unrelated but my alt has come down a lot since i started losing, is that expected
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#bloodwork 2025-12-06
Saturday56 messages11 participantstimes are UTC
Highlights from this day
- egfr_ed — baseline, three months, then twice a year is what i settled on 17:28
- fasting_insulin — is it too early to retest a1c at week 5 18:09
- tare_weight — is crp worth adding to the panel 21:11
- tare_weight — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 21:23
- tare_weight — the FLOW result is why my nephrologist changed her position on this entirely 21:48
alt and ast coming down as you lose liver fat is common and is a good sign
what does homa-ir actually tell you that fasting insulin does not
apob is the better marker and it is harder to get. i track both because i can only get one reliably
egfr dropped a few points, dehydration or something real
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slightly off topic but lipase slightly over range with no symptoms, how worried should i be
do you get bloods every 3 months or only when something changes
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baseline, three months, then twice a year is what i settled on
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a single weird electrolyte is very often a handling artefact. retest before you worry
what should i get at baseline before i start
underfill_umaslightly off topic but lipase slightly over range with no symptoms, how worried should…
anyone have before and after numbers they are willing to post
ferritin and b12 fall quietly when you are barely eating. check them twice a year
thats normal
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nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
slightly off topic but do you fast for the full 12 hours or is 8 enough
triglycerides halved. is that the weight or the compound
is it too early to retest a1c at week 5
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most of the lipid improvement in my panel tracked the weight, not the drug
update from 5 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
mine did the same
thats a big move
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
a small egfr dip is often dehydration. rehydrate and retest before you panic
retest it
get a baseline
not a chat question
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coming back to this a1c is a ninety day average. retesting at week six tells you almost nothing
i pay privately for fasting insulin because nobody will order it for me otherwise
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
Reminder for rezept_rolf: dose day is today. Set 9 days ago.
my potassium came back weird and the retest was normal, whats that about
thyroid moving slightly is common enough that i would repeat it before doing anything
lab error maybe
the most useful thing i did was get a full panel before i started. everything since has been comparable
Inter-lab diff for lot C-4402: 96.8% vs 99.2%. Within expected range.
crp is worth adding if you can, it moves in a useful direction on this, i have it written down somewhere
my b12 is borderline, supplementing or eating differently
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, ill dig out the number
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
tsh moved slightly, is that a known thing
get fasting insulin at baseline. you cannot go back and get it once you have started
post the numbers
probably dehydration
[edited]apob if you can
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too early for a1c
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is crp worth adding to the panel
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apob or ldl, which one are you all actually tracking
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
before after
A1c 6.4% 5.3%
trigs 2.9 1.1
HDL 0.9 1.3
LDL-C 3.4 3.2
apoB 1.09 1.02
ALT 58 24fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
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see somebody, i have it written down somewhere
the FLOW result is why my nephrologist changed her position on this entirely
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quick one anyone had a result that turned out to be a lab error
fasting insulin
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, i have it written down somewhere
fasting insulin came back higher than i expected, what does that actually mean
thats the 90 day thing, i think
the FLOW result is why my nephrologist changed her position on this entirely