update from 23 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob, anyway
#bloodwork 2026-04-30
Thursday60 messages13 participantstimes are UTC
Highlights from this day
- panel_before_after — a single weird electrolyte is very often a handling artefact. retest before you worry, ymmv i pay privately for fasting insulin because nobody will order it for me… 18:16
- panel_before_after — ferritin is low, is that the drug or the not eating 18:25
- blind_submit — my alt has come down a lot since i started losing, is that expected 18:52
- chlorhex — crp is worth adding if you can, it moves in a useful direction on this baseline, three months, then twice a year is what i settled on 21:08
a1c is a ninety day average. retesting at week six tells you almost nothing
slightly off topic but apob or ldl, which one are you all actually tracking
post the numbers
anyone had a result that turned out to be a lab error
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
thyroid moving slightly is common enough that i would repeat it before doing anything
good numbers
get fasting insulin at baseline. you cannot go back and get it once you have started
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, not advice obviously
apob is the better marker and it is harder to get. i track both because i can only get one reliably
quick one tsh moved slightly, is that a known thing
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)most of the lipid improvement in my panel tracked the weight, not the drug, take that with a pinch of salt
get fasting insulin at baseline. you cannot go back and get it once you have started
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i had a potassium that came back high and the repeat was normal. the tube had been knocked about
coming back after 8 months, what changed in your numbers
baseline, three months, then twice a year is what i settled on
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
do you get bloods every 2 months or only when something changes
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
a small egfr dip is often dehydration. rehydrate and retest before you panic
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
what would make you stop and go and see somebody rather than post here
thats normal
a single weird electrolyte is very often a handling artefact. retest before you worry, ymmv
i pay privately for fasting insulin because nobody will order it for me otherwise
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ferritin is low, is that the drug or the not eating
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the most useful thing i did was get a full panel before i started. everything since has been comparable
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, for what its worth
ferritin and b12 fall quietly when you are barely eating. check them twice a year
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is a fasting insulin worth paying for privately if my gp will not do it
is crp worth adding to the panel
my alt has come down a lot since i started losing, is that expected
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thats the 90 day thing
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
[edited]i pay privately for fasting insulin because nobody will order it for me otherwise
follow up the FLOW result is why my nephrologist changed her position on this entirely, thats one data point
retest it
mine did the same
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
what does homa-ir actually tell you that fasting insulin does not
alt and ast coming down as you lose liver fat is common and is a good sign
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
how much does the lipid panel move just from losing weight
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thats a big move
too early for a1c
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fasting insulin
probably dehydration
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right so is there any point getting a1c if i am not diabetic
see somebody
lab error maybe
get a baseline
crp is worth adding if you can, it moves in a useful direction on this
baseline, three months, then twice a year is what i settled on
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retest it
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
New independent result logged — TFC, lot E-2205, purity 99% (Medutest).
thats the 90 day thing
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
not a chat question
egfr dropped a few points, dehydration or something real
thats the 90 day thing, your mileage will differ
is it too early to retest a1c at week 5
a single weird electrolyte is very often a handling artefact. retest before you worry
Reminder set. I will post here in 5 days.
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