stalled for 6 weeks at 2.5mg and I refuse to panic this time
stalled for 6 weeks at 2.5mg and I refuse to panic this time. I have gone back and forth on this for months.
Hard numbers: 6 weeks and 2.5mg. Anything softer than that is flagged as an impression.
Nobody here can interpret your panel and this comment is not doing so. What a board can usefully do is help you ask better questions of somebody who can.
My TSH moved and I spent a fortnight convinced I knew why. The repeat six weeks later was back in range and I had changed nothing.
Happy to answer the boring questions. Those are usually the ones worth asking.
best — the order this archive was captured in
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.
draw at the same point in the week if you want comparability
baseline before you start is worth more than any later panel
Brought the whole set to my clinician rather than one flagged value. Completely different conversation.
same lab, same conditions, or you are comparing noise
Draw at the same point in the week now, fasting, same lab. The noise dropped enormously once I standardised.
nothing on this board interprets your results for you
one measurement is a point, two is a line, three is a trend
Repeat testing before acting is standard practice for a reason: regression to the mean does a lot of work on single outlying values.
The confounding problem, stated plainly, because this board keeps stepping on it.
Substantial weight loss moves lipids, liver enzymes, insulin sensitivity markers and several others in its own right. If you are losing weight while taking something, any change in those markers has at least two candidate explanations and you cannot separate them from your own panel.
What you can do is standardise, take a baseline, keep the series long, and be honest in your posts about what is and is not attributable. The threads that say "this compound did X to my ALT" almost never have the design to support the claim, mine included.
How many weeks between the two measurements?
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.
Careful — that is a question for whoever ordered the panel, and nobody in this thread can answer it responsibly.
Not convinced by the attribution. Weight loss alone moves that marker and you have no way to separate the two.
assay method matters, especially between different labs
- 1draw at the same point in the week if you want comparability8 comments in this branch · started by u/nnt_nate
- 2Repeat testing before acting is standard practice for a reason: regression…7 comments in this branch · started by u/janek_ferrari