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Is't necessary for Blood Test during empty stomach in the morning?
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Cardiac & Vascular Health
Question #10144
57 days ago
168

Is't necessary for Blood Test during empty stomach in the morning? - #10144

Raju Balasubramanian

The doctor advised me to visit the hospital with an empty stomach in the morning for a blood test to verify whether I have cholesterol or not. My habit is that daily I'm taking breakfast at 7:30 am. I said it's not possible for me. Is such a test really necessary?

Age: 80
Chronic illnesses: Cardiovascular
Blood test
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
57 days ago
5

If only total cholesterol, HDL, LDL are being checked: Non-fasting blood test is acceptable You may go for testing 2–3 hours after a light breakfast (preferably low-fat)

If Triglycerides are to be measured: Fasting for 8–10 hours is necessary Water is allowed during fasting

If doctor have advised then obviously you should be fasting.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
57 days ago
5

Hello dear Please be aware See on taking break fast there would be definitely an error in your lab tests Hence for clear cut accuracy especially for lipid profile,stomach emptyness is mandatory Regards

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
56 days ago
5

Thank you for sharing that—this is a very reasonable question, especially considering your age and daily routine.

### Why the Doctor Asked for a Fasting Blood Test:

When testing for cholesterol levels (especially LDL – “bad” cholesterol), doctors often order a fasting lipid panel. This is because:

* Eating can affect blood fat levels, especially triglycerides. * Fasting (typically 8–12 hours) gives a clearer picture of your true cholesterol levels. * Results are more accurate and comparable to standard ranges.

So yes, in many cases, a fasting blood test is medically necessary for accurate results.


### Why It Matters at Age 80:

* At your age, over-treatment or unnecessary treatment of mild cholesterol issues is often avoided unless you have other risk factors (like heart disease, diabetes, or stroke). * However, if your doctor is trying to monitor a known condition or make treatment decisions, this test might still be important. * If your cholesterol has never been tested, this might be a baseline check.


### Your Concern: “It’s not possible for me”

That’s totally fair. If you’re used to eating at 7:30 a.m., fasting until a later morning appointment may feel uncomfortable or risky.

Here’s what you can do:

1. Ask for an early appointment (e.g., 7:00–8:00 a.m.) — so you can eat right after the test. 2. Discuss with your doctor:

* Can a non-fasting test be acceptable in your case? For some older adults, recent guidelines do allow non-fasting cholesterol tests, especially if:

 * You're not on medications like statins.
 * You don’t have diabetes or high triglycerides.

3. Ask what decisions they’re planning to make based on the results — if the test isn’t likely to change your treatment, it may not be urgent.


### Summary

* Yes, fasting is often necessary for an accurate cholesterol test. * But at age 80, if the results won’t change anything important, or if it’s too burdensome, you can discuss alternatives. * Always balance medical recommendations with your comfort and quality of life — and your doctor should support that discussion.

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