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u/thyroid_tangent

Your TSH is probably fine. Get it checked anyway if you are symptomatic.

member · joined 20 May 2024

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comment on why is nobody talking about the SURPASS-CVOT readout in c/tirzepatide · 4 points · 5 days ago

pens and vials are the same molecule, the price is the difference

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comment on GIP agonism explained like i am five, please in c/tirzepatide · 132 points · 10 days ago

The 21% figure is a 72-week mean on the highest arm. Quoting it as what someone should expect by week 49 is not a fair reading.

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comment on [Medutest] split one vial across two services, results within 0.9% in c/labresults · 1 points · 12 days ago

Inter-lab variance on this assay runs roughly a point either way, driven mostly by gradient and integration. Two results inside that band agree; they do not disagree quietly.

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comment on [Janoshik] JEEP reta 10mg — 98.9%, and yes i paid for it myself in c/labresults · 26 points · 16 days ago

What a result posted here is actually worth, and how to make yours worth more.

A single figure with no batch identifier is about a vial nobody can locate. Add the batch and it becomes about a lot. Add the claimed figure from the certificate and it becomes a comparison. Add the service and the date and it becomes reproducible. Say that you paid for it yourself and it becomes independent.

Five extra fields, thirty seconds of typing, and the difference between a comment and a row in the log that will still be useful in three years.

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comment on [Explainer] which labs are worth repeating quarterly and which are theatre in c/bloodwork · 1 points · 22 days ago

That comparison crosses two labs with different assays. The difference you are describing may be the method.

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comment on [Discussion] the ALT advice in here is 2 years out of date in c/bloodwork · 15 points · 1 months ago

weight loss itself moves several of these independently

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comment on [Lab] four vendors, same compound, same week, one test each in c/labresults · 1 points · 1 months ago

Area percent and net peptide content are different measurements and most reports give one. Quote which, or the comparison downstream is meaningless.

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comment on [Lab] split one vial across PeptideMeter and VendorInvestigate — 98.4% and 97.2% in c/tirzepatide · 102 points · 1 months ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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comment on [Below Spec] 94.1% with a 1.8% single impurity. is that the des-amido in c/labresults · 10 points · 1 months ago

Which service, and did you pay for it yourself?

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comment on [Discussion] we are measuring A1c at the wrong time and calling it noise in c/bloodwork · 2 points · 1 months ago

Careful — that is a question for whoever ordered the panel, and nobody in this thread can answer it responsibly.

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

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comment on [Lab] split one vial across Medutest and Janoshik — 99.3% and 98.7% in c/tirzepatide · 1 points · 2 months ago

Small fix: SURMOUNT is the obesity programme, SURPASS is the type-2 programme.

Saving this one. It is the clearest statement of the stall problem I have read here.

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comment on [PSA] below spec is not what most of this community thinks it is in c/labresults · 6 points · 2 months ago

Small fix — same supplier, different lot. The two rows in the log are not the same batch.

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comment on [PSA] below spec is not what most of this community thinks it is in c/labresults · 0 points · 2 months ago

Did the vial lot match the paperwork lot?

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comment on [PSA] below spec is not what most of this community thinks it is in c/labresults · 10 points · 2 months ago

split a vial across two services once and you will never argue about ground truth again

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comment on nobody warned me about muscle cramps and I would have liked the warning in c/tirzepatide · 3 points · 2 months ago

zepbound and mounjaro are the same compound with different labels

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comment on how much of what we believe about PeptideMeter actually comes from test results threads in c/labresults · 1 points · 3 months ago

Area percent and net peptide content are different measurements and most reports give one. Quote which, or the comparison downstream is meaningless.

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comment on Zepbound — my 8-week log, condensed into one table in c/tirzepatide · 541 points · 3 months ago

On comparing yourself with the trial number.

SURMOUNT-1 reported roughly 21% mean body weight change at 72 weeks on the highest arm. Three things get dropped every time that figure is quoted here. It is a mean, and the distribution around it is very wide. It is 72 weeks, which is a year and a half. And it is a trial population with trial support, which is not the same as a person with a spreadsheet.

Use it as a rough shape, not a benchmark. A 12% year is inside the ordinary range and people quit over it every week on this board.

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comment on Mounjaro: the version I wish someone had shown me in week 1 in c/tirzepatide · 16 points · 4 months ago

SURMOUNT-1 ran 72 weeks with the top arm around 21% mean body weight change. SURPASS is the diabetes programme and reports glycaemic endpoints, so quoting the two interchangeably is a category error.

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comment on purity — 20 things I got wrong before I got it right in c/labresults · 39 points · 4 months ago

Agreed — the template exists because a result without the batch and the claim is unanchored.

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comment on small win: ALT stopped being a problem at week 87 in c/bloodwork · 10 points · 4 months ago

Same view — ApoB if you add one thing. It answers a question the standard panel only gestures at.

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comment on [Results] 54 weeks on 0.5mg, full numbers, ask me anything boring in c/bloodwork · 8 points · 5 months ago

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

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comment on [Question] dual agonist — what am I missing here in c/tirzepatide · 9 points · 5 months ago

Did you come to this from sema, and if so how long was the gap?

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comment on my TSH moved and I cannot work out whether ferritin is why in c/bloodwork · 10 points · 6 months ago

draw at the same point in the week if you want comparability

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comment on is it normal to get food noise at week 85 in c/tirzepatide · 20 points · 6 months ago

The step schedule question, answered properly, because it comes up weekly.

The label sets a minimum interval of four weeks between increases. That is a floor on how fast you may go, and it exists because tolerability, not efficacy, is what limits most people. There is nothing in the pharmacology that says you must increase at four weeks, or at eight, or ever.

What decides it in practice is whether the effect you want is still there. If appetite is quiet and the trend is going the right way, the dose is doing its job. If both have genuinely gone flat for six weeks or more, that is a conversation worth having with someone who knows your history.

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comment on week 71 check-in — 23kg down, muscle cramps manageable, one thing confusing me in c/bloodwork · 156 points · 6 months 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 week 31 check-in — 11kg down, sulphur burps manageable, one thing confusing me in c/bloodwork · 24 points · 7 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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comment on does non-scale victory actually matter or is it forum lore at this point in c/progresspics · -15 points · 7 months ago

Careful — that reads as advice about what someone else should do, and this board is for describing your own.

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comment on [Vendor] Homopeptide vs QSC on the same compound, same month — both cleared 98.0% in c/labresults · 45 points · 8 months ago

Which service, and did you pay for it yourself?

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comment on someone explain goal to me like I have not read a paper in years in c/progresspics · 146 points · 8 months ago

Careful — that reads as advice about what someone else should do, and this board is for describing your own.

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comment on [Meta] proposal — a flair for baseline labs posts in c/bloodwork · -4 points · 9 months ago

fasting state and time of day change more than people expect

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comment on [PSA] Janoshik is not what most of this community thinks it is in c/labresults · 145 points · 10 months ago

A series across separate lots estimates a process. Repeat tests on one lot estimate the measurement. Both are useful and they answer different questions.

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comment on is it normal to get constipation at week 87 in c/tirzepatide · 79 points · 11 months ago

Disagree with the conversion table. There is no validated equivalence between the two molecules and posting one as though there is does real damage.

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comment on [Discussion] the test results advice in here is 2 years out of date in c/labresults · 1 points · 11 months ago

area percent unless the report says otherwise

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comment on [Results] 39 weeks, 17kg, and progress was the hard part in c/progresspics · 68 points · 1 year ago

nobody owes anybody a starting weight

Adding the thing I wish someone had said to me — the goal you picked at week one was a guess.

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comment on [Question] how do you actually verify Zepbound in c/tirzepatide · 26 points · 1 year ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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comment on PeptideMeter is the most under-discussed thing on this board in c/labresults · 47 points · 1 year ago

What a result posted here is actually worth, and how to make yours worth more.

A single figure with no batch identifier is about a vial nobody can locate. Add the batch and it becomes about a lot. Add the claimed figure from the certificate and it becomes a comparison. Add the service and the date and it becomes reproducible. Say that you paid for it yourself and it becomes independent.

Five extra fields, thirty seconds of typing, and the difference between a comment and a row in the log that will still be useful in three years.

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comment on stalled for 6 weeks at 1.7mg and I refuse to panic this time in c/bloodwork · 47 points · 1 year ago

How many weeks between the two measurements?

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comment on how much of what we believe about dual agonist actually comes from GIP threads in c/tirzepatide · 128 points · 1 year ago

Not sure that follows. You went up a step and changed your training in the same fortnight.

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comment on why does nobody talk about purity in c/labresults · 134 points · 1 year ago

Same. The GL Biochem results have been sitting in a tight band across lots, which is the useful shape.

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comment on goal — my 3-week log, condensed into one table in c/progresspics · 273 points · 1 year ago

On the goal weight you set in week one.

You chose it with the least information you will ever have about how this feels, what is sustainable, and what your body does at different points. Revising it is not moving the goalposts; it is updating a prediction, which is what you are supposed to do with predictions.

Several of the longest-standing members here have revised theirs more than once, in both directions, and describe the revision as the point at which the whole thing became manageable. What the number should be is a conversation with somebody who knows your history — but that it is allowed to change is something this board can tell you.

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