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#bloodwork 2026-01-21

Wednesday27 messages5 participantstimes are UTC
Highlights from this day
  • peak_split — the FLOW result is why my nephrologist changed her position on this entirely, not advice obviously baseline, three months, then twice a year is what i settled on 20:02
  • peak_split — is there any point getting a1c if i am not diabetic 20:34
  • rezept_rolf — an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not 21:04
PS

the FLOW result is why my nephrologist changed her position on this entirely, not advice obviously
baseline, three months, then twice a year is what i settled on

            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
PS

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

PS

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

not a chat question

TestWhy now
Fasting insulinimpossible to get a true baseline afterwards
Full lipid panel with apoBthe comparison is the whole point
HbA1c90-day average, so it lags your start
CMP + CBCcheap, and the reference for everything after
Ferritin, B12, TSHthese fall quietly on a low intake

update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

mine did the same

TestWhy now
Fasting insulinimpossible to get a true baseline afterwards
Full lipid panel with apoBthe comparison is the whole point
HbA1c90-day average, so it lags your start
CMP + CBCcheap, and the reference for everything after
Ferritin, B12, TSHthese fall quietly on a low intake

post the numbers

thats a big move

what should i get at baseline before i start

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

is there any point getting a1c if i am not diabetic

13❤️5

good numbers

thats the 90 day thing

[edited]
RR

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

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ST

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

is crp worth adding to the panel

too early for a1c

retest it

ST

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

genuine question my b12 is borderline, supplementing or eating differently

II

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

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes (STEP 2)
The Lancet · 2021
The type 2 diabetes population, where the weight response is generally smaller.

apob if you can

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