crp is worth adding if you can, it moves in a useful direction on this
#bloodwork 2025-10-17
Friday47 messages9 participantstimes are UTC
Highlights from this day
- dublin_dose — follow up do you get bloods every 9 months or only when something changes 19:59
- net_peptide — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, not advice obviously 20:04
- thirty_min_wait — ferritin is low, is that the drug or the not eating 21:45
- ollie_orders — 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 23:10
good numbers
tsh moved slightly, is that a known thing
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)retest it
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an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
baseline, three months, then twice a year is what i settled on
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
crp is worth adding if you can, it moves in a useful direction on this
thats normal
get fasting insulin at baseline. you cannot go back and get it once you have started
not a chat question
follow up do you get bloods every 9 months or only when something changes
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egfr dropped a few points, dehydration or something real
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, not advice obviously
| 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 |
anyone had a result that turned out to be a lab error
fasting insulin
do you fast for the full 12 hours or is 8 enough
too early for a1c
unrelated but my alt has come down a lot since i started losing, is that expected
*that should say weekly
the most useful thing i did was get a full panel before i started. everything since has been comparable, from memory
how much does the lipid panel move just from losing weight
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
lab error maybe
my b12 is borderline, supplementing or eating differently
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mine did the same
see somebody
probably dehydration
sorry to jump in what would make you stop and go and see somebody rather than post here
nice a1c
Reminder for salt_bridge: dose day is today. Set 6 days ago.
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post the numbers
a small egfr dip is often dehydration. rehydrate and retest before you panic, thats one data point
update from 20 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
thats the 90 day thing
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genuine question i had a potassium that came back high and the repeat was normal. the tube had been knocked about
thats a big move
most of the lipid improvement in my panel tracked the weight, not the drug
*Janoshik not the other one
i pay privately for fasting insulin because nobody will order it for me otherwise
ferritin is low, is that the drug or the not eating
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
thyroid moving slightly is common enough that i would repeat it before doing anything
apob or ldl, which one are you all actually tracking
unrelated but if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
apob if you can
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fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
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
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