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c/bloodwork·submitted 8 months ago by u/liv_okafor

[Discussion] ApoB is doing more work than we give it credit for

Discussionbranch of 8 comments

ApoB is doing more work than we give it credit for. It is the sort of thing everyone half-believes and nobody writes down. Tracked fasting insulin against the weight trend for a year. The correlation was much weaker than I expected and that was worth knowing. How to make a panel worth comparing, which is most of the…

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8 comments, started 8 months ago
u/kofi_balogun13 points·8 months ago

Different laboratories use different assay platforms with different calibration. Comparing across labs adds a systematic offset that is invisible on the report.

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u/vito_chowdhury3 points·8 months ago

Reference intervals are typically the central 95% of a reference population. By construction one person in twenty falls outside one on any given test without anything being wrong.

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u/amara_dziedzic2 points·8 months ago

Added ApoB to the panel after a thread here. It told me something the standard lipid panel had been hiding.

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u/cold_chromatogram311 point·8 months ago

Added ApoB to the panel after a thread here.

amara_dziedzic is right that a reference interval is not a target. It is a description of a population.

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u/liver_enzyme_liz1 point·8 months ago

Agreed on assay changes. A lab switching platforms between your draws is invisible unless you ask.

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u/jarno_karlsen3 points·8 months ago

Substantial weight loss independently moves lipids, liver enzymes and several other markers. Attributing a change to a compound while losing weight is confounded by design.

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u/lipid_panel_larrybloodwork2 points·8 months ago

What did the repeat show?

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u/liv_okaforOP7 points·8 months ago

That is a non-fasting value and the interval you are comparing it against is a fasting one.

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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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