baseline, three months, then twice a year is what i settled on
#bloodwork 2025-08-18
Monday38 messages10 participantstimes are UTC
Highlights from this day
- third_shift — anyone have before and after numbers they are willing to post 14:45
- hair_month_four — follow up nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods 14:55
- provincial_pat — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 16:00
ferritin and b12 fall quietly when you are barely eating. check them twice a year
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
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the most useful thing i did was get a full panel before i started. everything since has been comparable
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my alt has come down a lot since i started losing, is that expected
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
right so triglycerides halved. is that the weight or the compound
thats a big move
anyone have before and after numbers they are willing to post
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)🔥8🎉1👍9
a small egfr dip is often dehydration. rehydrate and retest before you panic
is it too early to retest a1c at week 27
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
apob is the better marker and it is harder to get. i track both because i can only get one reliably
follow up nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
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not a chat question
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follow up is crp worth adding to the panel
a single weird electrolyte is very often a handling artefact. retest before you worry
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
*Medutest not the other one
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
| 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 |
what does homa-ir actually tell you that fasting insulin does not
update from 18 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
get fasting insulin at baseline. you cannot go back and get it once you have started
the FLOW result is why my nephrologist changed her position on this entirely, still working it out
is there any point getting a1c if i am not diabetic
tsh moved slightly, is that a known thing
update on the earlier thing 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
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
thats normal
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too early for a1c
fasting insulin
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apob or ldl, which one are you all actually tracking
i pay privately for fasting insulin because nobody will order it for me otherwise
do you fast for the full 12 hours or is 8 enough
post the numbers
thyroid moving slightly is common enough that i would repeat it before doing anything
get a baseline