vialroom

#bloodwork 2025-04-11

Friday37 messages9 participantstimes are UTC
Highlights from this day
  • thursday_thea — coming back to this update from 9 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 18:11
  • fasting_insulin — get fasting insulin at baseline. you cannot go back and get it once you have started 18:27
  • fasting_insulin — apob is the better marker and it is harder to get. i track both because i can only get one reliably 19:40
  • VialBot — Reminder set. I will post here in 4 days. 21:16
  • glow_no — what would make you stop and go and see somebody rather than post here 21:27
TT

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

Cited study
Tirzepatide for Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA)
New England Journal of Medicine · 2024
AHI as the primary endpoint, with and without PAP therapy.

my alt has come down a lot since i started losing, is that expected

anyone have before and after numbers they are willing to post

a small egfr dip is often dehydration. rehydrate and retest before you panic, ill dig out the number

FI

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

TestWhy now
Fasting insulinimpossible to get a true baseline afterwards
Full lipid panel with apoBthe comparison is the whole point
HbA1c90-day average, so it lags your start
CMP + CBCcheap, and the reference for everything after
Ferritin, B12, TSHthese fall quietly on a low intake
FI

unrelated but what does homa-ir actually tell you that fasting insulin does not

EE

how much does the lipid panel move just from losing weight

[edited]
📈3👀6
FI

sorry to jump in baseline, three months, then twice a year is what i settled on

FI

most of the lipid improvement in my panel tracked the weight, not the drug, your mileage will differ

*PeptideMeter not the other one

alt and ast coming down as you lose liver fat is common and is a good sign

🤝6

my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all, thats one data point

FI

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

😂12🔥9📉3

while im here is it too early to retest a1c at week 32

🧊8

thats normal

fasting insulin came back higher than i expected, what does that actually mean

update on the earlier thing a single weird electrolyte is very often a handling artefact. retest before you worry, i think

AO

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

SS

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

chromatogram-overlay.png
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AO

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

VB

Reminder set. I will post here in 4 days.

📈8🧊8
GN

is a fasting insulin worth paying for privately if my gp will not do it

GN

what would make you stop and go and see somebody rather than post here

❤️12📉4

lipase slightly over range with no symptoms, how worried should i be