vialroom

#bloodwork 2026-02-14

Saturday40 messages8 participantstimes are UTC
Highlights from this day
  • escalation_anxiety — quick one 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 11:53
  • truncation_tru — slightly off topic but my alt has come down a lot since i started losing, is that expected 13:00
  • maintenance_mo — update on the earlier thing nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, thats one data point 13:03
  • tallinn_taper — is there any point getting a1c if i am not diabetic 13:48
  • tallinn_taper — an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not 16:12
11:31chlorhex pinned a message to this channel
EA

quick one 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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EA

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

lot-log.csv
198 rows · not retained in the public archive

what should i get at baseline before i start

CC

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

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

retest it

TT

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

TT

slightly off topic but my alt has come down a lot since i started losing, is that expected

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VO

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

MM

update on the earlier thing nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, thats one data point

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PM

update from 13 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

MM

see somebody

            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

nice a1c

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

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PM

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

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TT

is there any point getting a1c if i am not diabetic

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
TT

slightly off topic but my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all

14:25chlorhex pinned a message
TT

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

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.
RR

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

PM

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

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

TT

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

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MM

slightly off topic but apob is the better marker and it is harder to get. i track both because i can only get one reliably, from memory

thats a big move

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

PM

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

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