vialroom

#bloodwork 2025-12-19

Friday50 messages10 participantstimes are UTC
Highlights from this day
  • bpc_sceptic — my b12 is borderline, supplementing or eating differently 13:02
  • u100_pat — ferritin is low, is that the drug or the not eating 14:10
  • deadspace — coming back after 7 months, what changed in your numbers 16:12
DE

get fasting insulin at baseline. you cannot go back and get it once you have started

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

update from 13 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

[edited]

a small egfr dip is often dehydration. rehydrate and retest before you panic

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

BS

my alt has come down a lot since i started losing, is that expected

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

[edited]

nice a1c

BW

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests

do you fast for the full 12 hours or is 8 enough

thyroid moving slightly is common enough that i would repeat it before doing anything, thats just me

BS

how much does the lipid panel move just from losing weight
baseline, three months, then twice a year is what i settled on

my b12 is borderline, supplementing or eating differently

baseline  58
wk 2      61
wk 4      64
wk 6      67
wk 8      66
wk 10     65   (held dose from wk 7)
U1

fasting insulin came back higher than i expected, what does that actually mean

U1

for the archive do you get bloods every 2 months or only when something changes

update on the earlier thing tsh moved slightly, is that a known thing

U1

ferritin is low, is that the drug or the not eating

            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
ST

i pay privately for fasting insulin because nobody will order it for me otherwise, your mileage will differ

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

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ST

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

ST

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

ST

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

my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all

SS

what would make you stop and go and see somebody rather than post here

mine did the same

a1c is a ninety day average. retesting at week six tells you almost nothing

DE

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

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

coming back after 7 months, what changed in your numbers

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lab error maybe

OO

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

DE

right so triglycerides halved. is that the weight or the compound

DE

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

OO

crp is worth adding if you can, it moves in a useful direction on this
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5