i pay privately for fasting insulin because nobody will order it for me otherwise
#bloodwork 2025-06-10
Tuesday36 messages10 participantstimes are UTC
Highlights from this day
- salt_bridge — on its own, no. with no pain, an isolated mildly raised lipase is a very common finding on these drugs 22:53
- salt_bridge — there is a reason routine lipase monitoring in an asymptomatic person is not standard practice 23:03
- salt_bridge — when there is pain that fits. severe, steady, upper abdomen, often boring into the back, with vomiting 23:07
- salt_bridge — for the base rate question — in the head to head trial, adjudicated pancreatitis was rare on both drugs 23:12
- karl_fischer — that is the correct amount of caution 23:18
fasting insulin
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most of the lipid improvement in my panel tracked the weight, not the drug
baseline, three months, then twice a year is what i settled on, thats just me
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mine did the same
do you fast for the full 12 hours or is 8 enough
[edited]right so what would make you stop and go and see somebody rather than post here
ferritin and b12 fall quietly when you are barely eating. check them twice a year
lipase came back just over the top of the reference range. am i about to get pancreatitis
on its own, no. with no pain, an isolated mildly raised lipase is a very common finding on these drugs
asymptomatic enzyme elevations show up in the trial data and mostly go nowhere
symptoms first, enzyme second. never the other way round
no pain at all. i only tested because somebody told me to
who told you to
a random person on the internet
there is a reason routine lipase monitoring in an asymptomatic person is not standard practice
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so when does it matter
when there is pain that fits. severe, steady, upper abdomen, often boring into the back, with vomiting
in that setting the number is genuinely useful, and you are not the person interpreting it
by then you are in a department, not in a chat window
which is the correct end state for that scenario
for the base rate question — in the head to head trial, adjudicated pancreatitis was rare on both drugs
rare meaning
a handful of events across thousands of participants. i am not going to quote a rate from memory
that is the correct amount of caution
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so i ignore it
you do not ignore it. you tell whoever ordered it, and you stop ordering it for fun
fair hit
what about amylase
same story, less specific. amylase moves for salivary reasons too
if you only get one, lipase. if you get neither and you have no symptoms, also fine
retested at eight weeks. back in range, nothing changed in between
which is what an asymptomatic drift usually does
noted, taking it off my panel
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too early for a1c
apob is the better marker and it is harder to get. i track both because i can only get one reliably
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