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  • Interpreting Blood Test Results

    Hi all,

    I just got my blood test results back. Does anyone have some good resources to help interpret it, or where to pay particularly close attention? I got CBC, thyroid, vit D, lipids all done.

    thanks!
    feel free to take a look at my journal!

    http://www.marksdailyapple.com/forum...primal-journal!

  • #2
    I am a resource?

    What are you numbers? I don't need all of it, just thyroid, full lipids, Hba1c, fasting glucose, 100g glucose test if you got it. I should be able to at least make some conclusions
    "The soul that does not attempt flight; does not notice its chains."

    Comment


    • #3
      I am 19 years old. thanks for giving me feedback.

      TSH 1.54
      T4 6.5
      FTI 6.7
      T3-Uptake 41.1

      Lipids:
      LDL direct: 83
      Cholesterol: 169
      Triglyceride: 35
      HDL: 71
      Non-HDL 98 (what is this?)

      Hgb A1C 5.4

      NON-fasting glucose (had a bit of breakfast beforehand, i was starving): 100

      vit d: 79.6!

      not sure if this is 'bad,' but my WBC was 4.3 and RBC was 4.4, which were right at the lower end of the range.
      feel free to take a look at my journal!

      http://www.marksdailyapple.com/forum...primal-journal!

      Comment


      • #4
        1) I love the LDL to HDL ratio. This is pretty much stellar.

        2) Trigly.....just about the only number off a "whole lipo" that I take into account. Yours is spectacular.

        3) Non-fasting has no value unless the exact quantity, time, and content of food are taken into account.

        4) Hba1c is also very good. I would shoot for sub 5.0% as an absolute rockstar, but this takes a lot of work. There is a Goldilocks zone of about 4.7 to 5.2 that I try to push for in my non-diabetic patients....but single readings have an error of that much, so I would not worry.

        Overall very good. No worries. I could tack it up as an example
        "The soul that does not attempt flight; does not notice its chains."

        Comment


        • #5
          At your age, your WBCs should be in the 6s and 7s, not at the low-normal level you're in. Most 60 year olds have higher WBCs than you. Retest and see if it's still low. Go back and see when it was last 6. I'd bet that it was before you started your "Paleo" diet.

          I hate to go against the grain, but despite the highly-credentialed lipid experts here, trigs of 35 are not healthy, especially not in a teenager. I'd shoot for 50-100, add some safe starch carbs, stay out of ketosis, especially if you have thyroid symptoms. In fact, in a teenager, your lipids are completely meaningless. Do you realize that? At your age, the probability of dying from heart disease is so infinitesimal that you shouldn't not even be concerned about atherosclerosis or cholesterol. The problem is too low cholesterol, specifically, trigs that are too low, not your lipids in any shape or form. Forget about the HDL, LDL, TC/HDL, Trigs/HDL ratios. They don't apply to a 19 year old in tip top shape.

          On the other hand, you do realize that your FTI and T3 Uptake are both high, right? Do you realize that or are you just not aware because no one is pointing out. It's your health. I'd urge you to err on the side of caution. Add some more carbs.

          Originally posted by echoyjeff222 View Post
          I am 19 years old. thanks for giving me feedback.

          TSH 1.54
          T4 6.5
          FTI 6.7
          T3-Uptake 41.1
          Last edited by choppedliver; 09-12-2013, 11:12 PM.

          Comment


          • #6
            not sure if this is 'bad,' but my WBC was 4.3 and RBC was 4.4, which were right at the lower end of the range
            This is very low for a health young person... To raise your RBC you might want to try to eat more high iron food, like red meat and spinach.
            The low level of your WBC isn't good but it also gives you a positive sign, you are not fighting many infections. it would be high if there was something wrong in your body. To raise these eating veggies and fruits help but also protein and minerals work.

            Besides that your blood work looks good... it might fluctuate troughout the seasons, it might be a wise thing to ask for an other bloodwork somewhere in January to see how it has changed and if your counts have gone up a bit
            My story, My thought....

            It's all about trying to stay healthy!!!!

            Comment


            • #7
              Outside of hyperthyroidism or a very low fat diet (which I doubt, on here), I am never concerned with a Trigly of that level. The numbers do not occur in isolation, and with and HDL/LDL ratio like yours, the amount of triglyceride reducers keeps it very low.

              I am always reticent in anything that tests for thyroid when in part of an overall panel due to their legendary inaccuracy. Even with that said, I would be much more dependent on your signs or symptoms of thyroid issues over a test. The numbers of people on harsh, often poorly dosed thyroid meds just because a test said so could fill a million volumes.

              If you do go back, I would push hard for no drugs. Try to control with diet, of which others here have advice better than mine on, before you ever start a medication. I spend a lot of time with people made very unhappy by thyroid meds.
              "The soul that does not attempt flight; does not notice its chains."

              Comment


              • #8
                Originally posted by TheyCallMeLazarus View Post
                Outside of hyperthyroidism or a very low fat diet (which I doubt, on here), I am never concerned with a Trigly of that level. The numbers do not occur in isolation, and with and HDL/LDL ratio like yours, the amount of triglyceride reducers keeps it very low.

                I am always reticent in anything that tests for thyroid when in part of an overall panel due to their legendary inaccuracy. Even with that said, I would be much more dependent on your signs or symptoms of thyroid issues over a test. The numbers of people on harsh, often poorly dosed thyroid meds just because a test said so could fill a million volumes.

                If you do go back, I would push hard for no drugs. Try to control with diet, of which others here have advice better than mine on, before you ever start a medication. I spend a lot of time with people made very unhappy by thyroid meds.
                This. If your nineteen without other significant signs or symptoms then please do not change a thing based on this one test. Eat paleo, move a lot, don't stress, and stop getting blood tests unless your not feeling stellar......

                Comment


                • #9
                  There is nothing wrong with his RBC. His issue is low-normal WBCs (especially for his age) which could be a signature of budding immune dyregulation. Usually the WBCs fall below the midpoint after you start restricting carbs; if you become immune deficient, they keep falling and continue their falling trend right down to the border. Seriously, if not being careful, VLCing could lead to CVID, which is appropriately considered ideopathic by modern medicine.

                  He certainly does not need any false alarm about anemia at this point. He's already being given conflicting signal from our resident cholesterol experts, whom I notice is venturing out of their vaunted area of expertise and into even thyroid markers now. Except they're clueless about FTI and T3 uptake. Listen to some of these guys and you can seriously wreck someone's health. Right, so give him the same advice that you would a Jimmy Moore, who's 430 lbs. with FH and can only keep morbid obesity at bay through ketosis. Seriously, that applies to an athletic 19 year old weighing 120 lbs.?

                  Know who you're taking health advices from, folks. These people are looking down the wrong end of the binoculars; they think their particular health history, metabolic derangements, and personal predilections apply to you automatically. As far as I know, you're not metabolically deranged, not morbidly obese, not neurologically impaired or epileptic. You have a whole life ahead of you. At your age, I'd focus on the long haul by maintaining a healthy immune system and CBCs, which could be put under stress if you unduly restrict your carb (or caloric) intake. And just to let you know, there is virtually no one here with any expertise in reading CBCs or immune markers; this is a whole new frontier and most doctors are clueless as well, since past research has focused exclusively on lipids and weight loss. Research is just starting about the long-term effects of VLCing and ketosis on immune health. And what you see is not good, not good at all.

                  Originally posted by MarielleGO View Post
                  This is very low for a health young person... To raise your RBC you might want to try to eat more high iron food, like red meat and spinach.
                  Last edited by choppedliver; 09-13-2013, 11:13 AM.

                  Comment


                  • #10
                    "He's already being given conflicting signal from our resident cholesterol experts, whom I notice is venturing out of their vaunted area of expertise and into even thyroid markers now."

                    I do not know whom you are referencing in this....I presume that by "vaunted expertise" you are implying myself. If not, please disregard this defense, and I apologize in advance if you are addressing another.

                    My advice was simply to NOT go rushing to his PCP to ask for the thyroid issue to be addressed. I doubt many docs would do it, but its dangerous to put hypochondriac voices in his head.

                    My main "expertise" in thyroid medications is that they do not work very well, and some of the side effects are extremely unpleasant. I deal almost exclusively with diabetics in my practice, however many are on thyroid meds that are very rough on them and don't do much but move a lab value. Symptoms don't change, or whole new ones come up. I am not an endocrinologist, I am in ophthalmology. I would be the first to say that I am not an expert on thyroid...that said, I have not seen too many who seem to really nail it down either.

                    In all honesty, I view thyroid meds in the same vein that I view statins....both are, in my medical opinion, a way of "Serving the chart instead of the patient", as I have heard it called. In both cases one can change a lab value that is more than likely just a symptom of a much larger, more mercurial pathology. Cholesterol does not cause heart attacks, inflammation plus cholesterol does....thyroid I believe operates in much the same way. It is diet and lifestyle change only for me on those two. I have not seen evidence in either case that actual outcomes are helped, outside of severe cases of secondary thyroidic dysfunction.

                    Lastly, I do not advocate VLC for anyone, even very severe diabetics. (I define this as under 20g a day from any source) In a 19yo, I think it is absolute madness. I do not see where he claimed this was his diet.

                    If I am misunderstanding your words, again my apologies.
                    "The soul that does not attempt flight; does not notice its chains."

                    Comment


                    • #11
                      Originally posted by TheyCallMeLazarus View Post

                      My advice was simply to NOT go rushing to his PCP to ask for the thyroid issue to be addressed. I doubt many docs would do it, but its dangerous to put hypochondriac voices in his head.

                      My main "expertise" in thyroid medications is that they do not work very well, and some of the side effects are extremely unpleasant. I deal almost exclusively with diabetics in my practice, however many are on thyroid meds that are very rough on them and don't do much but move a lab value. Symptoms don't change, or whole new ones come up. I am not an endocrinologist, I am in ophthalmology. I would be the first to say that I am not an expert on thyroid...that said, I have not seen too many who seem to really nail it down either.

                      In all honesty, I view thyroid meds in the same vein that I view statins....both are, in my medical opinion, a way of "Serving the chart instead of the patient", as I have heard it called. In both cases one can change a lab value that is more than likely just a symptom of a much larger, more mercurial pathology. Cholesterol does not cause heart attacks, inflammation plus cholesterol does....thyroid I believe operates in much the same way. It is diet and lifestyle change only for me on those two. I have not seen evidence in either case that actual outcomes are helped, outside of severe cases of secondary thyroidic dysfunction.
                      .
                      I disagree with your take on thyroid and thyroid medication. Without optimal thyroid treatment I developed many issues-- obesity, osteopenia, osteoarthritis, fibromyalgia... I was on a myriad of other meds-- pain pills, sleeping pills, anti-inflammatories...

                      Once I was given enough, and the right, thyroid hormone replacement for me all of my issues improved or resolved and meds for all those other issues are history.

                      There are many reasons for thyroid dysfunction. To imply that all thyroid issues "outside severe cases of secondary thyroidic dysfunction" are diet and lifestyle driven is, IMO, just not accurate.

                      Comment


                      • #12
                        By primary vs secondary, I did not mean strictly etiology, that being whether the thyroid simply cannot produce (primary) vs not being correctly stimulated (secondary)....I mean in terms of commonality, whereupon primary is the most common vs the lesser.

                        Many people that I see have "primary", and by that I mean that it does not have any accompanying dysfunction. Most that I see are diabetic, hypertensive, high cholesterol, with of course a "tag along" thyroid dysfunction. As such, they are taking their thyroid med along with their other medicine cabinet full of pharm treatments, and I get to hear most every day how they feel that their thyroid med makes them feel like garbage.

                        In the case that you laid out, it is a secondary condition, in that it is not a tag along but a problem of its own. Other blood work confirms that there is a downstream effect, and in THIS case these same drugs that are often pointless for the other 90% of the people that take them, are life changing.

                        The same is true for most of the drugs for HTN or NIDDM....for some, they are literally life-saving. In many millions of others however, they are unnecessary and most assuredly not as effective as truly transformative diet measures.

                        I am simply saying that on the whole, most medications are stop gaps and distractions from often completely disorientated metabolic and hormonal function. In my opinion, and acknowledging the bias I have in working with the patients I do, I feel that thyroid meds are some of the worst offenders of this tendency.

                        With that said, congrats on getting better.
                        "The soul that does not attempt flight; does not notice its chains."

                        Comment


                        • #13
                          Wow, thanks for all the feedback ... Just to clear things up, I actually fell off the paleo bandwagon quite awhile back. I am NOT doing low carb because it was making me feel pretty crappy in general. I seem to do much better with more carbs (mainly more rice and soaked oatmeal/millet and sweet potatoes). For breakfast everyday, I have oatmeal with veggies, eggs, and some meat. Sometimes some fruit. Yeah, I'll probably get a lot of booing ... however, I workout every other day and I feel much better with carbs. I used to read all the posts on here and was like 'carbs are bad! i'll get a crash in a few hours!' but that never really happened to me. I've also been trying to gain weight ... gone from 120 -128ish over the last year thanks to eating more and working out

                          This was my first blood test in ... 7-8 years? So I don't really have a baseline to compare to, sadly. I've been scared of needles for quite some time now, after I had a horrifying experience where my mom chased me around the hospital after I refused to get a shot, haha.

                          I was wondering if the low WBC was associated with my weak-ish immune system. I don't know if I'm getting colds every other week or if it's just allergies, but I seem to get a drippy nose for literally one whole day. The next day, it disappears. I have no clue what it is.
                          Last edited by echoyjeff222; 09-14-2013, 09:33 AM.
                          feel free to take a look at my journal!

                          http://www.marksdailyapple.com/forum...primal-journal!

                          Comment


                          • #14
                            The question is, how long were you low-carbing and how low was low carb? That's why blood records are crucial, before and after the diet. I've seen blood records of many VLC dieters and their problems start not with the FT3 lowering but with the WBC decrease over time. It could be gradual but also abrupt. If you tested once and it's low, you shouldn't worry about it; it's a continuing downward trend that's symptomatic of immunodeficiency. And very low trigs also become an issue somewhat. If you lowered them that low on a moderate carb diet, then you've been either active or calorie-restricting. That's fine, but when accompanied by gradually decreasing WBCs, continuously low trigs, (and also, sometime similar decreasing trend in platelets), you could be running into problems. If you get infections easily and repeatedly and don't respond to flu shots or vaccines well, go see an immunologist and get your immunoglobulins checked (or get a Celiac panel, which will measure your IgA at least). They're usually low and it takes 10-15 years to diagnose an immuno deficiency disease; you'll never link it to any invidious diet program you may have been on that many years ago which compromised your immune system.

                            Listen to the autoimmune panel sponsored by Super Human Radio and listen to Paleomon's (Sarah Ballayntine, Ph.D.) caution against long-term ketosis (toward the end of the show). She specifically warns about the thymus (which directs T memory cells) atrophying in long-term ketosis. That's what these people are not getting, the emerging frontier of ketosis and immune-related dysfunction, including autoimmunity that is rampant in low-carb dieters.

                            Download The Autoimmune Panel Discussion - Super Human Radio Health Talk Show : Internet Radio Talk station

                            Originally posted by echoyjeff222 View Post
                            I was wondering if the low WBC was associated with my weak-ish immune system. I don't know if I'm getting colds every other week or if it's just allergies, but I seem to get a drippy nose for literally one whole day. The next day, it disappears. I have no clue what it is.
                            Last edited by choppedliver; 09-14-2013, 12:33 PM.

                            Comment


                            • #15
                              Originally posted by choppedliver View Post
                              The question is, how long were you low-carbing and how low was low carb? That's why blood records are crucial, before and after the diet. I've seen blood records of many VLC dieters and their problems start not with the FT3 lowering but with the WBC decrease over time. It could be gradual but also abrupt. If you tested once and it's low, you shouldn't worry about it; it's a continuing downward trend that's symptomatic of immunodeficiency. And very low trigs also become an issue somewhat. If you lowered them that low on a moderate carb diet, then you've been either active or calorie-restricting. That's fine, but when accompanied by gradually decreasing WBCs, continuously low trigs, (and also, sometime similar decreasing trend in platelets), you could be running into problems. If you get infections easily and repeatedly and don't respond to flu shots or vaccines well, go see an immunologist and get your immunoglobulins checked (or get a Celiac panel, which will measure your IgA at least). They're usually low and it takes 10-15 years to diagnose an immuno deficiency disease; you'll never link it to any invidious diet program you may have been on that many years ago which compromised your immune system.

                              Listen to the autoimmune panel sponsored by Super Human Radio and listen to Paleomon's (Sarah Ballayntine, Ph.D.) caution against long-term ketosis (toward the end of the show). She specifically warns about the thymus (which directs T memory cells) atrophying in long-term ketosis. That's what these people are not getting, the emerging frontier of ketosis and immune-related dysfunction, including autoimmunity that is rampant in low-carb dieters.

                              Download The Autoimmune Panel Discussion - Super Human Radio Health Talk Show : Internet Radio Talk station
                              Really, I was probably never "low-carb." I probably did fewer carbs for maybe a month or two at the max, around two years ago. I did green smoothies and such for about 6 months (bad idea) ... and for the past year or so I've been pretty much normal, no restrictions at all except for processed food and junk food, etc. I don't think I was ever in ketosis or anything of that sort, though.
                              feel free to take a look at my journal!

                              http://www.marksdailyapple.com/forum...primal-journal!

                              Comment

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