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c/bloodwork·submitted 10 months ago by u/emil_agyeman

stalled for 15 weeks at 15mg and I refuse to panic this time

Concerningbranch of 9 comments

stalled for 15 weeks at 15mg and I refuse to panic this time, which sounds obvious until you try to state the evidence for it. Numbers, in the order they matter: 15 weeks and 15mg. Compared two draws across two labs and spent a week worrying before finding out the assays were different. Added ApoB to the panel after…

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9 comments, started 10 months ago
u/kenji_kimani0 points·10 months ago

Substantial weight loss independently moves lipids, liver enzymes and several other markers. Attributing a change to a compound while losing weight is confounded by design.

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u/janek_ferrari1 point·10 months ago

My TSH moved and I spent a fortnight convinced I knew why. The repeat six weeks later was back in range and I had changed nothing.

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u/yara_antonsen1 point·10 months ago

Fasting or not, and what time of day?

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u/emil_agyemanOP1 point·10 months ago

Small fix — a reference interval is not a treatment target, and the post above uses them interchangeably.

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u/emil_agyemanOP1 point·10 months ago

ask whether the lab changed its assay between your two draws

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[removed]1 point·10 months ago

[removed by moderator]

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u/emil_agyemanOP1 point·10 months ago

Correcting my own comment: the two draws were 4 weeks apart, not the figure I gave earlier.

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u/lipid_panel_larrybloodwork1 point·10 months ago·edited

That is a non-fasting value and the interval you are comparing it against is a fasting one.

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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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