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

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

Discussionbranch of 17 comments

ferritin is doing more work than we give it credit for, and I am aware this is a minority view on this board. Different laboratories use different assay platforms with different calibration. Comparing across labs adds a systematic offset that is invisible on the report. Substantial weight loss independently moves…

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17 comments, started 1 year ago
u/kenji_kimani104 points·1 year ago

Not convinced by the attribution. Weight loss alone moves that marker and you have no way to separate the two.

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u/iman_falkOP72 points·1 year ago

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

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u/blank_injection89 points·1 year ago

one measurement is a point, two is a line, three is a trend

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u/iman_falk44 points·1 year ago

one measurement is a point, two is a line, three is a trend

Disagreeing with this bit: that change is confounded by the weight loss itself and cannot be attributed.

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u/cardio_endpoint_c60 points·1 year ago

Tracked A1c against the weight trend for a year. The correlation was much weaker than I expected and that was worth knowing.

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u/osman_eriksen83 points·1 year 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/mikkel_kimani47 points·1 year ago

Correction: that marker is reported in different units by different labs, which explains the tenfold difference you are seeing.

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u/iman_falk20 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/yara_antonsen17 points·1 year ago

Yes — same lab, same fasting state, same rough time of day, or the comparison is doing nothing.

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u/nayeli_iyer-33 points·1 year ago

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.

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u/coring_the_stopper13 points·1 year ago

What did the repeat show?

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u/iman_falkOP13 points·1 year 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/liver_enzyme_liz15 points·1 year ago

same lab, same conditions, or you are comparing noise

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u/hugo_pires6 points·1 year ago

the trend line matters more than any single value

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[deleted]7 points·1 year ago

[deleted]

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u/cormac_erdogan56 points·1 year ago

bring the numbers to someone qualified to read them

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u/kaia_kuusela151 points·1 year ago

a single eGFR outside range is a reason to repeat, not to panic

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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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