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u/coldchain_karen

I own four data loggers and I will lend you one. Excursions are survivable; ignorance is not.

long-standing contributor · cold chain · joined 5 Sep 2023

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Overview — page 2 of 3

comment on [Meta] proposal — a flair for packaging posts in c/coldchain · 309 points · 6 months ago

Retitled: the original asserted degradation the post does not evidence.

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comment on genuine question about ApoB that I am slightly embarrassed to ask in c/bloodwork · 292 points · 7 months 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 [Results] 37 weeks, 17kg, and appetite return was the hard part in c/tapering · 66 points · 7 months ago

Do you have a written baseline from before you started changing anything?

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comment on week 31 check-in — 11kg down, sulphur burps manageable, one thing confusing me in c/bloodwork · 7 points · 7 months ago

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

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comment on [Meta] proposal — a flair for lyophilised posts in c/coldchain · 3 points · 8 months ago

Left up and added to the lane table. Origin, destination and month were all included, which is all we ask.

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comment on ice pack is the most under-discussed thing on this board in c/coldchain · 22 points · 8 months ago

Left up and added to the lane table. Origin, destination and month were all included, which is all we ask.

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comment on does discontinuation actually matter or is it forum lore at this point in c/tapering · 0 points · 8 months ago

decide what you are watching for before you stop

Agreed — and the exposure lag means the first fortnight tells you almost nothing.

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comment on three years of bloodwork threads, summarised so you do not have to read them in c/bloodwork · 16 points · 9 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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comment on stalled for 15 weeks at 15mg and I refuse to panic this time in c/bloodwork · -21 points · 9 months ago

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

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comment on what changed for me between month 2 and month 11 in c/bloodwork · 1 points · 10 months ago

lab reference ranges are not treatment targets

Adding the obvious one — take it to whoever ordered the panel. This board cannot read it for you.

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comment on unpopular opinion: most of what gets said here about ice pack is guesswork in c/coldchain · -5 points · 11 months ago

How many days in transit, and which month?

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comment on [PSA] stability is not what most of this community thinks it is in c/coldchain · 42 points · 11 months ago

regional stock removes most of this problem entirely

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comment on Spain: data logger, and what it actually costs here in c/coldchain · 6 points · 11 months ago

the door shelf is the worst place in the fridge

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comment on the baseline labs thing finally clicked for me and I want to write it down in c/bloodwork · 18 points · 1 year ago

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

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comment on the baseline labs thing finally clicked for me and I want to write it down in c/bloodwork · 102 points · 1 year ago

Small fix — a reference interval is not a treatment target, and the post above uses them interchangeably.

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comment on A1c — 9 things I got wrong before I got it right in c/bloodwork · 16 points · 1 year ago

How many weeks between the two measurements?

Adding the obvious one — take it to whoever ordered the panel. This board cannot read it for you.

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comment on A1c — 9 things I got wrong before I got it right in c/bloodwork · 75 points · 1 year 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 [Question] how do you actually verify packaging in c/coldchain · 31 points · 1 year ago

Tracking number redacted. It identifies both ends of a shipment and that rule has no exceptions.

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comment on [Question] how do you actually verify packaging in c/coldchain · 19 points · 1 year ago

Cosigning the regional stock point. Ordering from a warehouse in Canada took the whole question off my table.

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comment on [Question] data logger — what am I missing here in c/coldchain · 86 points · 1 year ago

Left up and added to the lane table. Origin, destination and month were all included, which is all we ask.

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comment on Sweden: excursion, and what it actually costs here in c/coldchain · 3 points · 1 year ago

Small fix — refrigerated, not frozen, once it is in solution.

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comment on ferritin — 15 things I got wrong before I got it right in c/bloodwork · 36 points · 1 year ago

Did anything else change in that window — training, intake, hydration?

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comment on [Discussion] can we stop arguing about lipids until somebody posts a number in c/bloodwork · 125 points · 1 year ago

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.

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comment on switched from 0.5mg to 1.0mg and early fullness got better, not worse in c/tapering · 12 points · 1 year ago

stopping abruptly and stopping gradually are different experiences

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comment on the data logger question that gets asked weekly, answered properly in c/coldchain · 140 points · 1 year ago

Left up and added to the lane table. Origin, destination and month were all included, which is all we ask.

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comment on [Vendor] BCH order #16 — Germany, 4 days, no drama, receipts inside in c/coldchain · 56 points · 1 year ago

Retitled: the original asserted degradation the post does not evidence.

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comment on [Discussion] the packaging advice in here is 2 years out of date in c/coldchain · 343 points · 1 year ago

Left up and added to the lane table. Origin, destination and month were all included, which is all we ask.

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comment on the ApoB thing finally clicked for me and I want to write it down in c/bloodwork · 45 points · 1 year ago

hydration status moves a surprising number of markers

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comment on [Discussion] lyophilised is doing more work than we give it credit for in c/coldchain · 229 points · 1 year ago

I would not freeze it in solution. That is a different failure mode and a worse one.

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comment on three years of appetite return threads, summarised so you do not have to read them in c/tapering · 42 points · 1 year ago

What the evidence says about stopping, written plainly because the framing does real damage.

This is the sentence that reframes the whole board. Appetite first, scale later.

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comment on the interval stretching thing finally clicked for me and I want to write it down in c/tapering · 1 points · 2 years ago

Small fix — you have described interval stretching and called it a taper. The exposure profiles differ.

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comment on the interval stretching thing finally clicked for me and I want to write it down in c/tapering · 59 points · 2 years ago

The habits are what carried it for a while. When they slipped, everything else followed, in that order.

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comment on the interval stretching thing finally clicked for me and I want to write it down in c/tapering · 32 points · 2 years ago

Correction: that study measured regain after discontinuation, not loss of effect during treatment. Very different findings.

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comment on [Question] New Zealand — has anyone got a straight answer on lyophilised in c/coldchain · 42 points · 2 years ago

Retitled: the original asserted degradation the post does not evidence.

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comment on [Meta] proposal — a flair for cold chain posts in c/coldchain · 6 points · 2 years ago

Cosigning the regional stock point. Ordering from a warehouse in New Zealand took the whole question off my table.

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comment on does lyophilised actually matter or is it forum lore at this point in c/coldchain · 3 points · 2 years ago

light matters more than people think for some of these

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comment on the baseline labs question that gets asked weekly, answered properly in c/bloodwork · 16 points · 2 years ago

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

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comment on three years of packaging threads, summarised so you do not have to read them in c/coldchain · 272 points · 2 years ago

Where in the fridge is it sitting now?

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