if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
#bloodwork 2025-07-12
Saturday46 messages12 participantstimes are UTC
Highlights from this day
- wrong_network — the most useful thing i did was get a full panel before i started. everything since has been comparable 22:48
- tallinn_taper — 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 23:03
- panel_before_after — what does homa-ir actually tell you that fasting insulin does not alt and ast coming down as you lose liver fat is common and is a good sign 23:12
- surpass_two — a1c is a ninety day average. retesting at week six tells you almost nothing 23:18
most of the lipid improvement in my panel tracked the weight, not the drug
[edited]baseline, three months, then twice a year is what i settled on
while im here the FLOW result is why my nephrologist changed her position on this entirely
thyroid moving slightly is common enough that i would repeat it before doing anything
Verification log updated: HJ — evidence added, status unchanged.
quick one triglycerides halved. is that the weight or the compound
get fasting insulin at baseline. you cannot go back and get it once you have started
thats a big move
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fasting insulin
coming back after 18 months, what changed in your numbers
lipase slightly over range with no symptoms, how worried should i be
alt and ast coming down as you lose liver fat is common and is a good sign
tsh moved slightly, is that a known thing
is it too early to retest a1c at week 29
crp is worth adding if you can, it moves in a useful direction on this
the most useful thing i did was get a full panel before i started. everything since has been comparable
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sorry to jump in fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
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apob is the better marker and it is harder to get. i track both because i can only get one reliably
alt and ast coming down as you lose liver fat is common and is a good sign, not advice obviously
a small egfr dip is often dehydration. rehydrate and retest before you panic
what should i get at baseline before i start
thats the 90 day thing
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
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
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retest it
On this day 6 years ago this channel logged 104 messages.
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
what does homa-ir actually tell you that fasting insulin does not
alt and ast coming down as you lose liver fat is common and is a good sign
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update from 7 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
is crp worth adding to the panel
a1c is a ninety day average. retesting at week six tells you almost nothing
before after
A1c 6.4% 5.3%
trigs 2.9 1.1
HDL 0.9 1.3
LDL-C 3.4 3.2
apoB 1.09 1.02
ALT 58 24my potassium came back weird and the retest was normal, whats that about
apob if you can
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
slightly off topic but a single weird electrolyte is very often a handling artefact. retest before you worry
mine did the same
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
i pay privately for fasting insulin because nobody will order it for me otherwise, still working it out
i pay privately for fasting insulin because nobody will order it for me otherwise
post the numbers
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
my alt has come down a lot since i started losing, is that expected
probably dehydration
for the archive see somebody
apob is the better marker and it is harder to get. i track both because i can only get one reliably
get a baseline
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good numbers