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Weight Management Profile – Baseline GLP-1 / GIP-GLP-1

Weight Management Profile – Baseline GLP-1 / GIP-GLP-1

3845.00 Lei

-25.1%

2880.00 Lei

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Weight Management Profile – Initial GLP-1 / GIP-GLP-1 Assessment is an extended package of investigations designed to assess general health, carbohydrate and lipid metabolism, liver, kidney and thyroid function, as well as selected nutritional markers before a medical consultation regarding weight management treatment.

The package may be used for the assessment of patients being considered for therapies from the GLP-1 or GIP/GLP-1 classes, including treatments based on semaglutide or tirzepatide.

Semaglutide is a GLP-1 receptor agonist, while tirzepatide acts as a dual GIP and GLP-1 receptor agonist; both medicines have authorised indications in the EU for weight management in certain patients with obesity or overweight associated with comorbidities.

Components

Investigation group	Included tests	What it evaluates
Hematological and inflammatory assessment	Complete blood count (without ESR); Erythrocyte sedimentation rate (ESR)	Key hematological parameters and the presence of nonspecific inflammatory changes
Carbohydrate metabolism and insulin resistance	Glycated hemoglobin (HbA1c); HOMA2 (Glucose, Insulin, HOMA2 Index)	Glycemic control, insulin resistance, insulin sensitivity and pancreatic beta-cell function
Lipid profile	Total cholesterol; HDL cholesterol; LDL cholesterol; Triglycerides	Lipid metabolism and cardiometabolic risk
Liver and biliary function	Total bilirubin; Direct bilirubin; ALT; AST; GGT; Alkaline phosphatase (ALP); Total protein; Albumin	Hepatocellular integrity, bilirubin metabolism, cholestatic component and protein synthesis
Pancreatic assessment	Lipase; Pancreatic alpha-amylase	Pancreatic enzyme activity
Kidney function	eGFR (CKD-EPI) + Serum creatinine; Urea	Renal filtration function and nitrogen metabolism
Thyroid function	TSH; Calcitonin	Thyroid function and additional assessment of thyroid C cells
Nutritional status	Ferritin; Vitamin B12; Vitamin D (25-OH vitamin D)	Iron stores and the status of important micronutrients
Urine assessment	Urinalysis with urine sediment examination	Urinary parameters and changes in the urine sediment

Role of the investigation

The profile provides the physician with a baseline overview of metabolic and glycemic status, cardiometabolic risk, liver and kidney function, thyroid function and nutritional status before making a therapeutic decision.

The results may help identify abnormalities that need to be assessed or corrected before or alongside treatment and provide baseline values that can be compared with subsequent results obtained during monitoring.

Indications

The profile may be recommended for individuals who are scheduled for a medical consultation for the management of overweight or obesity, including when GLP-1 receptor agonist or dual GIP/GLP-1 receptor agonist therapy is being considered.

It is particularly useful for the initial assessment of individuals with excess weight associated with disorders of carbohydrate metabolism, insulin resistance, dyslipidemia, liver or kidney disease, thyroid disorders, or a risk of nutritional deficiencies.

Before the consultation included in the program, the following are required:

completion of a comprehensive ultrasound examination**:** thyroid gland, abdominal organs and genitourinary system;
exclusion of pregnancy in women of reproductive potential; when pregnancy cannot be reliably excluded, β-hCG testing is recommended before treatment initiation.

Weight-loss treatment should not be initiated during pregnancy. Semaglutide should not be used during pregnancy, while tirzepatide is not recommended during pregnancy; treatment is prescribed and selected exclusively by the physician after assessment of the individual indications, contraindications and risks.

Procedure

Venous blood is collected for hematological, biochemical and hormonal investigations. A separate urine sample is required for urinalysis.

After the results are obtained, they should be interpreted by the physician together with the medical history, clinical examination, weight, body mass index, comorbidities and concomitant treatments.

Medical sources:

https://www.ema.europa.eu/en/medicines/human/EPAR/wegovy
https://www.ema.europa.eu/en/documents/product-information/mounjaro-epar-product-information_en.pdf
https://www.ncbi.nlm.nih.gov/books/NBK611612/
https://pubmed.ncbi.nlm.nih.gov/39632534/
https://library.usmf.md/sites/default/files/2025-02/Ghid%20practic%20pentru%20evaluarea%20si%20tratamentul%20adultilor%20cu%20obezitate.pdf

Sample collection is recommended in the morning, on an empty stomach, after 8–12 hours of fasting; plain water is permitted. This condition is particularly important for standardizing the measurement of glucose, insulin, HOMA2 indices, and the lipid profile.
Approximately 24 hours before sample collection, it is recommended to avoid alcohol consumption and intense physical exercise. On the morning of sample collection, coffee, tea, sweetened beverages, and smoking should be avoided.
The patient should inform the doctor or laboratory staff about all medications and supplements being taken.
Prescribed treatment should not be discontinued without medical advice.
Maintaining usual hydration with water is recommended.
For urine analysis, the sample should be collected in a sterile container according to the laboratory’s instructions; a properly collected midstream urine sample is preferred.

Services in package:

HOMA2 Index — Insulin Resistance, Insulin Sensitivity and Pancreatic β-Cell Function