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128
c/bloodwork·posted 5 days ago by u/santiago_rasmussen

[Results] ALT 34 → 19 in seven months, nothing else changed

Results

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.

131 up / 3 down98% upvoted22 commentsid 14jatx24 Jul 2026

22 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/liver_enzyme_liz11 points·4 days ago·edited

Is that fasted?

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u/emil_okwuosa9 points·3 days ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/santiago_rasmussenOP6 points·3 days ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/coldchain_karencold chain2 points·3 days ago

ferritin tanks quietly on a reduced appetite, check it

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u/forest_plot_fionastats2 points·3 days ago

Yeah, baseline matters more than any later number.

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u/liver_enzyme_liz5 points·5 days ago

eGFR noise during rapid loss is expected

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u/employer_carveout5 points·4 days ago·edited
nobody says this and everybody needs to hear it
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u/edit_for_clarity6 points·4 days ago

Yeah, baseline matters more than any later number.

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u/santiago_rasmussenOP3 points·4 days ago

Ferritin tanked from 20 to 11. Small appetite, reduced iron intake, nobody was testing it until I asked.

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u/nikhil_asante2 points·3 days ago

HOMA-IR is crude but free and useful for tracking

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u/yara_boateng5 points·4 days ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/copay_card_cc3 points·4 days ago

This is correct. ApoB is the better marker.

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u/rekha_mwangi3 points·4 days ago
i wish i had read this 22 months ago
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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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