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c/bloodwork·posted 2 years ago by u/signe_grimaldi

[Vendor] QST order #19 — Canada, 15 days, no drama, receipts inside

Concerning Clean Column ×8

Something I noticed reading old threads that I have not seen said out loud.

The advice on lipids in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

1,290 up / 449 down74% upvoted23 commentsid 3gyjkl29 Jan 2024

23 comments

19 in this archive, depth 4

best — the order this archive was captured in

u/tidy_vialdrawer_watch85 points·2 years ago·edited

Strongly agree. ALT is where you catch the liver story early.

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u/signe_grimaldiOP37 points·2 years ago

Ferritin tanked from 7 to 20. Small appetite, reduced iron intake, nobody was testing it until I asked.

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u/signe_grimaldiOP63 points·2 years ago

Ferritin tanked from 5 to 19. Small appetite, reduced iron intake, nobody was testing it until I asked.

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[removed]25 points·2 years ago

[removed by moderator]

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u/lina_almeida6 points·2 years ago

ALT is where the fatty-liver story shows up first

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u/whois_wanda60 points·2 years ago

HOMA-IR is crude but free and useful for tracking

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u/transit_variance33 points·2 years ago

Do you have baseline to compare to?

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u/signe_grimaldiOP25 points·2 years ago

redact identifying details from lab PDFs before posting

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u/andres_restrepo74 points·2 years ago

ApoB over LDL-C, that is the hierarchy

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u/signe_grimaldi56 points·2 years ago

ApoB over LDL-C, that is the hierarchy

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u/gentle_correctionMOD21 points·2 years ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/santiago_rasmussen81 points·2 years ago

Is that fasted?

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u/forest_plot_fionastats52 points·2 years ago

Yeah, baseline matters more than any later number.

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u/coring_the_stopper-24 points·2 years ago

Mechanistically the bit that matters is ALT. It explains most of the early profile and a decent chunk of the outcome.

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u/iman_falk35 points·2 years ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/chidi_abubakar21 points·2 years ago

the 19 month bloodwork check is the routine

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u/rekha_mwangi25 points·2 years ago

redact identifying details from lab PDFs before posting

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u/elin_varga0 points·2 years ago

What are your reference ranges?

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u/greta_chukwu1 point·2 years ago

HOMA-IR is crude but free and useful for tracking

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About c/bloodwork

What to measure before you start, what to re-measure, and how to interpret movement without panicking. ApoB over LDL-C, HOMA-IR as a crude free tool, ALT and the fatty-liver story, eGFR noise during rapid loss, and the deficiencies that a 1,100-calorie appetite will hand you.

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