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#bloodwork 2026-02-08

Sunday37 messages8 participantstimes are UTC
Highlights from this day
  • slow.taper — is a fasting insulin worth paying for privately if my gp will not do it 01:41
  • half_life_hal — i pay privately for fasting insulin because nobody will order it for me otherwise, your mileage will differ 01:52
  • slow.taper — slightly off topic but if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 08:48
HL

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

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

ST

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

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HL

i pay privately for fasting insulin because nobody will order it for me otherwise, your mileage will differ

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ST

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

how much does the lipid panel move just from losing weight

ST

my b12 is borderline, supplementing or eating differently
ferritin and b12 fall quietly when you are barely eating. check them twice a year

thats normal

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a1c is a ninety day average. retesting at week six tells you almost nothing
crp is worth adding if you can, it moves in a useful direction on this

LL

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

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

AO

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

AO

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

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CN

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

SO

update from 24 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, i think

thats a big move

SL

is there any point getting a1c if i am not diabetic
a single weird electrolyte is very often a handling artefact. retest before you worry

LL

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

LL

do you get bloods every 3 months or only when something changes

SA

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

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

fasting insulin came back higher than i expected, what does that actually mean

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

ST

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

SA

sorry to jump in lipase slightly over range with no symptoms, how worried should i be

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

ST

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

[edited]
            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       24
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ST

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