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#bloodwork 2025-08-13

Wednesday38 messages8 participantstimes are UTC
Highlights from this day
  • coa_or_cope — update on the earlier thing thyroid moving slightly is common enough that i would repeat it before doing anything, take that with a pinch of salt 08:22
  • karl_fischer — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 10:31
  • cricket_or_footy — if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 10:47
  • triumph_watch — coming back to this the most useful thing i did was get a full panel before i started. everything since has been comparable 10:56
CO

what would make you stop and go and see somebody rather than post here
a1c is a ninety day average. retesting at week six tells you almost nothing

FA

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

CO

ok so crp is worth adding if you can, it moves in a useful direction on this, thats just me

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update on the earlier thing thyroid moving slightly is common enough that i would repeat it before doing anything, take that with a pinch of salt

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

CO

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

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

TO

follow up most of the lipid improvement in my panel tracked the weight, not the drug

TO

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

TO

the FLOW result is why my nephrologist changed her position on this entirely

see somebody

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

ferritin and b12 fall quietly when you are barely eating. check them twice a year

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

KF

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

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KF

sorry to jump in baseline, three months, then twice a year is what i settled on, n of 1 obviously

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

fridge-temps.csv
376 rows · not retained in the public archive
CO

if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5

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TW

for the archive get fasting insulin at baseline. you cannot go back and get it once you have started, someone check my working

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

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KF

sorry to jump in a1c is a ninety day average. retesting at week six tells you almost nothing

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
KF

if you only get one thing, get a fasting insulin. it is the one that becomes impossible later, anyway

KF

my potassium came back weird and the retest was normal, whats that about

[edited]

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

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TT

a small egfr dip is often dehydration. rehydrate and retest before you panic, we shall see

TT

update from 3 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

lab error maybe