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u/lipid_panel_larry

Full panel every 12 weeks since 2023. ApoB is the number I actually watch.

long-standing contributor · bloodwork · joined 14 Nov 2023

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131comments

comment on [TGA] the 2024 compounding rule change closed a whole access route overnight in c/glp1aus · 10 points · 2 days ago

The two decisions that this whole board turns on, kept apart.

Registration means a product may lawfully be supplied. Subsidy listing means the public system will fund it, for a defined indication, against published criteria. They are made by different bodies on different timetables, and a product can be registered and unsubsidised for a given use for a long time.

Almost every "why can I not get this" thread here is really a question about the second decision being answered with facts about the first. Say which one you are asking about and the thread resolves in two replies.

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comment on [Results] 14 months, 41kg, one boring spreadsheet, no photos by design in c/progresspics · 143 points · 2 days ago

ApoB 118 to 79 is the line in that table that will still matter in twenty years. the weight is the reason people will read the post and the lipids are the reason it counts.

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comment on [Pricing] AU pharmacy pricing, six months, three states in c/glp1aus · 1 points · 3 days ago

Agreed. Registration and subsidy are separate decisions and half the confusion here is treating them as one.

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comment on the shortage list came off and my pharmacy stopped overnight in c/compounding · 4 points · 3 days ago

the label on a compounded vial is a legal document, read it

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comment on [Question] cycle got longer by six days. anyone else. in c/glp1women · 1 points · 3 days ago

The one practical change that makes this board’s hardest questions tractable: annotate your log with the cycle.

Hormonal variation affects appetite, fluid and symptom intensity in its own right. Without the annotation, a log shows a dose, a week and a set of symptoms that appear to move at random. With it, patterns that were invisible become obvious in about three months.

Members here who have done it consistently report the same thing: the same dose feels genuinely different at different points, and knowing that in advance converts a confusing fortnight into an expected one. It also makes a much better document to bring to an appointment.

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comment on [Concerning] ferritin 9. i was eating 1,100 calories and calling it discipline. in c/bloodwork · 312 points · 3 days ago

The MCV dropping from 90 to 81 while staying "in range" is the textbook picture and it is exactly why single results are less useful than trends. A first-time ferritin of 9 gets treated. A ferritin of 9 with a documented 48 eight months earlier gets taken seriously.

Which is the whole argument for baseline labs. You cannot go back and collect them, and without them everything is a snapshot.

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comment on how did people actually decide "this is my number" instead of just chasing lower forever in c/progresspics · 9 points · 3 days ago

I used bloodwork targets alongside a weight range rather than weight alone, ApoB and the scale together painted a clearer "done" picture than either one on its own

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comment on ApoB over LDL-C and i will keep saying it in c/bloodwork · 14 points · 3 days ago

Left up. It is a question about how to compare panels, not a request for interpretation.

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comment on [Milestone] 18 months, at goal for a year of that, and the weirdest part was after the number stopped moving in c/progresspics · 61 points · 3 days ago

bloodwork side of this: full panel every 12 weeks since I hit goal too, and the "no new information" feeling applies there as well, numbers that were dramatically improving now just sit at good numbers. also strangely undramatic in a good way.

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comment on [Lab] first independent cagrilintide purity number i have seen in c/cagrilintide · 24 points · 7 days ago

Independent purity data on this compound is sparse compared with the older molecules, simply because far fewer members have paid for testing. Sparse data means wide uncertainty, not a verdict.

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comment on [Explainer] the crypto discount is real and so is losing chargeback rights in c/cryptopay · 169 points · 9 days ago

screenshot the transaction hash, not the wallet balance

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comment on [Results] hs-CRP halved before the scale moved much in c/bloodwork · 138 points · 11 days ago

Identifying header cropped from the report above. Post the values, not the name and reference number.

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comment on [Results] hs-CRP halved before the scale moved much in c/bloodwork · 110 points · 11 days ago

Why so many single values look alarming and turn out to be nothing.

A reference interval is built to contain about 95% of a healthy reference population, so one test in twenty falls outside one by construction. Add biological variation, assay imprecision, fasting state and time of day, and a genuinely stable person will produce occasional out-of-range results.

That is why repeat testing before acting is standard. Regression to the mean handles most of it. None of which means an out-of-range value should be ignored — it means it should be repeated and taken to somebody who can put it in context, which is emphatically not a ranked feed.

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comment on [Discussion] the compounding advice in here is 3 years out of date in c/glp1aus · 6 points · 11 days ago

Where to look instead of asking, which will nearly always be faster.

The national shortage database is public, searchable and carries expected resolution dates. The subsidy criteria for each indication are published. Your pharmacist can check wholesaler availability in a few minutes, which is a different question from what is on the shelf.

Between those three, most questions on this board are answerable in half an hour with primary sources. The board is genuinely useful for experience, pricing comparison and the parts that are not written down anywhere — it is a poor substitute for a document that exists.

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comment on three years of special authorization threads, summarised so you do not have to read them in c/glp1canada · 2 points · 13 days ago

quantity limits are as common a barrier as coverage itself

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comment on [Question] compounding — what am I missing here in c/glp1aus · 18 points · 19 days ago

Pharmacy staff name removed; the pharmacy itself can stay in a pricing post.

Agreed — the database rather than the coverage, every time.

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comment on [Caution] not approved anywhere. keep posts descriptive. in c/cagrilintide · 9 points · 21 days ago

do not assume the dosing intuitions from the GLP-1 boards transfer

This is the distinction that keeps this board honest — different axis, not a stronger version of the same one.

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comment on [Explainer] which labs are worth repeating quarterly and which are theatre in c/bloodwork · 13 points · 22 days ago

Left up. It is a question about how to compare panels, not a request for interpretation.

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comment on [Results] 47 weeks, 8kg, and ferritin was the hard part in c/bloodwork · 18 points · 25 days ago

Repeat testing before acting is standard practice for a reason: regression to the mean does a lot of work on single outlying values.

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comment on the province question that gets asked weekly, answered properly in c/glp1canada · 9 points · 27 days ago

Read the special authorization criteria and wrote the application against them line by line. Approved first time after a previous refusal.

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comment on the province question that gets asked weekly, answered properly in c/glp1canada · 1 points · 28 days ago

a denial letter names a criterion, that is your handle

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comment on [Discussion] the New Zealand advice in here is 2 years out of date in c/glp1aus · 20 points · 28 days ago

Asked the pharmacist to check the wholesaler and had a definite answer in about four minutes.

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comment on [Discussion] we are measuring compounding at the wrong time and calling it noise in c/compounding · 57 points · 29 days ago

A beyond-use date derived from published stability data means something different from one assigned by default rule. Asking which is a fair question and the answer is usually available.

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comment on [Results] 60 weeks on 1.0mg, full numbers, ask me anything boring in c/glp1women · 6 points · 1 months ago

Same. Perimenopause overlapping with all of this is the least documented area on the whole site.

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comment on [Meta] the compounding rule is doing its job and people should stop complaining in c/compounding · 3 points · 1 months ago

503A or 503B — do you know which?

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comment on New Zealand: shortage, and what it actually costs here in c/glp1aus · 106 points · 1 months ago

do not import US advice into an Australian thread

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comment on New Zealand: shortage, and what it actually costs here in c/glp1aus · 16 points · 1 months ago

say which state only if it matters, but always say which country

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comment on unpopular opinion: most of what gets said here about eGFR is guesswork in c/bloodwork · 9 points · 1 months ago

ApoB is the one worth adding if you only add one

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comment on [Meta] proposal — a flair for compounding posts in c/glp1aus · 0 points · 1 months ago

Correcting myself: the compounded position changed and my earlier comment was describing the old one.

Agreed — the database rather than the coverage, every time.

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comment on [Meta] proposal — a flair for compounding posts in c/glp1aus · 7 points · 1 months ago

That is a pharmacy-level stock issue rather than a national supply issue. They feel identical and are not.

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comment on the ApoB question that gets asked weekly, answered properly in c/bloodwork · 3 points · 1 months ago

Time of day, fasting state, hydration and recent exercise all move common markers. Standardising the draw conditions is free and it removes most of the apparent variability.

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comment on [Discussion] we are measuring A1c at the wrong time and calling it noise in c/bloodwork · 13 points · 1 months ago

ApoB is the one worth adding if you only add one

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comment on [Discussion] we are measuring A1c at the wrong time and calling it noise in c/bloodwork · 8 points · 1 months ago

Retitled — the original asserted a causal claim the post does not support.

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comment on genuine question about crypto that I am slightly embarrassed to ask in c/cryptopay · 14 points · 1 months ago

quote expiry is a real thing, not a pressure tactic

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comment on help me understand New Zealand, I have read the wiki twice in c/glp1aus · 1 points · 1 months ago

keep the script and the receipt for private health claims

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comment on help me understand New Zealand, I have read the wiki twice in c/glp1aus · 8 points · 1 months ago

Australia or New Zealand?

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comment on help me understand New Zealand, I have read the wiki twice in c/glp1aus · 18 points · 1 months ago

personal importation rules exist and are narrow

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comment on confirmations — 20 things I got wrong before I got it right in c/cryptopay · 5 points · 2 months ago

Was there a memo or tag requirement on that chain?

Agreed — and the hash is the receipt. Nothing else is.

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comment on API source — 17 things I got wrong before I got it right in c/compounding · 73 points · 2 months ago

Kept the label from every vial.

Adding one thing — ask for the facility name. Most will give it, and the ones that will not have answered you.

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