u/bence_zamora

Small fix — that is fat-free mass, not muscle mass. The scan cannot separate them the way the post assumes.

assay method matters, especially between different labs

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.

Took a baseline the week before starting purely because this board told me to. Best five minutes I have spent on this.

Is there a quantity limit involved rather than a coverage refusal?

weight loss itself moves several of these independently

lean mass loss during weight loss is expected, the question is how much

Careful, that is a nutrition prescription aimed at another member and this board does not do those.

Correction: those scans are from different machines, and the difference you are describing is within the measurement error.

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

Same DEXA machine both times?

FFMI is a ratio and it moves when either term moves

Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.

ApoB is the one worth adding if you only add one

I would not read one pharmacy’s cash price as the going rate. The spread is real.

ApoB is the one worth adding if you only add one

That is an employer plan process, and the provincial route is different in both form and timeline.

Fasting or not, and what time of day?

Resistance training, and at what frequency?

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

Push back: strength dropping in a deficit is not the same as lean mass loss. Related, not identical.

Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.

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.

This.

Disagreeing with this line: rate alone does not preserve lean mass. The training does.

assay method matters, especially between different labs

Disagree with reading anything into that. One value, one morning, and you changed two other things in the same window.

Disagree — that is your province’s formulary position and it does not carry to another.

Disagree with reading anything into that. One value, one morning, and you changed two other things in the same window.

do not compare your composition to a trial average

Cosigning on quantity limits. They stop as many people as outright denials do and get discussed far less.

grip strength and lift numbers are cheap longitudinal markers

Took a baseline the week before starting purely because this board told me to. Best five minutes I have spent on this.