lipase slightly over range with no symptoms, how worried should i be
#bloodwork 2026-06-29
Monday28 messages5 participantstimes are UTC
Highlights from this day
- willow_waits — what should i get at baseline before i start 14:49
- protein_floor — 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, ask me again in a month 15:25
- protein_floor — sorry to jump in is a fasting insulin worth paying for privately if my gp will not do it 15:26
- stack_sceptic — fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests 15:31
- protein_floor — thyroid moving slightly is common enough that i would repeat it before doing anything 16:59
retest it
egfr dropped a few points, dehydration or something real
⚠️5
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
is crp worth adding to the panel
the most useful thing i did was get a full panel before i started. everything since has been comparable
what should i get at baseline before i start
⚠️3🎉1🧪6
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
a single weird electrolyte is very often a handling artefact. retest before you worry
do you fast for the full 12 hours or is 8 enough
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
tsh moved slightly, is that a known thing
get a baseline
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, ask me again in a month
❤️6📉4✅13
sorry to jump in is a fasting insulin worth paying for privately if my gp will not do it
| 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 |
💀11🧪1
quick one most of the lipid improvement in my panel tracked the weight, not the drug, anyway
crp is worth adding if you can, it moves in a useful direction on this
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
🧪13🎉18
i pay privately for fasting insulin because nobody will order it for me otherwise
for the archive fasting insulin came back higher than i expected, what does that actually mean
update from 10 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system, from memory
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
apob or ldl, which one are you all actually tracking
😂5
thyroid moving slightly is common enough that i would repeat it before doing anything
💀6📈8
see somebody
follow up a small egfr dip is often dehydration. rehydrate and retest before you panic
update on the earlier thing get fasting insulin at baseline. you cannot go back and get it once you have started, not advice obviously