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#bloodwork 2026-04-06

Monday36 messages9 participantstimes are UTC
Highlights from this day
  • tenpence — a1c is a ninety day average. retesting at week six tells you almost nothing 17:11
  • VialBot — Assay note: GL Biochem lot B-0114 reported at 99.2% of label content. 18:18
  • dexa_or_bia — coming back to this is a fasting insulin worth paying for privately if my gp will not do it 18:34
  • dose_down_dara — if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 20:28
  • bac_water_bill — sorry to jump in homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 21:15
PP

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

TE

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

⚠️2🎉9😂7
IS

baseline, three months, then twice a year is what i settled on, your mileage will differ

DD

update from 25 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

IS

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

IS

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

VB

Assay note: GL Biochem lot B-0114 reported at 99.2% of label content.

DO

coming back to this is a fasting insulin worth paying for privately if my gp will not do it

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

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

SS

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

BW

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

BW

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

SS

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

DD

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

anyone had a result that turned out to be a lab error

thats the 90 day thing

janoshik-g-0641.pdf
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DO

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

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

[edited]

get a baseline

BW

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

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

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

*Janoshik not the other one