my b12 is borderline, supplementing or eating differently
#bloodwork 2026-05-08
Friday43 messages9 participantstimes are UTC
Highlights from this day
- month_six_me — egfr dropped a few points, dehydration or something real 22:08
- apob_over_ldl — fasting insulin came back higher than i expected, what does that actually mean 22:37
- reta_resting_hr — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods 23:04
update from 17 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
lab error maybe
👍13
apob if you can
is crp worth adding to the panel
right so if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
👀2
the FLOW result is why my nephrologist changed her position on this entirely
sorry to jump in apob is the better marker and it is harder to get. i track both because i can only get one reliably
a single weird electrolyte is very often a handling artefact. retest before you worry
alt and ast coming down as you lose liver fat is common and is a good sign
egfr dropped a few points, dehydration or something real
🔥16
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
a single weird electrolyte is very often a handling artefact. retest before you worry
not a chat question
the most useful thing i did was get a full panel before i started. everything since has been comparable
👀1
get a baseline
😂8✅3❤️1
get fasting insulin at baseline. you cannot go back and get it once you have started
how much does the lipid panel move just from losing weight
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
i pay privately for fasting insulin because nobody will order it for me otherwise
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
thyroid moving slightly is common enough that i would repeat it before doing anything
😂1🧪1
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
fasting insulin came back higher than i expected, what does that actually mean
[edited]🙏16🧪14
update on the earlier thing tsh moved slightly, is that a known thing
see somebody
📉7
do you get bloods every 8 months or only when something changes
ferritin and b12 fall quietly when you are barely eating. check them twice a year, we shall see
[edited]probably dehydration
do you fast for the full 12 hours or is 8 enough
📈2
post the numbers
right so i pay privately for fasting insulin because nobody will order it for me otherwise
👍2💀4
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
❤️16🙏2💀3
a small egfr dip is often dehydration. rehydrate and retest before you panic
genuine question is there any point getting a1c if i am not diabetic
thats normal
📉10🔥12
baseline, three months, then twice a year is what i settled on
a1c is a ninety day average. retesting at week six tells you almost nothing
thats the 90 day thing
crp is worth adding if you can, it moves in a useful direction on this
thats a big move
*that should say weekly
for the archive apob if you can
triglycerides halved. is that the weight or the compound