thats a big move
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#bloodwork 2026-01-18
Sunday35 messages8 participantstimes are UTC
Highlights from this day
- a1c_lag — get fasting insulin at baseline. you cannot go back and get it once you have started 11:56
- reship_rita — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 14:11
- pooled_sample — update on the earlier thing an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not 14:36
sorry to jump in alt and ast coming down as you lose liver fat is common and is a good sign
tsh moved slightly, is that a known thing
i pay privately for fasting insulin because nobody will order it for me otherwise
ferritin and b12 fall quietly when you are barely eating. check them twice a year
sorry to jump in nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
get fasting insulin at baseline. you cannot go back and get it once you have started
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post the numbers
nice a1c
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my potassium came back weird and the retest was normal, whats that about
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests, i think
good numbers
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
anyone had a result that turned out to be a lab error
coming back after 1 months, what changed in your numbers
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
| 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 |
quick one my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
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mine did the same
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the FLOW result is why my nephrologist changed her position on this entirely
right so most of the lipid improvement in my panel tracked the weight, not the drug
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
the most useful thing i did was get a full panel before i started. everything since has been comparable
what should i get at baseline before i start
update from 17 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
see somebody
do you get bloods every 3 months or only when something changes
update on the earlier thing an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
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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, someone check my working
my alt has come down a lot since i started losing, is that expected
thats normal
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thats the 90 day thing
genuine question a1c is a ninety day average. retesting at week six tells you almost nothing
thats a big move
sharps_bin_sidupdate from 17 months ago: a1c down, apob unchanged, and i am genuinely annoyed about…
apob is the better marker and it is harder to get. i track both because i can only get one reliably
thyroid moving slightly is common enough that i would repeat it before doing anything
unrelated but do you fast for the full 12 hours or is 8 enough