get a baseline
#bloodwork 2025-05-10
Saturday35 messages10 participantstimes are UTC
Highlights from this day
- abdo_two_inch — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, still working it out 11:22
- egfr_ed — get fasting insulin at baseline. you cannot go back and get it once you have started 14:16
- VialBot — New independent result logged — TFC, lot D-0718, purity 96.8% (Medutest). 15:51
- mg_per_ml — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 16:21
apob is the better marker and it is harder to get. i track both because i can only get one reliably, from memory
the FLOW result is why my nephrologist changed her position on this entirely
alt and ast coming down as you lose liver fat is common and is a good sign
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, still working it out
fridge-temps.csv
807 rows · not retained in the public archive
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follow up fasting insulin came back higher than i expected, what does that actually mean
ferritin is low, is that the drug or the not eating
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slightly off topic but a small egfr dip is often dehydration. rehydrate and retest before you panic
thats normal
what should i get at baseline before i start
retest it
post the numbers
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if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
slightly off topic but a single weird electrolyte is very often a handling artefact. retest before you worry, take that with a pinch of salt
[edited]probably dehydration
the most useful thing i did was get a full panel before i started. everything since has been comparable, i have it written down somewhere
lab error maybe
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apob if you can
get fasting insulin at baseline. you cannot go back and get it once you have started
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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, ymmv
alt and ast coming down as you lose liver fat is common and is a good sign
while im here a1c is a ninety day average. retesting at week six tells you almost nothing
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
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crp is worth adding if you can, it moves in a useful direction on this
update from 1 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
most of the lipid improvement in my panel tracked the weight, not the drug
while im here thyroid moving slightly is common enough that i would repeat it before doing anything
see somebody
i pay privately for fasting insulin because nobody will order it for me otherwise
ferritin and b12 fall quietly when you are barely eating. check them twice a year
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New independent result logged — TFC, lot D-0718, purity 96.8% (Medutest).
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baseline, three months, then twice a year is what i settled on
too early for a1c
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
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