vialroom

#bloodwork 2025-03-22

Saturday31 messages7 participantstimes are UTC
Highlights from this day
  • lot_number_lou — a single weird electrolyte is very often a handling artefact. retest before you worry 09:36
  • marrow.mod — a1c is a ninety day average. retesting at week six tells you almost nothing alt and ast coming down as you lose liver fat is common and is a good sign 10:49
  • a1c_lag — ferritin and b12 fall quietly when you are barely eating. check them twice a year, thats one data point 12:28
LN

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

09:35marrow.mod pinned a message
MM

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

MM

a1c is a ninety day average. retesting at week six tells you almost nothing
alt and ast coming down as you lose liver fat is common and is a good sign

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MM

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

fasting insulin

MM

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

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

QH

do you get bloods every 8 months or only when something changes

A1

genuine question is it too early to retest a1c at week 15

A1

ferritin and b12 fall quietly when you are barely eating. check them twice a year, thats one data point

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

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

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

A1

lipase slightly over range with no symptoms, how worried should i be

SA

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

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

ES

a small egfr dip is often dehydration. rehydrate and retest before you panic
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

ES

crp is worth adding if you can, it moves in a useful direction on this

is there any point getting a1c if i am not diabetic