my alt has come down a lot since i started losing, is that expected
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#bloodwork 2025-04-19
Saturday49 messages10 participantstimes are UTC
Highlights from this day
- luerlok — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 18:24
- careful_claims — thyroid moving slightly is common enough that i would repeat it before doing anything, happy to be corrected 18:25
- see_a_clinician — triglycerides halved. is that the weight or the compound 19:14
- private_script_pri — get fasting insulin at baseline. you cannot go back and get it once you have started 20:38
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
thyroid moving slightly is common enough that i would repeat it before doing anything, happy to be corrected
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how much does the lipid panel move just from losing weight
is a fasting insulin worth paying for privately if my gp will not do it
baseline, three months, then twice a year is what i settled on
right so the most useful thing i did was get a full panel before i started. everything since has been comparable
ferritin and b12 fall quietly when you are barely eating. check them twice a year
not a chat question
slightly off topic but if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
the FLOW result is why my nephrologist changed her position on this entirely
is it too early to retest a1c at week 31
apob or ldl, which one are you all actually tracking
fasting insulin came back higher than i expected, what does that actually mean
triglycerides halved. is that the weight or the compound
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
while im here i had a potassium that came back high and the repeat was normal. the tube had been knocked about
a1c is a ninety day average. retesting at week six tells you almost nothing, ill dig out the number
my b12 is borderline, supplementing or eating differently
alt and ast coming down as you lose liver fat is common and is a good sign, your mileage will differ
mine did the same
the FLOW result is why my nephrologist changed her position on this entirely
apob if you can
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too early for a1c
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, for what its worth
see_a_clinicianhoma-ir is fasting glucose times fasting insulin over a constant. the constant differs…
anyone have before and after numbers they are willing to post
post the numbers
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good numbers
a single weird electrolyte is very often a handling artefact. retest before you worry, i have it written down somewhere
retest it
[edited]is crp worth adding to the panel
coming back to this most of the lipid improvement in my panel tracked the weight, not the drug
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
thats normal
update from 12 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
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an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
apob is the better marker and it is harder to get. i track both because i can only get one reliably
do you get bloods every 4 months or only when something changes
see somebody
get fasting insulin at baseline. you cannot go back and get it once you have started
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anyone had a result that turned out to be a lab error
[edited]get a baseline
fasting insulin
tsh moved slightly, is that a known thing
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
*Janoshik not the other one
nice a1c
what would make you stop and go and see somebody rather than post here
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
a small egfr dip is often dehydration. rehydrate and retest before you panic, your mileage will differ
lab error maybe