while im here update from 20 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
#bloodwork 2024-11-11
Monday37 messages8 participantstimes are UTC
Highlights from this day
- cold_chain_cmdr — alt and ast coming down as you lose liver fat is common and is a good sign 22:51
- cold_chain_cmdr — follow up what does homa-ir actually tell you that fasting insulin does not 23:11
- cold_chain_cmdr — a single weird electrolyte is very often a handling artefact. retest before you worry 23:14
22:29secretagogue_sy joined
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, happy to be corrected
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
i had a potassium that came back high and the repeat was normal. the tube had been knocked about, ask me again in a month
fasting insulin
ferritin and b12 fall quietly when you are barely eating. check them twice a year
my potassium came back weird and the retest was normal, whats that about
coming back to this do you get bloods every 3 months or only when something changes
baseline, three months, then twice a year is what i settled on
right so crp is worth adding if you can, it moves in a useful direction on this
thats the 90 day thing
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
alt and ast coming down as you lose liver fat is common and is a good sign
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)tsh moved slightly, is that a known thing
apob or ldl, which one are you all actually tracking
most of the lipid improvement in my panel tracked the weight, not the drug
coming back after 18 months, what changed in your numbers
fasting insulin came back higher than i expected, what does that actually mean
the FLOW result is why my nephrologist changed her position on this entirely
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
*VendorInvestigate not the other one
follow up what does homa-ir actually tell you that fasting insulin does not
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a single weird electrolyte is very often a handling artefact. retest before you worry
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if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
i pay privately for fasting insulin because nobody will order it for me otherwise
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
mine did the same
nice a1c
not a chat question
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
while im here the most useful thing i did was get a full panel before i started. everything since has been comparable
a1c is a ninety day average. retesting at week six tells you almost nothing
genuine question egfr dropped a few points, dehydration or something real
ok so get fasting insulin at baseline. you cannot go back and get it once you have started, thats just me
thyroid moving slightly is common enough that i would repeat it before doing anything