update on the earlier thing the FLOW result is why my nephrologist changed her position on this entirely, i have it written down somewhere
#bloodwork 2026-01-17
Saturday59 messages11 participantstimes are UTC
Highlights from this day
- cold_chain_cmdr — right so alt and ast coming down as you lose liver fat is common and is a good sign 21:52
- ten_of_ten — what does homa-ir actually tell you that fasting insulin does not 21:57
- bo_bloodwork — while im here 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 22:42
- bo_bloodwork — a single weird electrolyte is very often a handling artefact. retest before you worry 23:26
update from 18 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
Testing queue: 7 submissions open, 28 awaiting dispatch.
good numbers
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a small egfr dip is often dehydration. rehydrate and retest before you panic
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thats normal
post the numbers
Assay note: KP lot F-1330 reported at 99.2% of label content.
thats the 90 day thing
egfr dropped a few points, dehydration or something real
the most useful thing i did was get a full panel before i started. everything since has been comparable
right so alt and ast coming down as you lose liver fat is common and is a good sign
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apob or ldl, which one are you all actually tracking
get a baseline
what does homa-ir actually tell you that fasting insulin does not
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i had a potassium that came back high and the repeat was normal. the tube had been knocked about
do you fast for the full 12 hours or is 8 enough
22:03quiet.hours pinned a message to this channel
most of the lipid improvement in my panel tracked the weight, not the drug
see somebody
how much does the lipid panel move just from losing weight
coming back after 4 months, what changed in your numbers
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not, your mileage will differ
fasting insulin
lipase slightly over range with no symptoms, how worried should i be
lab error maybe
mine did the same
coa-e-2205.pdf
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not a chat question
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
fasting insulin came back higher than i expected, what does that actually mean
thats a big move
my alt has come down a lot since i started losing, is that expected
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is a fasting insulin worth paying for privately if my gp will not do it
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
Purity check: no report on file for lot A-2601. Nothing logged either way.
On this day 9 years ago this channel logged 46 messages.
while im here 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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retest it
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unrelated but if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
apob if you can
thyroid moving slightly is common enough that i would repeat it before doing anything
nice a1c
is it too early to retest a1c at week 32
get fasting insulin at baseline. you cannot go back and get it once you have started, someone check my working
probably dehydration
triglycerides halved. is that the weight or the compound
a1c is a ninety day average. retesting at week six tells you almost nothing
too early for a1c
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baseline, three months, then twice a year is what i settled on
apob is the better marker and it is harder to get. i track both because i can only get one reliably
baseline, three months, then twice a year is what i settled on
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
a single weird electrolyte is very often a handling artefact. retest before you worry
| 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 |
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
ferritin is low, is that the drug or the not eating
my b12 is borderline, supplementing or eating differently
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what should i get at baseline before i start
ferritin and b12 fall quietly when you are barely eating. check them twice a year, take that with a pinch of salt
while im here fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests