apob if you can
#bloodwork 2025-07-06
Sunday37 messages9 participantstimes are UTC
Highlights from this day
- dexa_or_bia — thyroid moving slightly is common enough that i would repeat it before doing anything 17:38
- dexa_or_bia — apob is the better marker and it is harder to get. i track both because i can only get one reliably 17:50
- alcohol_hits — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system an isolated lipase a bit over range with no symptoms is usually… 19:31
- month_six_me — triglycerides halved. is that the weight or the compound 19:33
probably dehydration
ferritin and b12 fall quietly when you are barely eating. check them twice a year
is crp worth adding to the panel
is it too early to retest a1c at week 17
do you fast for the full 12 hours or is 8 enough
thyroid moving slightly is common enough that i would repeat it before doing anything
📈1⚠️7
apob is the better marker and it is harder to get. i track both because i can only get one reliably
[edited]fasting insulin
lab error maybe
most of the lipid improvement in my panel tracked the weight, not the drug
the FLOW result is why my nephrologist changed her position on this entirely
my potassium came back weird and the retest was normal, whats that about
i had a potassium that came back high and the repeat was normal. the tube had been knocked about, from memory
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
the most useful thing i did was get a full panel before i started. everything since has been comparable
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, i think
get a baseline
see somebody
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
coming back after 9 months, what changed in your numbers
a1c is a ninety day average. retesting at week six tells you almost nothing
get fasting insulin at baseline. you cannot go back and get it once you have started
thats normal
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
triglycerides halved. is that the weight or the compound
| 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 |
anyone have before and after numbers they are willing to post
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
update on the earlier thing crp is worth adding if you can, it moves in a useful direction on this, for what its worth
update from 20 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
the FLOW result is why my nephrologist changed her position on this entirely
for the archive apob or ldl, which one are you all actually tracking
how much does the lipid panel move just from losing weight
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all, anyway
not a chat question
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5