vialroom

#bloodwork 2026-01-06

Tuesday33 messages7 participantstimes are UTC
Highlights from this day
  • secretagogue_sy — follow up if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 22:06
  • secretagogue_sy — coming back to this my potassium came back weird and the retest was normal, whats that about 22:07
  • sasha_stacks — is a fasting insulin worth paying for privately if my gp will not do it 22:18
  • spreadsheet_stu — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 22:58
  • VialBot — Reminder set. I will post here in 5 days. 23:32

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

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.

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

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

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

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

lab error maybe

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

Cited study
Effects of Semaglutide on Chronic Kidney Disease in Type 2 Diabetes (FLOW)
New England Journal of Medicine · 2024
Renal outcomes. The one that changed a lot of nephrologists’ minds.

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

AO

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

how much does the lipid panel move just from losing weight

retest it

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

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

update from 7 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

what should i get at baseline before i start
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

1
CC

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

what would make you stop and go and see somebody rather than post here
the most useful thing i did was get a full panel before i started. everything since has been comparable

KF

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

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

VB

Reminder set. I will post here in 5 days.

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