vialroom

#bloodwork 2025-11-16

Sunday47 messages9 participantstimes are UTC
Highlights from this day
  • mid_week_mo — i pay privately for fasting insulin because nobody will order it for me otherwise 12:33
  • mid_week_mo — crp is worth adding if you can, it moves in a useful direction on this 13:20
  • mid_week_mo — a1c is a ninety day average. retesting at week six tells you almost nothing 13:58
  • seven_five_sweet — alt and ast coming down as you lose liver fat is common and is a good sign 14:43
  • apnoea_down_two — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 17:23
12:31tenpence pinned a message
WV

most of the lipid improvement in my panel tracked the weight, not the drug, ask me again in a month

MW

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

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

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

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

VI

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

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MW

thats a big move

lot-log.csv
476 rows · not retained in the public archive

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

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

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

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MW

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

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SS

anyone have before and after numbers they are willing to post

SS

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

A1

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

A1

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

SF

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

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.
SF

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

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900 × 1200 · 209 KB · not retained in the public archive

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

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

*that should say weekly

my b12 is borderline, supplementing or eating differently

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

15:46tenpence pinned a message

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

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

right so update from 3 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, for what its worth

see somebody, we shall see

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

do you get bloods every 2 months or only when something changes

AD

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

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WV

a small egfr dip is often dehydration. rehydrate and retest before you panic, still working it out

slightly off topic but too early for a1c, i could be wrong

anyone had a result that turned out to be a lab error

is it too early to retest a1c at week 20