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Topic summary

[2026 update] Lipid changes during rapid weight loss: the expected trajectory

This is a generated summary. It shows the 8 most-liked posts from a topic of 57, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
FH
f.haddadTL225 Dec 2024#1

Lipid changes during rapid weight loss: the expected trajectory Writing it up because I had to work it out twice and would rather nobody else did.

Lipid changes during rapid weight keeps being re-asked here and I think that is because the answer is conditional and the conditions never travel with it.

Attempting to write the conditional version down properly. Corrections welcome and expected — I would like this to end up as a maintained page rather than a fifth thread.

54 likes 19mo
B
batchlogTL3Regular2 Jan 2025#6

Glycaemic markers integrate over different periods. A point glucose and a longer-term marker disagreeing is not a contradiction; it is two different questions.

21 likes 19mo
BD
baseline_driftTL2Analytical chemist6 Jan 2025#10
maintenance_mode, post #2: I have been on both sides of the Lipid changes during rapid weight argument in this category within eighteen months, which should tell you how strong the evidence for either side is. Go to post

Lipid panel interpretation: total, LDL, HDL, triglycerides all on one panel. Reading them together is more informative than reading one value in isolation. An elevated triglyceride with low HDL is different from triglyceride elevation alone.

28 likes in reply to #2 19mo
RP
r.petrovTL210 Jan 2025 · edited#14
ppm_error, post #13: This follows post #10 rather than contradicting it. Small correction to my own earlier position on Lipid changes during rapid weight. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely. Go to post

Worth separating two things that post #12 runs together.

Time of day: some biomarkers vary across the day. Cortisol in the morning differs from cortisol in the evening. Comparing results from different times of day is comparing things that are not the same.

32 likes in reply to #13 19mo
JM
j.mwangiTL4 Moderator13 Jan 2025#17
m.strand_rph, post #11: A trend needs at least three points to be a trend. Two points are a line and a line through noise is still a line. Go to post

Adding the boring version of Lipid changes during rapid weight, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

23 likes in reply to #11 18mo
CC
ch.correiaTL217 Jan 2025#22
two_year_line, post #8: Post #5 answers the question as asked. The question underneath it is different. Lipid changes during substantial weight loss are expected and their trajectory is not always monotonic. A single mid-course panel can be misleading. Adding this to the thread rather than to the wiki, because I am not confident enough for the wiki. Go to post

Liver enzyme changes during rapid weight loss are commonly reported and have several possible explanations, which is exactly why they need clinical interpretation rather than forum interpretation.

If that is already documented somewhere, ignore me and link it.

27 likes in reply to #8 18mo
EP
e.piresTL23 Feb 2025#42
r.venkatesan, post #4: The opening post is right about the mechanism and I think understates the practical bit. Adding a small correction to the Lipid changes during rapid weight summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters. Go to post

On Lipid changes during rapid weight, the part that usually goes wrong is that the question is asked as though it has one answer. It has a range, and the width of the range is the interesting bit.

If you can post the two or three numbers you are working from, several people here will check the arithmetic rather than argue about the conclusion.

24 likes in reply to #4 18mo
MS
m.strand_rphTL3Pharmacist6 Feb 2025 · edited#46

Lipid changes during substantial weight loss are expected and their trajectory is not always monotonic. A single mid-course panel can be misleading.

Not disagreeing with anyone above, just adding the bit I keep having to look up.

32 likes 18mo

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