vialroom

#bloodwork 2024-09-08

Sunday32 messages7 participantstimes are UTC
Highlights from this day
  • belfast_bac — if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 16:15
  • lean_mass_lex — ferritin and b12 fall quietly when you are barely eating. check them twice a year 17:15
  • bac_water_bill — follow up my potassium came back weird and the retest was normal, whats that about 18:11
  • madrid_mg — i pay privately for fasting insulin because nobody will order it for me otherwise 18:41
TA

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

BB

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

Cited study
Effects of Semaglutide on Chronic Kidney Disease in Type 2 Diabetes (FLOW)
New England Journal of Medicine · 2024
Renal outcomes. The one that changed a lot of nephrologists’ minds.

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

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apob if you can

tsh moved slightly, is that a known thing

[edited]
PN

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

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

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

TA

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

LM

ferritin and b12 fall quietly when you are barely eating. check them twice a year

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do you get bloods every 4 months or only when something changes

BW

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

BW

follow up my potassium came back weird and the retest was normal, whats that about

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MM

what would make you stop and go and see somebody rather than post here
a single weird electrolyte is very often a handling artefact. retest before you worry

MM

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

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
BW

ok so 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

thats the 90 day thing

ok so an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

TS

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

baseline, three months, then twice a year is what i settled on, your mileage will differ

triglycerides halved. is that the weight or the compound

unrelated but a1c is a ninety day average. retesting at week six tells you almost nothing, your mileage will differ