vialroom

#bloodwork 2026-06-08

Monday35 messages7 participantstimes are UTC
Highlights from this day
  • split_the_cost — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods 20:30
  • split_the_cost — do you fast for the full 12 hours or is 8 enough 20:51
  • iris_imports — apob is the better marker and it is harder to get. i track both because i can only get one reliably 22:31
  • split_the_cost — update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 22:32
ST

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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ST

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

BB

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

lab error maybe

👍4🙏2

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

ST

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

VB

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VB

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AB

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

retest it

BB

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

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

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

coming back to this a single weird electrolyte is very often a handling artefact. retest before you worry, ymmv

SS

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, ymmv

II

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

II

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

👀1⚠️5📉3
ST

update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

🧊8🤝3🙏6

fasting insulin came back higher than i expected, what does that actually mean
crp is worth adding if you can, it moves in a useful direction on this