vialroom

#bloodwork 2026-01-23

Friday30 messages8 participantstimes are UTC
Highlights from this day
  • fake_tracking — my alt has come down a lot since i started losing, is that expected 23:05
  • VialBot — Reminder for fake_tracking: dose day is today. Set 7 days ago. 23:12
  • per_mg_pete — update on the earlier thing apob or ldl, which one are you all actually tracking 23:32
  • two_eight_c — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 23:42
  • surpass_two — follow up if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 23:50
HM

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

see somebody

probably dehydration

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nice a1c

thats a big move

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

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

AB

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

FT

good numbers

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

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

🧊5🧪2🙏16

thyroid moving slightly is common enough that i would repeat it before doing anything

post the numbers

*Medutest not the other one

VB

Reminder for fake_tracking: dose day is today. Set 7 days ago.

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TE

if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
thyroid moving slightly is common enough that i would repeat it before doing anything

update from 15 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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

PM

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

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

is crp worth adding to the panel

AB

what would make you stop and go and see somebody rather than post here
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods

ST

crp is worth adding if you can, it moves in a useful direction on this

TE

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

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.

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

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TE

i had a potassium that came back high and the repeat was normal. the tube had been knocked about