a single weird electrolyte is very often a handling artefact. retest before you worry
#bloodwork 2025-08-17
Sunday49 messages9 participantstimes are UTC
Highlights from this day
- step_one_sian — i pay privately for fasting insulin because nobody will order it for me otherwise 11:29
- hr_log_hattie — ferritin and b12 fall quietly when you are barely eating. check them twice a year 11:49
- step_one_sian — most of the lipid improvement in my panel tracked the weight, not the drug 14:53
- no_appetite_nia — alt and ast coming down as you lose liver fat is common and is a good sign 14:57
retest it
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not a chat question
see somebody
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system, from memory
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, n of 1 obviously
i pay privately for fasting insulin because nobody will order it for me otherwise
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 24💀2
*Janoshik not the other one
the FLOW result is why my nephrologist changed her position on this entirely
coming back to this nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
lab error maybe
probably dehydration
ferritin and b12 fall quietly when you are barely eating. check them twice a year
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if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
i had a potassium that came back high and the repeat was normal. the tube had been knocked about, happy to be corrected
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mine did the same
is a fasting insulin worth paying for privately if my gp will not do it
update from 11 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, not advice obviously
thats the 90 day thing
slightly off topic but a small egfr dip is often dehydration. rehydrate and retest before you panic
[edited]fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
anyone had a result that turned out to be a lab error
coming back to this my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
too early for a1c
get a baseline
how much does the lipid panel move just from losing weight
do you get bloods every 5 months or only when something changes
a1c is a ninety day average. retesting at week six tells you almost nothing
ok so is crp worth adding to the panel
right so coming back after 20 months, what changed in your numbers
thyroid moving slightly is common enough that i would repeat it before doing anything
most of the lipid improvement in my panel tracked the weight, not the drug
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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, ill dig out the number
slightly off topic but the most useful thing i did was get a full panel before i started. everything since has been comparable
alt and ast coming down as you lose liver fat is common and is a good sign
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get fasting insulin at baseline. you cannot go back and get it once you have started
thats normal
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crp is worth adding if you can, it moves in a useful direction on this
fasting insulin
ferritin is low, is that the drug or the not eating
lot-log.csv
245 rows · not retained in the public archive
baseline, three months, then twice a year is what i settled on, ask me again in a month
good numbers
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
apob if you can
anyone have before and after numbers they are willing to post
nice a1c
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post the numbers, ymmv
apob is the better marker and it is harder to get. i track both because i can only get one reliably
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later, i have it written down somewhere
my alt has come down a lot since i started losing, is that expected