IV Therapy Lab Testing

It is strongly recommended to obtain a professional laboratory workup and patient assessment prior to beginning intravenous (IV) nutrition therapy. While generally very safe when done properly, IV nutrition can be dangerous if administered without a proper, thorough assessment. For this reason, it is best to assess each patient individually and document all medical decisions accordingly before beginning therapy, as well as at regular intervals as therapy continues.

Some basic laboratory workup that is generally recommended is below. Please note that this list only constitutes the minimum, but is by no means comprehensive. A proper medical assessment is the responsibility of the licensed and qualified healthcare practitioner working with the patient and might include additional testing and assessment as needed on a case by case basis.

Primary Laboratory Tests

  • Comprehensive Metabolic Panel
  • Complete Blood Count
  • Lipid Panel (If cardiovascular concerns)
  • 25-Hydroxy Vitamin D
  • G6PD
  • Urine Dipstick

Function Assessed

  • Electrolyte/Renal/Liver/Acid/Base/Sugar/Protein Status
  • Immune/Blood Status
  • Cardiovascular Risk Factors
  • Vitamin D Level
  • Adequate antioxidant function of glutathione cycle in oxidative therapies such as high-dose vitamin C or IV hydrogen peroxide.
  • Renal Function

Supplemental Laboratory Tests

  • Intracellular Minerals
  • Amino Acids
  • Organic Acids

Function Assessed

  • Body Mineral Status
  • Possible MTHFR Gene Mutation & Related Inability to Activate Folate
  • Amino Acid Deficiency or Excess
  • Intestinal Permeability

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