fasting insulin
#bloodwork 2025-07-23
Wednesday43 messages10 participantstimes are UTC
Highlights from this day
- blind_submit — what should i get at baseline before i start 22:27
- reta_resting_hr — an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not 22:49
- reta_resting_hr — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests 23:13
- alt_ast_ali — genuine question crp is worth adding if you can, it moves in a useful direction on this 23:25
get fasting insulin at baseline. you cannot go back and get it once you have started
my potassium came back weird and the retest was normal, whats that about
get a baseline
i pay privately for fasting insulin because nobody will order it for me otherwise
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most of the lipid improvement in my panel tracked the weight, not the drug
see somebody
baseline, three months, then twice a year is what i settled on
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, your mileage will differ
apob is the better marker and it is harder to get. i track both because i can only get one reliably
do you fast for the full 12 hours or is 8 enough
lab error maybe
[edited]ferritin is low, is that the drug or the not eating
my alt has come down a lot since i started losing, is that expected
a small egfr dip is often dehydration. rehydrate and retest before you panic
what should i get at baseline before i start
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
ferritin and b12 fall quietly when you are barely eating. check them twice a year, i could be wrong
unrelated but the FLOW result is why my nephrologist changed her position on this entirely, anyway
the most useful thing i did was get a full panel before i started. everything since has been comparable
sorry to jump in anyone have before and after numbers they are willing to post
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
follow up do you get bloods every 8 months or only when something changes
thats the 90 day thing
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if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
apob or ldl, which one are you all actually tracking
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
*VendorInvestigate not the other one
what would make you stop and go and see somebody rather than post here
thats normal
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right so a single weird electrolyte is very often a handling artefact. retest before you worry
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while im here if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
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
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nice a1c
mine did the same
genuine question crp is worth adding if you can, it moves in a useful direction on this
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)reta_resting_hran isolated lipase a bit over range with no symptoms is usually nothing. lipase with…
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
too early for a1c
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egfr dropped a few points, dehydration or something real
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good numbers