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c/bloodwork·posted 6 months ago by u/chidi_abubakar

my ALT moved and I cannot work out whether A1c is why

Question Receipts ×7 Slow Clap ×2

Quick one. Canada here.

A1c works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 19 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

2,198 up / 277 down89% upvoted47 commentsid 1yuyct3 Jan 2026

47 comments

9 in this archive, depth 4

best — the order this archive was captured in

u/thyroid_tangent156 points·6 months ago

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

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[deleted]57 points·6 months ago

[deleted]

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u/elin_varga81 points·6 months ago

ApoB over LDL-C, that is the hierarchy

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u/liver_enzyme_liz50 points·6 months ago

Same lab both times?

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u/kaia_kuusela16 points·6 months ago

Yeah, baseline matters more than any later number.

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u/mikkel_kimani27 points·6 months ago

fasting insulin from 22 to 25 is movement, not noise

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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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