vialroom

#bloodwork 2025-10-03

Friday25 messages5 participantstimes are UTC
Highlights from this day
  • truncation_tru — a small egfr dip is often dehydration. rehydrate and retest before you panic 20:20
  • bpc_sceptic — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 20:51
  • protein_floor — update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 21:16
  • meniscus_mel — my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all 22:37
TT

an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

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

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egfr dropped a few points, dehydration or something real

retest it

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TT

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

TT

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

BS

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

BS

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

TestWhy now
Fasting insulinimpossible to get a true baseline afterwards
Full lipid panel with apoBthe comparison is the whole point
HbA1c90-day average, so it lags your start
CMP + CBCcheap, and the reference for everything after
Ferritin, B12, TSHthese fall quietly on a low intake
TT

genuine question is a fasting insulin worth paying for privately if my gp will not do it

TT

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

PF

update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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SN

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

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

lab error maybe

MM

good numbers

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
MM

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

not a chat question

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what does homa-ir actually tell you that fasting insulin does not

*that should say weekly

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

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