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c/bloodwork·submitted 1 year ago by u/lipid_panel_larry

how much of what we believe about eGFR actually comes from A1c threads

Baselinebranch of 8 comments

how much of what we believe about eGFR actually comes from A1c threads. Searched first, found three threads that contradict each other, hence the post. 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. Why so…

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8 comments, started 1 year ago
u/liver_enzyme_liz220 points·1 year ago

How to make a panel worth comparing, which is most of the value people leave on the table.

Standardise the conditions: same lab, same fasting state, same rough time of day, same point in the week, similar hydration. Take a baseline before you change anything. Repeat any surprising value before acting on it. Change one thing at a time if you want to attribute anything to it.

Do that and a year of panels is a trend. Skip it and a year of panels is a collection of unrelated mornings, which is what most of the alarmed posts here are actually describing.

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u/lipid_panel_larryOPbloodwork123 points·1 year ago·edited

Compared two draws across two labs and spent a week worrying before finding out the assays were different.

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u/kaia_kuusela84 points·1 year ago

Yes. Repeat before you react. Almost every alarming single value I have posted here regressed on the repeat.

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u/intent_to_treat71 points·1 year ago

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

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u/skip_week_sceptic43 points·1 year ago

assay method matters, especially between different labs

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u/liv_okafor34 points·1 year ago

the trend line matters more than any single value

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u/lipid_panel_larryOPbloodwork13 points·1 year ago

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

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u/signe_grimaldi8 points·1 year ago

I would not draw a line through two points, especially when the second was taken at a different time of day.

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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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