i pay privately for fasting insulin because nobody will order it for me otherwise
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#bloodwork 2026-06-28
Sunday69 messages14 participantstimes are UTC
Highlights from this day
a1c is a ninety day average. retesting at week six tells you almost nothing
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my alt has come down a lot since i started losing, is that expected
follow up egfr dropped a few points, dehydration or something real
apob if you can
while im here update from 13 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
triglycerides halved. is that the weight or the compound
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probably dehydration
apob is the better marker and it is harder to get. i track both because i can only get one reliably, happy to be corrected
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thyroid moving slightly is common enough that i would repeat it before doing anything
*that should say weekly
my b12 is borderline, supplementing or eating differently
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is it too early to retest a1c at week 4
anyone had a result that turned out to be a lab error
follow up most of the lipid improvement in my panel tracked the weight, not the drug
get fasting insulin at baseline. you cannot go back and get it once you have started
a single weird electrolyte is very often a handling artefact. retest before you worry
ferritin and b12 fall quietly when you are barely eating. check them twice a year
what would make you stop and go and see somebody rather than post here
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coming back to this my potassium came back weird and the retest was normal, whats that about
update on the earlier thing the most useful thing i did was get a full panel before i started. everything since has been comparable
is crp worth adding to the panel
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
quick one tsh moved slightly, is that a known thing
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anyone have before and after numbers they are willing to post
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
Reminder for dark_for_ten_days: dose day is today. Set 8 days ago.
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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
fasting insulin
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how much does the lipid panel move just from losing weight
not a chat question
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
see somebody
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do you get bloods every 2 months or only when something changes
a small egfr dip is often dehydration. rehydrate and retest before you panic
the FLOW result is why my nephrologist changed her position on this entirely
update on the earlier thing is a fasting insulin worth paying for privately if my gp will not do it
retest it
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fasting insulin came back higher than i expected, what does that actually mean
ferritin is low, is that the drug or the not eating
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
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alt and ast coming down as you lose liver fat is common and is a good sign
crp is worth adding if you can, it moves in a useful direction on this
apob or ldl, which one are you all actually tracking
[edited]baseline, three months, then twice a year is what i settled on
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
thats the 90 day thing
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
lipase slightly over range with no symptoms, how worried should i be
[edited]update on the earlier thing if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
crp is worth adding if you can, it moves in a useful direction on this
good numbers
post the numbers
lab error maybe
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
do you fast for the full 12 hours or is 8 enough
get a baseline, i think
follow up lab error maybe
too early for a1c
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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Inter-lab diff for lot A-2601: 96.8% vs 98.1%. Within expected range.
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thats normal
what should i get at baseline before i start
[edited]nice a1c
update on the earlier thing what does homa-ir actually tell you that fasting insulin does not
quick one nice a1c
most of the lipid improvement in my panel tracked the weight, not the drug
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
coming back after 15 months, what changed in your numbers
the most useful thing i did was get a full panel before i started. everything since has been comparable
retest it
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