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

small win: ALT stopped being a problem at week 87

Explainerbranch of 17 comments

small win: ALT stopped being a problem at week 87. This is a description of what happened to me and not a plan for anybody else. Took a baseline the week before starting purely because this board told me to. Best five minutes I have spent on this. Compared two draws across two labs and spent a week worrying before…

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17 comments, started 4 months ago
u/liver_enzyme_lizMOD51 points·4 months ago

Identifying header cropped from the report above. Post the values, not the name and reference number.

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u/skip_week_scepticOP0 points·4 months ago

Have you taken this to whoever ordered it?

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u/freya_baptista34 points·4 months ago·edited

What did the repeat show?

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[removed]16 points·4 months ago

[removed by moderator]

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u/karl_fischer_kev41 points·4 months ago

lab reference ranges are not treatment targets

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u/whois_wanda25 points·4 months ago

one measurement is a point, two is a line, three is a trend

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u/skip_week_scepticOP19 points·4 months ago

one measurement is a point, two is a line, three is a trend

Disagreeing with this bit: that change is confounded by the weight loss itself and cannot be attributed.

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u/thyroid_tangent10 points·4 months ago

Same view — ApoB if you add one thing. It answers a question the standard panel only gestures at.

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u/janek_ferrari8 points·4 months ago

That comparison crosses two labs with different assays. The difference you are describing may be the method.

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u/thermal_mass_tom4 points·4 months ago

hydration status moves a surprising number of markers

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u/flair_enthusiast27 points·4 months ago

Push back: a value just outside a reference interval is a common finding in healthy people. It is a reason to repeat.

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u/noor_cardoso19 points·4 months ago

Disagree with reading anything into that. One value, one morning, and you changed two other things in the same window.

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u/burned_once_twice5 points·4 months ago·edited

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

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u/lina_almeida3 points·4 months ago

Fasting or not, and what time of day?

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u/laila_yilmaz3 points·4 months ago

Do you have a baseline from before you started?

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u/liver_enzyme_liz4 points·4 months ago

the trend line matters more than any single value

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u/ahmed_fonseca5 points·4 months ago

ApoB counts atherogenic particles rather than the cholesterol they carry, which is why it can diverge from LDL-C and why it is the addition most worth making.

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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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