vialroom

#bloodwork 2026-06-26

Friday30 messages8 participantstimes are UTC
Highlights from this day
  • taipei_tare — egfr dropped a few points, dehydration or something real 15:01
  • septum_sal — apob or ldl, which one are you all actually tracking 15:06
  • septum_sal — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 15:20
  • tyne_tracks — update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 16:34
  • taipei_tare — thyroid moving slightly is common enough that i would repeat it before doing anything 18:15
RL

the FLOW result is why my nephrologist changed her position on this entirely, thats just me

RL

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

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TT

egfr dropped a few points, dehydration or something real

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SS

apob or ldl, which one are you all actually tracking

17⚠️2
SS

if you only get one thing, get a fasting insulin. it is the one that becomes impossible later

[edited]
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.

thats the 90 day thing

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

GG

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

GG

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

NN

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

NN

is there any point getting a1c if i am not diabetic

lot-log.csv
152 rows · not retained in the public archive
GG

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

baseline, three months, then twice a year is what i settled on

TT

update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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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

MU

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

TT

probably dehydration

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

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

TT

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

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

TT

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

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fasting insulin

retest it

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