so if we check a leptin level on a patient in the morning following a 12 hour fast we can assume it that's about half what they're fed let well 12 it depends on what they've been eating 12 maybe a little short in that context so to be safe I would say 24 okay but it'll start down within 12 hours so a 12 hour fast will give you a leptin level which is not what it would be if you were to draw it when the patient is