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c/bloodwork·posted 4 months ago by u/skip_week_sceptic

ALT: what the trials say vs what this community says

Explainer Receipts ×2 Cold Box ×3

Week 49 update. 25kg down from the start, reflux basically gone since about week 89.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with reflux.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

1,852 up / 468 down80% upvoted40 commentsid 18glf75 Mar 2026

40 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/elise_grimaldi141 points·4 months ago

My A1c went from 15 to 12 in 45 weeks. The bloodwork story shows up in the trend, not the single number.

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u/anders_vermeulen115 points·4 months ago·edited
controversial sort brought me here and it was worth it
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u/liver_enzyme_liz78 points·4 months ago

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

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u/elin_trevino17 points·4 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/liv_okafor47 points·4 months ago

post reference ranges with your numbers, units differ by country and lab

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[deleted]20 points·4 months ago

[deleted]

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u/skip_week_scepticOP9 points·4 months ago

Yeah, baseline matters more than any later number.

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u/mariam_mensa51 points·4 months ago

Half-life is about 168 hours, so steady state lands around week 2–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/ferran_halonen42 points·4 months ago

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

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u/liver_enzyme_lizMOD51 points·4 months ago

Retitled to remove editorialising. Put the evidence in the body.

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u/skip_week_scepticOP0 points·4 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/ravi_sandvik0 points·4 months 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/freya_baptista27 points·4 months ago

Not convinced. The evidence does not support that reading.

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u/karl_fischer_kev41 points·4 months ago

redact identifying details from lab PDFs before posting

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u/noor_cardoso-20 points·4 months ago

Retitled to remove editorialising.

Yes, exactly this, and it is the bit that took me 41 weeks to accept.

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u/skip_week_scepticOP1 point·4 months ago

eGFR noise on rapid loss is real. 24 week noise, 18 week trend. Do not panic at week 82.

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u/lina_almeida1 point·4 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/ahmed_fonseca1 point·4 months ago

redact identifying details from lab PDFs before posting

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u/lipid_panel_larrybloodwork29 points·4 months ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/santiago_szabo20 points·4 months ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/yara_mensah8 points·4 months ago

ferritin tanks quietly on a reduced appetite, check it

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u/coldchain_karencold chain4 points·4 months ago

Same lab both times?

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u/kofi_balogun22 points·4 months ago

This is correct. ApoB is the better marker.

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u/bac_water_banditreconstitution32 points·4 months ago

the 2 month eGFR check is the routine

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u/lina_almeida7 points·4 months ago·edited

redact identifying details from lab PDFs before posting

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u/elise_grimaldi4 points·4 months ago

This is correct. ApoB is the better marker.

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u/pavel_nkemelu15 points·4 months ago

Not convinced. The evidence does not support that reading.

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u/emil_okwuosa12 points·4 months ago·edited

My TSH went from 10 to 4 in 27 weeks. The ALT story shows up in the trend, not the single number.

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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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