vialroom

#bloodwork 2024-07-29

Monday28 messages8 participantstimes are UTC
Highlights from this day
  • a1c_lag — the FLOW result is why my nephrologist changed her position on this entirely 16:12
  • surpass_two — tsh moved slightly, is that a known thing i pay privately for fasting insulin because nobody will order it for me otherwise 18:10
  • surpass_two — update from 9 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 18:44
  • lean_mass_lex — anyone had a result that turned out to be a lab error 19:17

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

RR

sorry to jump in crp is worth adding if you can, it moves in a useful direction on this, thats one data point

A1

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

[edited]
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
RR

coming back to this what should i get at baseline before i start

coa-f-1330.pdf
1 page · 753 KB · not retained in the public archive
RT

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

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

⚠️1🔥5

what does homa-ir actually tell you that fasting insulin does not

ST

if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

ST

update from 9 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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.

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

ST

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

ST

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

LM

anyone had a result that turned out to be a lab error

baseline  58
wk 2      61
wk 4      64
wk 6      67
wk 8      66
wk 10     65   (held dose from wk 7)
⚠️11🔥15🎉3
BB

slightly off topic but ferritin and b12 fall quietly when you are barely eating. check them twice a year
i pay privately for fasting insulin because nobody will order it for me otherwise