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Single comment threadYou are looking at one branch of [Meta] the ALT rule is doing its job and people should stop complaining — 46 comments in the full submission. View in context.
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c/bloodwork·submitted 3 months ago by u/edit_for_clarity

[Meta] the ALT rule is doing its job and people should stop complaining

Questionbranch of 10 comments

the ALT rule is doing its job and people should stop complaining. Comments open, and the wording is genuinely up for discussion. Added ApoB to the panel after a thread here. It told me something the standard lipid panel had been hiding. My ApoB moved and I spent a fortnight convinced I knew why. The repeat six weeks…

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10 comments, started 3 months ago
u/mariam_mensa74 points·3 months ago

Right, and weight loss itself moves several markers, so attribution is harder than these threads assume.

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u/liv_okafor46 points·3 months ago

Right, and weight loss itself moves several markers, so attribution is harder than these threads assume.

Adding the obvious one — take it to whoever ordered the panel. This board cannot read it for you.

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u/jarno_karlsen12 points·3 months ago

draw at the same point in the week if you want comparability

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u/edit_for_clarityOP5 points·3 months ago

Panicked about a single result, posted here, got told to repeat it, repeated it, and it was fine.

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u/pavel_nkemelu4 points·3 months ago

same lab, same conditions, or you are comparing noise

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u/kaia_kuusela3 points·3 months ago

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

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u/thermal_mass_tom23 points·3 months ago

baseline before you start is worth more than any later panel

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u/edit_for_clarityOP18 points·3 months ago·edited

Is that the same assay, or did the lab change platforms?

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u/milos_trevino8 points·3 months ago

the trend line matters more than any single value

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u/hedda_adeyemi14 points·3 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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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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