ferritin and b12 fall quietly when you are barely eating. check them twice a year
#bloodwork 2025-05-16
Friday43 messages7 participantstimes are UTC
Highlights from this day
- ghent_gradient — crp is worth adding if you can, it moves in a useful direction on this 19:57
- ghent_gradient — is it too early to retest a1c at week 3 19:58
- fridge_thermo — an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, we shall see apob is the better marker and it is harder to… 21:20
retest it
nice a1c
before after
A1c 6.4% 5.3%
trigs 2.9 1.1
HDL 0.9 1.3
LDL-C 3.4 3.2
apoB 1.09 1.02
ALT 58 24thats normal
💀16📈2🧪17
alt and ast coming down as you lose liver fat is common and is a good sign
fasting insulin
mine did the same
not a chat question
✅1
probably dehydration
anyone had a result that turned out to be a lab error
see somebody
[edited]update from 8 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
apob if you can
good numbers
📉4❤️14⚠️1
the FLOW result is why my nephrologist changed her position on this entirely, ill dig out the number
baseline, three months, then twice a year is what i settled on
unrelated but what should i get at baseline before i start
my potassium came back weird and the retest was normal, whats that about
apob is the better marker and it is harder to get. i track both because i can only get one reliably
right so a single weird electrolyte is very often a handling artefact. retest before you worry
while im here get fasting insulin at baseline. you cannot go back and get it once you have started
the most useful thing i did was get a full panel before i started. everything since has been comparable
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
[edited]a small egfr dip is often dehydration. rehydrate and retest before you panic
a1c is a ninety day average. retesting at week six tells you almost nothing
crp is worth adding if you can, it moves in a useful direction on this
coa-a-2418.pdf
1 page · 246 KB · not retained in the public archive
✅16
is it too early to retest a1c at week 3
👀2👍6🙏11
for the archive homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
how much does the lipid panel move just from losing weight
do you get bloods every 7 months or only when something changes
fasting insulin came back higher than i expected, what does that actually mean
lab error maybe
most of the lipid improvement in my panel tracked the weight, not the drug
lipase slightly over range with no symptoms, how worried should i be
thats a big move
❤️14📉1
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
i pay privately for fasting insulin because nobody will order it for me otherwise
apob or ldl, which one are you all actually tracking
[edited]my alt has come down a lot since i started losing, is that expected
post the numbers
sorry to jump in egfr dropped a few points, dehydration or something real
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, we shall see
apob is the better marker and it is harder to get. i track both because i can only get one reliably
| 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 |