vialroom

#bloodwork 2026-02-07

Saturday64 messages13 participantstimes are UTC
Highlights from this day
  • ari_arrives — baseline, three months, then twice a year is what i settled on 17:08
  • bac_water_bill — probably dehydration, not advice obviously my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all 19:01
  • nausea_window — coming back after 25 months, what changed in your numbers 22:06
VB

Reminder set. I will post here in 7 days.

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Reminder for hair_month_four: dose day is today. Set 3 days ago.

alt and ast coming down as you lose liver fat is common and is a good sign, i have it written down somewhere

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update from 7 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

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

nice a1c

VB

Digest for the week of 2025-04-08 has been published.

AA

ferritin and b12 fall quietly when you are barely eating. check them twice a year, someone check my working

TT

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

SA

apob is the better marker and it is harder to get. i track both because i can only get one reliably

TT

a small egfr dip is often dehydration. rehydrate and retest before you panic, n of 1 obviously

NN

i pay privately for fasting insulin because nobody will order it for me otherwise

baseline, three months, then twice a year is what i settled on

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BW

get fasting insulin at baseline. you cannot go back and get it once you have started
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all

follow up is it too early to retest a1c at week 29

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

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

SS

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

AA

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

is a fasting insulin worth paying for privately if my gp will not do it

AA

unrelated but what does homa-ir actually tell you that fasting insulin does not

probably dehydration

[edited]
TT

i had a potassium that came back high and the repeat was normal. the tube had been knocked about, your mileage will differ

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AA

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

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

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

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

for the archive thats a big move

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

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

NN

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

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

AA

genuine question post the numbers

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.

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

AA

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

NW

coming back after 25 months, what changed in your numbers

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