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#bloodwork 2025-03-03

Monday39 messages8 participantstimes are UTC
Highlights from this day
  • LC_MS_Lena — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests 10:49
  • LC_MS_Lena — is a fasting insulin worth paying for privately if my gp will not do it update from 24 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 11:11
  • oasis_ola — if a result frightens you, that is a conversation with a clinician. we will help you read it, we will not tell you it is fine 13:23
  • VialBot — Verification log updated: BCH — evidence added, status unchanged. 14:07
LM

most of the lipid improvement in my panel tracked the weight, not the drug

LM

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

👍12🎉2

get fasting insulin at baseline. you cannot go back and get it once you have started, ymmv

LM

is a fasting insulin worth paying for privately if my gp will not do it
update from 24 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

🧪12🙏22
LM

for the archive a single weird electrolyte is very often a handling artefact. retest before you worry

thyroid moving slightly is common enough that i would repeat it before doing anything

if you only get one thing, get a fasting insulin. it is the one that becomes impossible later

VI

my potassium came back weird and the retest was normal, whats that about

😂1
VI

i had a potassium that came back high and the repeat was normal. the tube had been knocked about

LM

the most useful thing i did was get a full panel before i started. everything since has been comparable

baseline, three months, then twice a year is what i settled on

TW

my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all, i think

OO

the FLOW result is why my nephrologist changed her position on this entirely

LL

if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5

VI

homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system, not advice obviously

🤝1

triglycerides halved. is that the weight or the compound

VI

alt and ast coming down as you lose liver fat is common and is a good sign, ask me again in a month

see somebody

SS

ferritin and b12 fall quietly when you are barely eating. check them twice a year

LL

nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods

VI

i pay privately for fasting insulin because nobody will order it for me otherwise

VB

Verification log updated: BCH — evidence added, status unchanged.

get a baseline

😂14📈4
VI

crp is worth adding if you can, it moves in a useful direction on this, take that with a pinch of salt

😂4🎉4
LL

thats the 90 day thing

Cited study
Effects of Semaglutide on Chronic Kidney Disease in Type 2 Diabetes (FLOW)
New England Journal of Medicine · 2024
Renal outcomes. The one that changed a lot of nephrologists’ minds.

mine did the same

LM

ok so apob is the better marker and it is harder to get. i track both because i can only get one reliably

LM

a small egfr dip is often dehydration. rehydrate and retest before you panic

update from 9 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob