ok so the FLOW result is why my nephrologist changed her position on this entirely
#bloodwork 2026-05-28
Thursday57 messages12 participantstimes are UTC
Highlights from this day
- apob_over_ldl — slightly off topic but ferritin is low, is that the drug or the not eating 19:39
- fake_tracking — triglycerides halved. is that the weight or the compound 20:02
- dexa_or_bia — my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all 21:04
- willow_waits — if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 21:58
- willow_waits — the most useful thing i did was get a full panel before i started. everything since has been comparable 22:01
my b12 is borderline, supplementing or eating differently
slightly off topic but ferritin is low, is that the drug or the not eating
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update on the earlier thing alt and ast coming down as you lose liver fat is common and is a good sign, i think
a single weird electrolyte is very often a handling artefact. retest before you worry
get fasting insulin at baseline. you cannot go back and get it once you have started
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homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
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update from 8 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
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do you get bloods every 8 months or only when something changes
anyone had a result that turned out to be a lab error
fasting insulin
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
i pay privately for fasting insulin because nobody will order it for me otherwise
update on the earlier thing a1c is a ninety day average. retesting at week six tells you almost nothing
anyone have before and after numbers they are willing to post
triglycerides halved. is that the weight or the compound
[edited]transit-times.csv
259 rows · not retained in the public archive
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ferritin and b12 fall quietly when you are barely eating. check them twice a year
quick one how much does the lipid panel move just from losing weight
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
most of the lipid improvement in my panel tracked the weight, not the drug, i could be wrong
thyroid moving slightly is common enough that i would repeat it before doing anything, take that with a pinch of salt
*that should say weekly
nice a1c
unrelated but is there any point getting a1c if i am not diabetic
thats normal
probably dehydration
a small egfr dip is often dehydration. rehydrate and retest before you panic
while im here an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
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my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
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what does homa-ir actually tell you that fasting insulin does not
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
*that should say weekly
crp is worth adding if you can, it moves in a useful direction on this
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do you fast for the full 12 hours or is 8 enough
thats the 90 day thing
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update on the earlier thing baseline, three months, then twice a year is what i settled on
apob is the better marker and it is harder to get. i track both because i can only get one reliably
while im here i had a potassium that came back high and the repeat was normal. the tube had been knocked about
[edited]my potassium came back weird and the retest was normal, whats that about
a single weird electrolyte is very often a handling artefact. retest before you worry, from memory
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
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if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
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the most useful thing i did was get a full panel before i started. everything since has been comparable
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post the numbers
thats a big move
lab error maybe
quick one too early for a1c
[edited]apob if you can
get a baseline, ask me again in a month
apob or ldl, which one are you all actually tracking
not a chat question
Inter-lab diff for lot F-1330: 96.8% vs 98.6%. Within expected range.
a1c is a ninety day average. retesting at week six tells you almost nothing
see somebody
[edited]mine did the same
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
probably dehydration