vialroom

#bloodwork 2025-02-23

Sunday39 messages8 participantstimes are UTC
Highlights from this day
  • drawup_dee — a single weird electrolyte is very often a handling artefact. retest before you worry 22:37
  • igf_one_ivy — while im here what does homa-ir actually tell you that fasting insulin does not 22:53
  • hair_month_four — a small egfr dip is often dehydration. rehydrate and retest before you panic 23:03
  • igf_one_ivy — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 23:16
  • drawup_dee — anyone had a result that turned out to be a lab error 23:32
ST

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

VB

New independent result logged — KP, lot E-2205, purity 96.8% (VendorInvestigate).

ST

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

[edited]

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, take that with a pinch of salt

a single weird electrolyte is very often a handling artefact. retest before you worry

baseline  58
wk 2      61
wk 4      64
wk 6      67
wk 8      66
wk 10     65   (held dose from wk 7)
HI

get fasting insulin at baseline. you cannot go back and get it once you have started

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

for the archive my b12 is borderline, supplementing or eating differently

coming back to this anyone have before and after numbers they are willing to post

not a chat question

HI

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

IO

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

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

thyroid moving slightly is common enough that i would repeat it before doing anything

triglycerides halved. is that the weight or the compound

coming back after 14 months, what changed in your numbers

egfr dropped a few points, dehydration or something real

VB

Archive lookup: homa_ir_hugo first appears in this channel on 2024-11-20.

IO

my alt has come down a lot since i started losing, is that expected

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

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

🤝12🙏18❤️5
DD

baseline, three months, then twice a year is what i settled on

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

IO

do you fast for the full 12 hours or is 8 enough

janoshik-e-2205.pdf
2 pages · 211 KB · not retained in the public archive

fasting insulin came back higher than i expected, what does that actually mean

probably dehydration

DD

apob or ldl, which one are you all actually tracking

🎉31

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

💀7🧪6

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

IO

while im here do you get bloods every 3 months or only when something changes

DD

coming back to this a1c is a ninety day average. retesting at week six tells you almost nothing

BB

for the archive the most useful thing i did was get a full panel before i started. everything since has been comparable

[edited]
BB

the FLOW result is why my nephrologist changed her position on this entirely, i could be wrong