slightly off topic but do you get bloods every 2 months or only when something changes
#bloodwork 2026-06-13
- kelp_keeps — slightly off topic but do you get bloods every 2 months or only when something changes 00:53
- gorse_gains — apob is the better marker and it is harder to get. i track both because i can only get one reliably 01:50
- ghk_gia — thyroid moving slightly is common enough that i would repeat it before doing anything 05:29
- taper_tess — the most useful thing i did was get a full panel before i started. everything since has been comparable 05:58
- taper_tess — update from 22 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 06:22
alt and ast coming down as you lose liver fat is common and is a good sign
thats the 90 day thing
quick one anyone have before and after numbers they are willing to post
do you fast for the full 12 hours or is 8 enough
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
mine did the same
what should i get at baseline before i start
apob is the better marker and it is harder to get. i track both because i can only get one reliably
egfr dropped a few points, dehydration or something real
nice a1c
fasting insulin
baseline, three months, then twice a year is what i settled on, for what its worth
crp is worth adding if you can, it moves in a useful direction on this
get fasting insulin at baseline. you cannot go back and get it once you have started
| 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 |
Channel stats, last 30 days: 117 messages from 58 members.
i pay privately for fasting insulin because nobody will order it for me otherwise
*Medutest not the other one
post the numbers
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
good numbers
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
anyone had a result that turned out to be a lab error
probably dehydration
tsh moved slightly, is that a known thing
is it too early to retest a1c at week 27
*week 32 not week 3
thats normal
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, still working it out
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
lipase slightly over range with no symptoms, how worried should i be
my alt has come down a lot since i started losing, is that expected
too early for a1c
thyroid moving slightly is common enough that i would repeat it before doing anything
most of the lipid improvement in my panel tracked the weight, not the drug, thats one data point
[edited]the most useful thing i did was get a full panel before i started. everything since has been comparable
retest it
see somebody
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
update from 22 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
how much does the lipid panel move just from losing weight
quick one a single weird electrolyte is very often a handling artefact. retest before you worry
not a chat question
unrelated but is crp worth adding to the panel
the FLOW result is why my nephrologist changed her position on this entirely
ferritin and b12 fall quietly when you are barely eating. check them twice a year
a1c is a ninety day average. retesting at week six tells you almost nothing
get a baseline
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
lab error maybe
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
ferritin and b12 fall quietly when you are barely eating. check them twice a year