vialroom

#bloodwork 2026-05-05

Tuesday54 messages13 participantstimes are UTC
Highlights from this day
  • panel_before_after — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests 21:39
  • panel_before_after — get fasting insulin at baseline. you cannot go back and get it once you have started nobody here is reading your bloods as a clinician. we are reading them as people… 21:43
  • ring_size_down — right so a1c is a ninety day average. retesting at week six tells you almost nothing 22:26
  • ring_size_down — is a fasting insulin worth paying for privately if my gp will not do it 22:28
  • ferritin_fay — ferritin is low, is that the drug or the not eating 23:12
PB

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

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PB

get fasting insulin at baseline. you cannot go back and get it once you have started
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods

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AA

if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
update from 1 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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

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

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an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

thats a big move

do you fast for the full 12 hours or is 8 enough

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

is there any point getting a1c if i am not diabetic

TE

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

TE

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

RS

my alt has come down a lot since i started losing, is that expected
i pay privately for fasting insulin because nobody will order it for me otherwise

GC

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

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

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too early for a1c

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RS

i pay privately for fasting insulin because nobody will order it for me otherwise

lot-log.csv
760 rows · not retained in the public archive
GC

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

RS

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

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

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

triglycerides halved. is that the weight or the compound

*VendorInvestigate not the other one

AA

genuine question my b12 is borderline, supplementing or eating differently

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

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

VB

On this day 9 years ago this channel logged 42 messages.

FF

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

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FF

ferritin is low, is that the drug or the not eating

TestWhy now
Fasting insulinimpossible to get a true baseline afterwards
Full lipid panel with apoBthe comparison is the whole point
HbA1c90-day average, so it lags your start
CMP + CBCcheap, and the reference for everything after
Ferritin, B12, TSHthese fall quietly on a low intake

coming back to this baseline, three months, then twice a year is what i settled on

MO

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

FF

thats the 90 day thing

janoshik-a-2418.pdf
2 pages · 85 KB · not retained in the public archive

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

PM

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