for start

Week 0: Begin protocol with complete confidence in baseline numbers

This workflow takes only 1 week of active work (ordering and drawing) but ensures you have complete information before starting.

This article is for informational and educational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider before starting, adjusting, or stopping any peptide protocol. MyProtocolStack is a protocol tracking and blood work analysis platform — it is not a medical device and does not provide clinical recommendations.

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Not medical advice. Always consult a qualified healthcare provider before starting any peptide protocol. Read full disclaimer →

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