genuine question i pay privately for fasting insulin because nobody will order it for me otherwise
#bloodwork 2026-02-13
Friday47 messages11 participantstimes are UTC
Highlights from this day
- ghk_gia — most of the lipid improvement in my panel tracked the weight, not the drug 20:46
- noct.titrate — get fasting insulin at baseline. you cannot go back and get it once you have started 21:26
- customs_owl — anyone had a result that turned out to be a lab error 21:37
- noct.titrate — the most useful thing i did was get a full panel before i started. everything since has been comparable 22:09
my b12 is borderline, supplementing or eating differently
ok so anyone have before and after numbers they are willing to post
most of the lipid improvement in my panel tracked the weight, not the drug
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❤️1⚠️18
for the archive ferritin is low, is that the drug or the not eating
is there any point getting a1c if i am not diabetic
is it too early to retest a1c at week 13
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baseline, three months, then twice a year is what i settled on
thats the 90 day thing
right so 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
lab error maybe
thyroid moving slightly is common enough that i would repeat it before doing anything
do you fast for the full 12 hours or is 8 enough
[edited]is crp worth adding to the panel
Verification log updated: SGN — evidence added, status unchanged.
apob is the better marker and it is harder to get. i track both because i can only get one reliably, i think
triglycerides halved. is that the weight or the compound
not a chat question
update from 11 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, thats one data point
get fasting insulin at baseline. you cannot go back and get it once you have started
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nice a1c
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
the FLOW result is why my nephrologist changed her position on this entirely
anyone had a result that turned out to be a lab error
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
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a1c is a ninety day average. retesting at week six tells you almost nothing
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, i think
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
get a baseline
what does homa-ir actually tell you that fasting insulin does not
while im here how much does the lipid panel move just from losing weight
the most useful thing i did was get a full panel before i started. everything since has been comparable
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do you get bloods every 5 months or only when something changes
apob if you can
probably dehydration
my alt has come down a lot since i started losing, is that expected
[edited]genuine question apob or ldl, which one are you all actually tracking
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lipase slightly over range with no symptoms, how worried should i be
sorry to jump in alt and ast coming down as you lose liver fat is common and is a good sign
post the numbers
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
ferritin and b12 fall quietly when you are barely eating. check them twice a year, thats one data point
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too early for a1c
slightly off topic but a single weird electrolyte is very often a handling artefact. retest before you worry
get fasting insulin at baseline. you cannot go back and get it once you have started
crp is worth adding if you can, it moves in a useful direction on this
i had a potassium that came back high and the repeat was normal. the tube had been knocked about