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Clinical · Bloodwork

Micronutrient status when intake falls substantially

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Solved by a.stephanopoulos in post #2
I have been on both sides of the micronutrient status argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

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RM
r.mcalisterTL3Regular14 Apr 2025#1

On the subject in the title: Micronutrient status when intake falls substantially Working notes rather than a conclusion.

Posting a small dataset on micronutrient status. It is mine, it is uncontrolled, and the method is stated so it can be discounted appropriately.

What I would like is not agreement but a second dataset collected by someone with no stake in mine. If one exists I would rather read it than argue for this one.

6 likes 15mo
AS
a.stephanopoulosTL3Regular Solution24 Apr 2025#2

I have been on both sides of the micronutrient status argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

10 likes 15mo
KB
ka.batistaTL22 May 2025#3
Community wiki post. Any member at trust level 3 or above can edit this post; every edit is recorded. Last edited by formulary_notes on 26 May 2025.
  • 5 Jun 2025 — hana.sato: Added the worked example and a unit label to the table header.
  • 18 Aug 2025 — batchlog: Clarified the distinction that was causing repeat questions below.
  • 7 Dec 2025 — dietitian_hollis: Removed a claim that the cited source did not support.
  • 26 May 2025 — formulary_notes: Replaced an unsourced figure with the published one and cited it.
Editors: hana.sato, batchlog, dietitian_hollis, formulary_notes

Picking up post #2: that is the part I would want checked first.

Micronutrient status is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring.

22 likes 15mo
SF
sterile_fileTL3Regular8 May 2025#4
a.stephanopoulos, post #2: I have been on both sides of the micronutrient status argument in this category within eighteen months, which should tell you how strong the evidence for either side is. Go to post

On the opening post — agreed on the reasoning, with one qualification.

Repeat before acting is standard practice for an isolated abnormal result on most analytes, and it is standard for a reason.

The conclusion is tentative; the arithmetic underneath it is not.

0 likes in reply to #2 15mo
DV
d.vestergaardTL215 May 2025 · edited#5

What I want from this micronutrient status thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.

1 like 14mo
F
FairweatherTL221 May 2025#6
SS
s.salgadoTL226 May 2025#7

This follows post #5 rather than contradicting it.

Posting my micronutrient status numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

16 likes 14mo
VT
vial_tableTL2Member1 Jun 2025#8

No disagreement from me. Posting only so the question does not look ignored.

31 likes 14mo
SS
s.solbergTL26 Jun 2025#9

Building on post #7 rather than restating it.

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

That distinction has done more work for me than anything else in this category.

0 likes 14mo
G
GDashwoodTL3Regular11 Jun 2025#10

Post #9 put the caveat in the right place and I want to underline it.

Two questions I would want answered before drawing anything from the micronutrient status data above: how were the cases selected, and what happened to the ones that dropped out.

3 likes 14mo
ZL
z.laurentTL216 Jun 2025#11
sterile_file, post #4: On the opening post — agreed on the reasoning, with one qualification. Repeat before acting is standard practice for an isolated abnormal result on most analytes, and it is standard for a reason. The conclusion is tentative; the arithmetic underneath it is not. Go to post

Where the micronutrient status discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on.

1 like in reply to #4 13mo
KC
k.chukwuTL221 Jun 2025#12
EL
e.lehtinenTL226 Jun 2025#13

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.

Reading it again, the caveat matters more than the finding.

18 likes 13mo
HE
h.eriksenTL21 Jul 2025#14

Narrowing post #11, because the general version has more than one answer.

Worth stating the null on micronutrient status before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

7 likes 13mo
SE
septum_entryTL2Member5 Jul 2025#15

Where I part company with post #11, and it is a narrow parting.

The bit of micronutrient status that nobody enjoys is that the answer changes depending on what you are trying to decide with it. Say what the decision is and the thread will converge.

4 likes 13mo
FL
f.laurentTL210 Jul 2025#16

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

0 likes 13mo
IR
isotonic_reviewTL1Member14 Jul 2025#17

Offering a way to settle micronutrient status rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision.

25 likes 12mo
KK
k.kimaniTL219 Jul 2025#18
vial_table, post #8: No disagreement from me. Posting only so the question does not look ignored. Go to post

Repeat before acting is standard practice for an isolated abnormal result on most analytes, and it is standard for a reason.

Scoping that to what I have actually seen rather than what I have read.

12 likes in reply to #8 12mo
SC
s.cabreraTL223 Jul 2025#19
GDashwood, post #10: Post #9 put the caveat in the right place and I want to underline it. Two questions I would want answered before drawing anything from the micronutrient status data above: how were the cases selected, and what happened to the ones that dropped out. Go to post

No notes. Posting so the count is not one.

0 likes in reply to #10 12mo
DO
dr_okonkwoTL4 Moderator28 Jul 2025#20
Fairweather, post #6: 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. That is all I can say without guessing. Go to post

This follows post #18 rather than contradicting it.

Reframing micronutrient status slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

26 likes in reply to #6 12mo
BC
b.correiaTL21 Aug 2025#21
sterile_file, post #4: On the opening post — agreed on the reasoning, with one qualification. Repeat before acting is standard practice for an isolated abnormal result on most analytes, and it is standard for a reason. The conclusion is tentative; the arithmetic underneath it is not. Go to post

Picking up post #20: that is the part I would want checked first.

My experience of micronutrient status contradicts the reply above. I am posting it as a data point rather than as a refutation, because one person's experience is exactly that.

23 likes in reply to #4 12mo
JV
j.vandermolenTL3Regular5 Aug 2025#22

On post #18 — agreed on the reasoning, with one qualification.

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.

Adding it because I spent an afternoon working it out and nobody should have to twice.

0 likes 12mo
NA
n.achebeTL29 Aug 2025#23

Answering the micronutrient status question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.

1 like 12mo
TN
t.nardoneTL3Regular14 Aug 2025 · edited#24

Grateful for the specificity. Vague answers to this question are what sent me looking.

6 likes 11mo
EF
e.ferreiraTL3Regular18 Aug 2025#25
s.salgado, post #7: This follows post #5 rather than contradicting it. Posting my micronutrient status numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer. Go to post

Adding the measurement that post #23 says would settle it.

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

I would not lead a decision with this, but I would not ignore it either.

16 likes in reply to #7 11mo
H
HHidalgoTL2Member22 Aug 2025#26

On micronutrient status: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one.

32 likes 11mo
SD
st.dialloTL226 Aug 2025#27

Small correction to my own earlier position on micronutrient status. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.

0 likes 11mo
BS
buffer_shiftTL1Member30 Aug 2025#28
HHidalgo, post #26: On micronutrient status: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one. Go to post

Where I part company with post #26, and it is a narrow parting.

Repeat before acting is standard practice for an isolated abnormal result on most analytes, and it is standard for a reason.

I am describing what is, rather than arguing for what should be.

3 likes in reply to #26 11mo
MM
m.mwangiTL23 Sep 2025#29

Agreed on micronutrient status, with one qualification that I think matters. The reasoning holds for the case as described. Change the starting assumption and it does not, and the starting assumption is the part nobody states.

0 likes 11mo
DS
d.szymanskiTL3Wiki editor7 Sep 2025#30

A methods point on micronutrient status rather than a substantive one: if the comparison is not like for like, the difference you are measuring is the difference in method.

1 like 11mo