baseline labs — 12 things I got wrong before I got it right
Quick one. Canada here.
A1c works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.
Specifics: the route I used took 3 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.
Happy to answer questions from anyone in the same jurisdiction.
best — the order this archive was captured in
eGFR noise on rapid loss is real. 10 week noise, 22 week trend. Do not panic at week 86.
nobody here can tell you what a result means for you
This is correct. ApoB is the better marker.
Titration speed is a side-effect dial far more than an efficacy dial.
A1c moves slowly, quarterly is plenty
A1c moves slowly, quarterly is plenty
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.
nobody here can tell you what a result means for you
Yeah, baseline matters more than any later number.
HOMA-IR is crude but free and useful for tracking
ApoB over LDL-C, that is the hierarchy
redact identifying details from lab PDFs before posting
This is correct. ApoB is the better marker.
hs-CRP from 4 to 12 is movement, not noise
eGFR noise during rapid loss is expected
ferritin tanks quietly on a reduced appetite, check it
HOMA-IR is crude but free and useful for tracking
This is correct. ApoB is the better marker.
the 12 month ApoB check is the routine
My eGFR went from 5 to 4 in 11 weeks. The ApoB story shows up in the trend, not the single number.
My eGFR went from 5 to 4 in 11 weeks.
Yes, exactly this, and it is the bit that took me 62 weeks to accept.
My eGFR went from 5 to 4 in 11 weeks.
Yes, exactly this, and it is the bit that took me 68 weeks to accept.
Slight fix: the number was 97.6, not 98.3. Decimal point, but a fairly consequential one.
Slight fix: the number was 97.6, not 98.3.
Disagree on that part. 98.1% and 98.9% on the same vial is normal.
This is correct. ApoB is the better marker.
eGFR noise during rapid loss is expected
ALT is where the fatty-liver story shows up first
- 1Titration speed is a side-effect dial far more than an efficacy dial.8 comments in this branch · started by u/thermal_mass_tom
- 2My eGFR went from 5 to 4 in 11 weeks. The ApoB story shows up in the trend,…8 comments in this branch · started by u/tidy_vialdrawer_watch