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c/bloodwork·posted 2 months ago by u/constipation_club

reading bloodwork threads from 2024 and half of it aged badly

Results Cold Box ×8 Long Haul ×3

eGFR. That is the whole post, but I will justify it.

Everything else people worry about in c/orforglipron is downstream of it. Titration speed, reflux, the endless dose arguments — most of it resolves if you sort eGFR out first, and almost nobody does.

I say this having got it wrong for 13 months. My fasting insulin was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

7,985 up / 6,997 down53% upvoted66 commentsid 4f15c25 May 2026

66 comments

29 in this archive, depth 4

best — the order this archive was captured in

u/emil_okwuosa189 points·2 months ago

ferritin tanks quietly on a reduced appetite, check it

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u/liver_enzyme_liz111 points·2 months ago

Half-life is about 168 hours, so steady state lands around week 22–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/greta_chukwu-15 points·2 months ago

Slight fix: the number was 98.7, not 98.3. Decimal point, but a fairly consequential one.

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u/ismael_eriksen1 point·2 months ago

nobody here can tell you what a result means for you

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u/amara_dziedzic1 point·2 months ago

Yeah, baseline matters more than any later number.

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u/lina_falk1 point·2 months ago

nobody here can tell you what a result means for you

Yes, exactly this, and it is the bit that took me 42 weeks to accept.

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u/skip_week_sceptic1 point·2 months ago·edited

A1c moves slowly, quarterly is plenty

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u/intent_to_treat1 point·2 months ago

eGFR noise during rapid loss is expected

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u/customs_seizure_sid63 points·2 months ago

This is correct. ApoB is the better marker.

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u/mikkel_kimani41 points·2 months ago

Small correction: the trial was 23 weeks, not 16. Does not change your point but people will quote it.

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u/thermal_mass_tom54 points·2 months ago

What are your reference ranges?

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u/laila_yilmaz18 points·2 months ago

the 7 month baseline labs check is the routine

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u/yara_boateng12 points·2 months ago

A1c moves slowly, quarterly is plenty

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u/mikkel_ogunleye0 points·2 months ago

Do you have baseline to compare to?

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u/chidi_abubakar29 points·2 months ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/yara_mensah9 points·2 months ago·edited

ApoB over LDL-C, that is the hierarchy

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u/gentle_correctionnice about it11 points·2 months ago

Slight fix: the number was 95.1, not 94.2. Decimal point, but a fairly consequential one.

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u/constipation_clubOPside effects5 points·2 months ago

Slight fix: the number was 95.1, not 94.2.

Adding to this: ApoB is doing more work than the comment implies.

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u/constipation_clubOPside effects15 points·2 months ago

Baseline ApoB: 98.9. Week 68: 99.1. Same lab, fasted, same time of day. Trend matters.

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u/kaia_kuusela7 points·2 months ago

triglycerides from 14 to 3 is movement, not noise

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u/elin_trevino5 points·2 months ago

triglycerides from 14 to 3 is movement, not noise

Disagree on that part. 93.7% and 99.3% on the same vial is normal.

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u/mikkel_kimani8 points·2 months ago

Yeah, baseline matters more than any later number.

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u/emeka_chowdhury9 points·2 months ago

hs-CRP from 15 to 40 is movement, not noise

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u/rekha_mwangi29 points·2 months ago·edited

You have restated the marketing copy. What is the actual substance here.

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u/nayeli_iyer15 points·2 months ago

This is correct. ApoB is the better marker.

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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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