vialroom

#bloodwork 2025-10-12

Sunday52 messages11 participantstimes are UTC
Highlights from this day
  • see_a_clinician — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, your mileage will differ 19:04
  • VialBot — Recon calculator: 30mg in 3ml = 4mg/ml. 19:19
  • pia_plateaus — a small egfr dip is often dehydration. rehydrate and retest before you panic an isolated lipase a bit over range with no symptoms is usually nothing. lipase with… 19:26
  • apnoea_down_two — update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 20:03
  • pia_plateaus — what should i get at baseline before i start 22:27

thyroid moving slightly is common enough that i would repeat it before doing anything, thats one data point

VI

baseline, three months, then twice a year is what i settled on, ask me again in a month

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

VI

most of the lipid improvement in my panel tracked the weight, not the drug

SA

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

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nice a1c

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SA

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, your mileage will differ

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

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

PP

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

VB

Recon calculator: 30mg in 3ml = 4mg/ml.

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PP

a small egfr dip is often dehydration. rehydrate and retest before you panic
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

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.
PP

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

VB

Batch lookup B-0329: 3 independent reports on file, earliest 2024-12-26.

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if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, thats just me

[edited]

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

AD

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

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AA

a1c is a ninety day average. retesting at week six tells you almost nothing

VB

Reminder set. I will post here in 5 days.

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PB

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

AA

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

AA

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

DT

ok so nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods

egfr dropped a few points, dehydration or something real

not a chat question

DT

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

DT

what would make you stop and go and see somebody rather than post here

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

SA

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

VB

Channel stats, last 30 days: 83 messages from 19 members.

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

SA

good numbers, ask me again in a month

transit-times.csv
755 rows · not retained in the public archive
VI

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

retest it

baseline  58
wk 2      61
wk 4      64
wk 6      67
wk 8      66
wk 10     65   (held dose from wk 7)
VB

On this day 2 years ago this channel logged 52 messages.