vialroom

#bloodwork 2025-10-01

Wednesday45 messages11 participantstimes are UTC
Highlights from this day
  • secretagogue_sy — my potassium came back weird and the retest was normal, whats that about 11:17
  • VialBot — Digest for the week of 2025-02-25 has been published. 13:00
  • meniscus_mel — is it too early to retest a1c at week 30 13:40
  • oasis_ola — i pay privately for fasting insulin because nobody will order it for me otherwise, someone check my working alt and ast coming down as you lose liver fat is common… 15:51
SS

my potassium came back weird and the retest was normal, whats that about

❤️12🔥4

follow up if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5

too early for a1c

ES

if you only get one thing, get a fasting insulin. it is the one that becomes impossible later

SS

most of the lipid improvement in my panel tracked the weight, not the drug, still working it out

ES

apob is the better marker and it is harder to get. i track both because i can only get one reliably

SS

a single weird electrolyte is very often a handling artefact. retest before you worry

baseline, three months, then twice a year is what i settled on

SS

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

🤝4
MM

alt and ast coming down as you lose liver fat is common and is a good sign

the most useful thing i did was get a full panel before i started. everything since has been comparable

AH

ferritin and b12 fall quietly when you are barely eating. check them twice a year

EE

a small egfr dip is often dehydration. rehydrate and retest before you panic

VB

Digest for the week of 2025-02-25 has been published.

🤝12🧪8
MM

thyroid moving slightly is common enough that i would repeat it before doing anything

my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all

my alt has come down a lot since i started losing, is that expected

good numbers

the FLOW result is why my nephrologist changed her position on this entirely

update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, still working it out

crp is worth adding if you can, it moves in a useful direction on this

lab error maybe

[edited]

ok so fasting insulin came back higher than i expected, what does that actually mean

probably dehydration

i had a potassium that came back high and the repeat was normal. the tube had been knocked about

homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system

get fasting insulin at baseline. you cannot go back and get it once you have started

not a chat question

[edited]

i pay privately for fasting insulin because nobody will order it for me otherwise, someone check my working
alt and ast coming down as you lose liver fat is common and is a good sign

👀2⚠️16

i pay privately for fasting insulin because nobody will order it for me otherwise