quick one if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
#bloodwork 2025-08-16
Saturday35 messages7 participantstimes are UTC
Highlights from this day
thyroid moving slightly is common enough that i would repeat it before doing anything
*that should say weekly
the FLOW result is why my nephrologist changed her position on this entirely
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
egfr dropped a few points, dehydration or something real
triglycerides halved. is that the weight or the compound
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
right so what would make you stop and go and see somebody rather than post here
a single weird electrolyte is very often a handling artefact. retest before you worry
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
most of the lipid improvement in my panel tracked the weight, not the drug
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, i have it written down somewhere
thats a big move
my alt has come down a lot since i started losing, is that expected
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what should i get at baseline before i start
no_appetite_niaan isolated lipase a bit over range with no symptoms is usually nothing. lipase with…
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
crp is worth adding if you can, it moves in a useful direction on this
anyone had a result that turned out to be a lab error
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post the numbers
fasting insulin
| 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 |
update from 23 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
lab error maybe
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do you fast for the full 12 hours or is 8 enough
how much does the lipid panel move just from losing weight
is it too early to retest a1c at week 18
[edited]alt and ast coming down as you lose liver fat is common and is a good sign, i have it written down somewhere
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unrelated but get fasting insulin at baseline. you cannot go back and get it once you have started
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probably dehydration
too early for a1c
the most useful thing i did was get a full panel before i started. everything since has been comparable
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not a chat question
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apob or ldl, which one are you all actually tracking
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slightly off topic but if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
apob is the better marker and it is harder to get. i track both because i can only get one reliably
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