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Then we order labs: HbA1c and fasting glucose - to identify prediabetes or type 2 diabetes Comprehensive metabolic panel - kidney and liver function Lipid panel - cardiovascular risk picture TSH - thyroid disease can drive weight changes and is often missed Additional markers based on history (insulin, vitamin D, B12, iron studies as indicated) We also screen for sleep apnea, mood disorders, and medication-related weight effects (some psychiatric and antidiabetic medications drive weight gain that's worth identifying before adding another medication on top)

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Later on, Rocha et al