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Evidence to Practice |

Nonfasting for Routine Lipid Testing From Evidence to Action

Samia Mora, MD, MHS1,2
[+] Author Affiliations
1Center for Lipid Metabolomics, Division of Preventive Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
2Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2016;176(7):1005-1006. doi:10.1001/jamainternmed.2016.1979.
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This review assesses the relative merits of using nonfasting blood draws for routine lipid testing.

Article InformationCorresponding Author: Samia Mora, MD, MHS, Center for Lipid Metabolomics, Division of Preventive Medicine, Brigham and Women’s Hospital, Harvard Medical School, 900 Commonwealth Ave, Boston, MA 02215 (smora@partners.org).

Published Online: April 27, 2016. doi:10.1001/jamainternmed.2016.1979.

Conflict of Interest Disclosures: Dr Mora has served as a scientific consultant to Lilly, Pfizer, Quest Diagnostics, Amgen, and Cerenis Therapeutics.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Submit a Comment
NonFasting Lipid Profile Not As Good As It Sounds And Leading to Increased Cost
Posted on April 27, 2016
Steve Furr, M.D.
Jackson Medical Clinic
Conflict of Interest: None Declared
I have found the practicality of this of using NONfasting lipids NOT useful and very often leading to repeat testing which increase costs. I've had to redo multiple lipid profiles on patients due to elevated triglycerides some of which were so elevated the LDL cannot be evaluated. I have had numerous patients burned by having non fasting lipids done on their health screenings and because of those numbers were forced to go to go through a process with their healthcare insurer because of the abnormalities. When their lipid profiles were repeated fasting their numbers were acceptable.
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