vialroom

#bloodwork 2026-04-24

Friday28 messages5 participantstimes are UTC
Highlights from this day
  • glasgow_vial — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods 16:16
  • a1c_lag — a small egfr dip is often dehydration. rehydrate and retest before you panic 16:48
  • glasgow_vial — i had a potassium that came back high and the repeat was normal. the tube had been knocked about 17:48
II

crp is worth adding if you can, it moves in a useful direction on this

II

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

II

homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system, n of 1 obviously

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
II

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

👀14🎉1

how much does the lipid panel move just from losing weight

⚠️2💀1

see somebody

GV

genuine question update from 6 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

apob or ldl, which one are you all actually tracking

nice a1c

[edited]
GV

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

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

👍8🔥14📉4

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

A1

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

            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
GV

what would make you stop and go and see somebody rather than post here

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

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

thats normal

🧪7

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

            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
🧊2👀3

lipase slightly over range with no symptoms, how worried should i be