while im here a small egfr dip is often dehydration. rehydrate and retest before you panic
#bloodwork 2025-06-16
Monday33 messages7 participantstimes are UTC
Highlights from this day
probably dehydration
alt and ast coming down as you lose liver fat is common and is a good sign
update from 3 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
post the numbers
right so the FLOW result is why my nephrologist changed her position on this entirely
too early for a1c
my potassium came back weird and the retest was normal, whats that about
20:49chlorhex pinned a message
coming back after 13 months, what changed in your numbers
ferritin and b12 fall quietly when you are barely eating. check them twice a year, take that with a pinch of salt
get fasting insulin at baseline. you cannot go back and get it once you have started
do you fast for the full 12 hours or is 8 enough
crp is worth adding if you can, it moves in a useful direction on this
triglycerides halved. is that the weight or the compound
tsh moved slightly, is that a known thing
| 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 |
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*that should say weekly
anyone have before and after numbers they are willing to post
fasting insulin came back higher than i expected, what does that actually mean
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later, thats one data point
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a single weird electrolyte is very often a handling artefact. retest before you worry
anyone had a result that turned out to be a lab error
what should i get at baseline before i start
apob if you can
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fasting insulin
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update on the earlier thing nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
is crp worth adding to the panel
ferritin is low, is that the drug or the not eating
thats a big move
Testing queue: 5 submissions open, 48 awaiting dispatch.
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)baseline, three months, then twice a year is what i settled on