Will Reta show up on my blood work?

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PepGladiator

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Will be starting Reta in a week or so. Have a previously scheduled appointment with my General Practitioner for annual blood work (cholestrol etc). Since I am getting Reta on grey market, not sure that i feel comfortable with my GP knowing that.

Will the Reta show up on my blood work? Any information by someone who is currently/or in the past has had blood work done, would be appreciated. What shows up on your blood work? Positive markers and negative markers .... that I should expect.
 
PepGladiator said:
Will be starting Reta in a week or so. Have a previously scheduled appointment with my General Practitioner for annual blood work (cholestrol etc). Since I am getting Reta on grey market, not sure that i feel comfortable with my GP knowing that.

Will the Reta show up on my blood work? Any information by someone who is currently/or in the past has had blood work done, would be appreciated. What shows up on your blood work? Positive markers and negative markers .... that I should expect.
It will only show up if they are looking for it.

Standard blood tests are not looking to test which meds you are taking. They are only looking for health markers.
 
Most of us can't even get blood tests for things we want from our PCP, let alone things we don't.

If you haven't been on it for long, it won't have any effect on your bloodwork (as far as changing things). Which is good, now you will have a good baseline.

Last tip, try to get your PCP to run as many different panels as possible, that way you have some starting points when you inevitably start running other peps.
 
It would cost hundreds to thousands to develop testing accurately direct from blood samples.

The PCP doesn’t care.
 
If you haven't started GLPs yet at all, get a DEXA composition scan if you can, just to see a before and after result.
 
BNLFL said:
Didn't show on my recent one about 6 weeks ago, and actually helped my cholesterol.
how did it help with your cholesterol? and it wasn't related to diet or exercise?
 
PepGladiator said:
Will be starting Reta in a week or so. Have a previously scheduled appointment with my General Practitioner for annual blood work (cholestrol etc). Since I am getting Reta on grey market, not sure that i feel comfortable with my GP knowing that.

Will the Reta show up on my blood work? Any information by someone who is currently/or in the past has had blood work done, would be appreciated. What shows up on your blood work? Positive markers and negative markers .... that I should expect.
Just tell them you started doing the Mediterranean diet two days a week or something (since every clinician is convinced that's some sort of ideal diet) and they'll nod their head when they see that your labs significantly improved from last time.
 
Unless you have diabetes, I do not think any blood test results would change drastically enough to be odd or suspicious, that could not easily be explained by an improved diet.

But depending on what tests are done blood sugar and lipids are likely to be better, not much else would be changed on fairly standard blood tests.
 
Only its positive effects. No basic blood panel from a general practitioner is testing to see what peptides are in your system.
 
This has me wondering how doctors could detect patients on GLPs if they wanted to. As pointed out above, creating a direct detection test would be expensive and unprofitable. The doctors would have to be looking for other signals and clues.

Off the top of my head, sudden glucose and cholesterol corrections would be a red flag. If your RHR is elevated from your previous visits but your weight is lower, they might think stimulants or reta, blood pressure will tell the truth on that. They might look for injection marks. And of course they can try to get you to admit or imply knowledge of peptides. Now that I think about this seriously it might actually be difficult to completely hide this from annual physicals if your doctor is nosy or wise.
 
What a doctor might see when ordering tests and thinking about a patient possibly being on GLP's, is likely very different to what would be noticed if not thinking in those terms. I think unless the doctor was suspicious and thinking along those lines already there is just about zero chance they would conclude that somewhat better lipids or sugars might be due to GLP's. If you had lost 20 or 30 kilos that might clue them in. But even then nothing that cannot be explained by better diet.

Do not really know the health care setup in Canada, in the US people seem very concerned about impacts on health insurance if grey GLP use is disclosed, In Aus it seems much less of an issue, though I do not know for sure if it might not impact those with private health insurance here. In more publicly funded systems it seems to be less of a problem, not sure where Canada sits these days.
 
This is a question I would really like a medical professional's opinion on. My friend has a commercial drivers license becuase they occasionally have to transport people in a shuttle bus. They are so paranoid about getting fired from a drug teest that they bought an R60 kit but will not use it. A group of us are sharing one vial of R60 at a time. I keep telling them it is not on the list of drugs they test for, they would specifically have to test for that as far as I know but I have no idea what test would show any GLP-1.

I can't convince them that they will not get fired and I really need to know what to tell this friend. (I'm not pushing them BTW, other than chanting "one of us" as the rest of us take our weekly dose.)
 
In that particular situation there are 2 issues, is it something they might test for or detect? and is it a risk for a commercial driver to be taking it? Really the second one is actually more important in terms of not having something happen like hypoglycemia and running into people, or risking harm to passengers by crashing.

To the best of my knowledge, GLP drugs are not considered to be a driving risk, they do not typically cause hypoglycemia, although if the person has diabetes and is on other glucose lowering drugs it could be a problem. And there are rules and regulations about assessing commercial driving risks in diabetes anyway.

Could it be detected in a blood test? I actually do not know, I cannot think of any reason a test would even have been developed, It is not an approved drug yet, GLP's are not even banned in sports, which would be an obvious reason to have a test for it. Maybe a forensic analysis could detect it? Looking for odd spikes on HPLC, but that sort of testing would only ever be done in determining unknown or suspicious causes of death or if people died in an accident, and they were looking extra hard for a drug related cause in the driver, say after noticing suspicious bruising on the lower abdomen that could be due to injections, but it is a bit of a stretch to imagine that actually happening.

Zero possibility of being detected in any kind of routine test. Probably makes driving safer as a lot of people with obesity have sleep apnea , and GLP's improve that, and sleep apnea causes daytime sleepiness which increases accident rates.

Legitimately prescribed tirzepatide would solve the problem, but there is the cost.
 
lessthanhalf said:
Legitimately prescribed tirzepatide would solve the problem, but there is the cost.
There is the answer. If he's that paranoid, and it is paranoia, just have him get a script from his doc or a telehealth. Then take the gray. Problem solved for minimal expense.
 
nitetrak said:
This is a question I would really like a medical professional's opinion on. My friend has a commercial drivers license becuase they occasionally have to transport people in a shuttle bus. They are so paranoid about getting fired from a drug teest that they bought an R60 kit but will not use it. A group of us are sharing one vial of R60 at a time. I keep telling them it is not on the list of drugs they test for, they would specifically have to test for that as far as I know but I have no idea what test would show any GLP-1.

I can't convince them that they will not get fired and I really need to know what to tell this friend. (I'm not pushing them BTW, other than chanting "one of us" as the rest of us take our weekly dose.)

I think that the opinion you need is from an attorney and not a medical professional. The crinkle is the isssue of the CDL. While the DoT is generally looking for illicit drug use and controlled substances, your friend may be subject to a DoT physical exam in which ase they may have to report prescribed medications to the examiner. I have a professional license (not CDL) and I'm very careful when I answer things on government forms so I'm not in a position for the government to say that I've lied. Which is often worse than the underlying behavior. This seems to be to be a legal question about your friend's employer's right to test certain substances. I personally try not to lie on government forms.
 
5byfive said:
There is the answer. If he's that paranoid, and it is paranoia, just have him get a script from his doc or a telehealth. Then take the gray. Problem solved for minimal expense.

I was thinking the same exact thing, but you can't get an Rx for reta. The OP mentioned reta.

But having an Rx in your medical records isn't a terrible plan. One of the telehealths I use sends a Rx to Lilly Direct for me every month and I never fill it. I just like having it in my medical history. Lilly keeps texting me to fill the Rx when I'm ready 🤣 . I've decided if I'm ever questioned I'm going to flip out on them and say who the F can afford that? I haven't ordered because I don't have the $$$$$.
 
nitetrak said:
This is a question I would really like a medical professional's opinion on. My friend has a commercial drivers license becuase they occasionally have to transport people in a shuttle bus. They are so paranoid about getting fired from a drug teest that they bought an R60 kit but will not use it. A group of us are sharing one vial of R60 at a time. I keep telling them it is not on the list of drugs they test for, they would specifically have to test for that as far as I know but I have no idea what test would show any GLP-1.

I can't convince them that they will not get fired and I really need to know what to tell this friend. (I'm not pushing them BTW, other than chanting "one of us" as the rest of us take our weekly dose.)

I’ve have a CDL/medical card. Unless something is listed as prohibited/controlled, the only caveat is being “fit for duty.”

Specific to a GLP peptide and a CDL, the main things I see are being stable in terms of low blood glucose and pressure. I’ve had few experiences with symptoms of low pressure and/or glucose that were very short lived (single digit minutes)… their severity would not have compromised my ability to operate safely.

There’s no reporting requirement for GLP peptides.

You can take insulin (also a peptide) and have a medical card for a CDL. It has to be declared and there’s extra paperwork; you have show that you’re in control of your glucose/symptoms.

An FAA Medical Certificate requires declaring Tirz but approval shouldn’t be a problem, just more hassle when you make changes, like with dosage. Reta would likely not fly. Like the CDL but more extreme, they’re mainly making sure there’s a low likelihood your blood sugar or pressure will crash out and that you’re in control.
 
banditchewy said:
how did it help with your cholesterol? and it wasn't related to diet or exercise?
It lowered it. No clue why. We are doing a lower carb deal, and no major exercise. My glucose went down a few point too.
 
It won’t show up on any drug tests, those tests id only narcotics and other illegal drugs. Although you have reta from the grey/black market it is considered a medication and won’t show up anywhere. What will show up is the improvement on cholesterol, ldl triglycerides, blood glucose and HbA1C, it’s proven to lower these, look it up. Blood pressure as well. The only issue is safety wise if the batch you have has enough endotoxins or sterility problems to cause local or general allergic reactions, stop the medication if/when that happens. Otherwise you’re good, relax. Just tell the doc you’re taking Mounjaro prescribed by another doctor if they get suspicious or that you are dieting with the aid a nutritionist.
 
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