vialroom

#bloodwork 2026-05-12

Tuesday56 messages12 participantstimes are UTC
Highlights from this day
  • reta_resting_hr — unrelated but my b12 is borderline, supplementing or eating differently 22:01
  • VialBot — Verification log updated: CPC — evidence added, status unchanged. 22:05
  • triple_ag_tom — my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all 22:24

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

unrelated but my b12 is borderline, supplementing or eating differently

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tsh moved slightly, is that a known thing

DE

apob is the better marker and it is harder to get. i track both because i can only get one reliably, ill dig out the number

VB

Verification log updated: CPC — evidence added, status unchanged.

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RR

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

anyone have before and after numbers they are willing to post

apob if you can

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apob or ldl, which one are you all actually tracking

SS

crp is worth adding if you can, it moves in a useful direction on this, not advice obviously

TA

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

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TA

baseline, three months, then twice a year is what i settled on
alt and ast coming down as you lose liver fat is common and is a good sign

            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
OW

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

triglycerides halved. is that the weight or the compound

egfr dropped a few points, dehydration or something real

OW

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

what should i get at baseline before i start

AO

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

AA

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

the FLOW result is why my nephrologist changed her position on this entirely, i have it written down somewhere

not a chat question

VB

Digest for the week of 2025-11-02 has been published.

NP

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

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

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MM

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

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

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

VB

Verification log updated: FGP — evidence added, status unchanged.

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an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, take that with a pinch of salt

too early for a1c

BS

ok so i pay privately for fasting insulin because nobody will order it for me otherwise, ymmv

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

is it too early to retest a1c at week 22

MM

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

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

thats normal

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

[edited]
AA

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

is crp worth adding to the panel

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SS

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