follow up my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
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#bloodwork 2026-04-08
Wednesday54 messages13 participantstimes are UTC
Highlights from this day
- two_three_lifts — ferritin and b12 fall quietly when you are barely eating. check them twice a year 15:41
- group_buy_gwen — update on the earlier thing do you fast for the full 12 hours or is 8 enough 17:26
- oasis_ola — my alt has come down a lot since i started losing, is that expected 17:45
- oasis_ola — what should i get at baseline before i start 18:03
a single weird electrolyte is very often a handling artefact. retest before you worry
a1c is a ninety day average. retesting at week six tells you almost nothing
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
mine did the same
update on the earlier thing i pay privately for fasting insulin because nobody will order it for me otherwise
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
Reminder set. I will post here in 9 days.
the FLOW result is why my nephrologist changed her position on this entirely
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, i could be wrong
ferritin and b12 fall quietly when you are barely eating. check them twice a year
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)is crp worth adding to the panel
most of the lipid improvement in my panel tracked the weight, not the drug, ymmv
alt and ast coming down as you lose liver fat is common and is a good sign
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
my potassium came back weird and the retest was normal, whats that about
baseline, three months, then twice a year is what i settled on
update from 4 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
*Medutest not the other one
coming back to this is a fasting insulin worth paying for privately if my gp will not do it
get fasting insulin at baseline. you cannot go back and get it once you have started
good numbers
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
too early for a1c, anyway
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
tsh moved slightly, is that a known thing
alt and ast coming down as you lose liver fat is common and is a good sign
apob is the better marker and it is harder to get. i track both because i can only get one reliably
*VendorInvestigate not the other one
ok so if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
is there any point getting a1c if i am not diabetic
thats the 90 day thing
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update on the earlier thing do you fast for the full 12 hours or is 8 enough
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the most useful thing i did was get a full panel before i started. everything since has been comparable
my alt has come down a lot since i started losing, is that expected
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what should i get at baseline before i start
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retest it
thats a big move
Recon calculator: 2mg in 2ml = 5mg/ml.
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what would make you stop and go and see somebody rather than post here
a small egfr dip is often dehydration. rehydrate and retest before you panic
thats normal
see somebody
fasting insulin
genuine question thyroid moving slightly is common enough that i would repeat it before doing anything
do you get bloods every 9 months or only when something changes
is it too early to retest a1c at week 16
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)nice a1c
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
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crp is worth adding if you can, it moves in a useful direction on this
probably dehydration
egfr dropped a few points, dehydration or something real
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for the archive homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
get a baseline
apob or ldl, which one are you all actually tracking
apob if you can