4

votes

Relatively new to Paleo - Baseline Blood Work

Answered on August 19, 2014
Created March 23, 2011 at 4:36 AM

I started gluten free 5 weeks ago and discovered and started Paleo about 1 week later. I coincidentally had a regular check up with my doctor scheduled the day after I started Paleo (1 week into gluten free), so I believe I have a pretty solid baseline for vitals. Below are the results. I have no idea what anything means other than the included ranges in parentheses. My doctor told me that I am in excellent health and left it at that. Everything look good? I am a 29 year old Male 147lbs (I've lost some lbs since the physical).

Pulse   68 bp
Respiration     16 reps/min     
Systolic    100 mml-lg  
Diastolic   62 mmHg     
Weight  70.307 Kg   
Height  182.88 cm   
White Cell Count    4.9 K/UL    (3.5 -10.5) 
Red Cell Count  5.00 M/UL   (4.20 - 5.80) 
Hemoglobin  15.5 GM/DL  (13.0 ??? 17.5) 
Hematocrit  46.4 %  (38.0.- 50.0) 
MCV     93 FL   (80 - 99) 
MCH     31.0 pg.    (27.0 - 34.0) 
MCHC    33.4 %  (32.0 ??? 35.5) 
RDW     12.2    (11 -15) 
Platelet Count  207 K/Ul.   (140 - 390) 
Differential Type   AUTO    
Neutrophils     44 %    (34 ??? 73) 
Lymphocytes     37 %    (15 ??? 50)
Monocytes   13 %    (5 ??? 15) 
Eosinophils     5 %     (0 - 8) 
Basophils   1 %     (0 - 2) 
Absolute Neutrophils    2.2 K/Ul    (1.5 ~ 8.0) 
Absolute Lymphocytes    1.8 K/UI.   (1.0 - 4.0)
Absolute Monocytes  0.6 K/UL    (0.2 ??? 1.0) 
Absolute Eosinophils    0.2 K/UL    (0.0 ??? 0.60) 
Absolute Basophils  0.0 K/UL    (0.0 - 0.20) 
Sodium  140 mEq/L   (135 ??? 148) 
Potassium   5.0 mEq/L   (3.5 ??? 5.0) 
Chloride    104 mEq/L   (95 - 108) 
Bicarbonate     28 mEq/L    (24 - 32) 
Blood Urea Nitrogen     17 mg/dL    (0 - 20) 
Creatinine  0.97 mg/dL  (0.00 ??? 1.70) 
eGFR-NonAfr Am  * >60   (>59) 
eGFR???African Am     * >60   (>59) 
Glucose Level   77 mg/dL    (65 ??? 100) 
Calcium     9.9 mg/dL   (8.5 -10.5) 
Albumin     4.6 g/dL    (3:5 ~ 5.0) 
Protein ??? Total     7.5 GM/DL   (6.0 - 8.0) 
ALT (SGPT)  14 Unit/L.  (O - 48) 
AST (SGOT)  21 Unit/L   (0 ??? 40) 
Bilirubin ??? Total   1.1 mg/dL   (O ?? 1.3) 
Alkaline Phosphatase    69 Unit/L   (30 -115) 
Cholesterol     167 mg/dL   (- <200) 
LDL Cholesterol     96 mg/dL    (??? <100) 
HDL Cholesterol     64 mg/dL    (>40 -) 
Triglycerides   34 mg/dL    (- <150) 
Non???HDL Cholesterol     103 mg/dL   (- <130) 
Vitamin D 25 ??? Hydroxy  L 26.1  (30.00 ??? 100)

I also track my caloric intake with CRON-o-meter. Here are my averages as of 12/18/2011 (294 days of data):

General (73%)
===========================================
Energy               |  2497.8 kcal   104%
Protein              |   151.2 g       84%
Carbs                |   120.8 g       76%
  Fiber              |    20.9 g       55%
  Starch             |    10.3 g       17%
  Sugars             |    38.7 g       64%
Fat                  |   146.5 g      109%
Alcohol              |    13.6 g     1361%
Caffeine             |     4.5 mg     452%
Water                |  1257.5 g       34%

Vitamins (93%)
===========================================
Vitamin A            | 28780.3 IU     959%
  Retinol            |   733.7 ??g      73%
Folate               |   612.3 ??g     153%
B1 (Thiamine)        |     1.9 mg     156%
B2 (Riboflavin)      |     2.4 mg     188%
B3 (Niacin)          |    30.9 mg     193%
B5 (Pantothenic Acid)|     8.2 mg     164%
B6 (Pyridoxine)      |     3.3 mg     256%
B12 (Cyanocobalamin) |    11.1 ??g     464%
Vitamin C            |   158.4 mg     352%
Vitamin D            |   729.3 IU      36%
Vitamin E            |    13.2 mg      88%
Vitamin K            |   324.6 ??g     271%
Choline              |   750.5 mg     136%

Minerals (98%)
===========================================
Calcium              |   899.6 mg     112%
Copper               |     1.5 mg     168%
Iron                 |    18.4 mg     230%
Magnesium            |   326.2 mg     163%
Manganese            |     3.5 mg     151%
Phosphorus           |  1879.5 mg     268%
Potassium            |  3687.5 mg      78%
Selenium             |   174.5 ??g     317%
Sodium               |  2781.7 mg     185%
Zinc                 |    19.2 mg     175%

Lipids (99%)
===========================================
Saturated            |    64.7 g      129%
Monounsaturated      |    55.5 g      111%
Polyunsaturated      |    15.7 g      174%
  Omega-3            |     4.0 g      134%
  Omega-6            |    11.0 g      183%
Trans-Fats           |     0.9 g       92%
Cholesterol          |  1128.2 mg     113%
Phytosterol          |    57.2 mg     229%

518bce04b12cd77741237e1f61075194

(11577)

on December 20, 2011
at 02:24 AM

Oh, much better! I was worried you had some crazy supplementation going, Vitamin A is one of those you don't want to megadose. Yeah, there's no way you are getting all the retinol out of the beta carotene, should be fine.

4a7929c2aa05bf11349d9e55cb542d47

(646)

on December 20, 2011
at 01:53 AM

I eat a handful of baby carrots every day.. which is around 100-120 grams. This provides 15000 IU Vitamin A which is 500% of the USDA RDA. Understandably, this is just carotene, not retinol. My retinol numbers are not so great.. only around 800 IU which is 75% USDA RDA.

32f5749fa6cf7adbeb0b0b031ba82b46

(41777)

on November 05, 2011
at 11:34 PM

I'll agree with your comment on D3, but his omega ratio is acceptable, particularly if not supplementing. And the oats comment/link... 100% scientific ignorance. If that guy is a doctor... wow...

32f5749fa6cf7adbeb0b0b031ba82b46

(41777)

on November 05, 2011
at 11:30 PM

Why reduce protein?

E5c7f14800c5992831f5c70fa746dc5c

(12867)

on August 24, 2011
at 02:36 PM

Meat and eggs have just as much if not more sulfur than oats. Avoiding oats because of the sulfur content is pretty dumb.

84666a86108dee8d11cbbc85b6382083

(2389)

on August 24, 2011
at 02:33 PM

http://paleohacks.com/questions/34419/where-can-i-order-lab-for-omega-six-three-indexes#axzz1VxLv7QgR

3846a3b61bc9051e4baebdef62e58c52

(18635)

on July 28, 2011
at 06:44 PM

You can either find a different doctor or go directly to a lab and let them know you are willing to pay cash. They are out there, the ones not affiliated with a particular hospital cost the least.

B0fe7b5a9a197cd293978150cbd9055f

(8938)

on June 21, 2011
at 12:30 PM

Also had a blood test the day I started paleo, and my vitamin D was 9 (which caused loads of allergy problems, skin problems, ...). Vitamin D is an awesome vitamin you ABSOLUTELY need, so get some more of it, it helps a lot. If there's no sun in your area consider taking supps.

50637dfd7dc7a7e811d82283f4f5fd10

(5838)

on May 04, 2011
at 04:24 PM

I just had some blood work done and asked for my O3:O6 index / ratios. My DR. said they don't test that, or cannot (can't fully remember) Clearly the above states otherwise. Anyone know how I can get that tested?

39a1a0bc7855c084ac59df60fdf9c0dd

(1505)

on April 26, 2011
at 08:42 PM

I don't think there is any guarantee that "you will live a long healthy life with excellent quality of life," but I do believe that we become healthier when we stop eating things that hurt us.

3fc07ff31006b1860083f0cfe4472ae4

(561)

on March 24, 2011
at 12:57 AM

I use this fish oil. It's a little cheaper but I hear the Pharmax is good too. http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg For more Paleo hacks: http://paleohacks.com/questions/29021/relatively-new-to-paleo-baseline-blood-work#ixzz1HTSQwkgM

3fc07ff31006b1860083f0cfe4472ae4

(561)

on March 24, 2011
at 12:55 AM

I use this fish oil: http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg

4a7929c2aa05bf11349d9e55cb542d47

(646)

on March 23, 2011
at 05:59 PM

I'd like to add that my CRON-o-Meter results are probably a worst-case scenario. Although I do tweak some numbers based on available nutritional info, I rely pretty heavily on the default micronutrient breakdown provided with the app. I eat only organic fruit and veggies, pastured meat and dairy, wild fish, etc. However, I don't think the built-in info account for the better nutritional content of the food I'm eating (better O6:O3, more vits & mins, etc).

4a7929c2aa05bf11349d9e55cb542d47

(646)

on March 23, 2011
at 05:54 PM

Thanks for the help and advice. For my O6:O3 ratio, I also notice it to be high, but I'm doing the best I can. I do not eat nuts or use vegetable oils (except a little bit of EVOO or salad dressing), and I only eat pastured beef/bison, pastured cheese/butter, and wild salmon. I limit pork to only bacon with half of my breakfast and minimal poultry (occasionally duck). My biggest deviation would be lunch meats.. I do go for Applegate Farms or Welshire sliced ham (averaging probably 2-3 slices a day). But this is a fairly small quantity with less than 1g of total PUFA for my daily intake.

531db50c958cf4d5605ee0c5ae8a57be

(8868)

on March 23, 2011
at 04:14 PM

I'm going to disagree on the omegas. The omega-6 to omega-3 ratio shown here is less than 4 to 1. Not terrible, perhaps could be improved. I know of no study or theoretical framework that posits health benefits from reversing this ratio.

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4 Answers

1
1c33cda52b22490ef1666e768f2ebddf

on September 24, 2011
at 10:21 PM

You're doing well.

1
3c6b4eed18dc57f746755b698426e7c8

on September 08, 2011
at 05:16 AM

Are you eating fruits but very little starch? What jumps out is your sugar intake as a proportion of total carbs (which at 80g net carbs is still pretty low).

You don't seem to have blood sugar issues, plus you're pretty thin. So I would decrease protein to say under 100g, while increasing the carbs a bit via safe starches like potatoes, yams, and yuca. In other words, keep your current calories (or increase a bit) but throw in more carbs and cut down on some proteins. Your fat intake seems fairly ideal: you must be either taking in olive oil or macadamia nuts.

And decrease the sugar just a bit if they're coming from non-fruity or processed sources, to say, 20-25g per day. That will keep your fructose to about 15g or less per day ... which I think is the sweet spot if you wanna lean out and avoid all inflammation and AGEs. With that, I think your liver enzymes will decline to the low teens.

32f5749fa6cf7adbeb0b0b031ba82b46

(41777)

on November 05, 2011
at 11:30 PM

Why reduce protein?

0
518bce04b12cd77741237e1f61075194

(11577)

on December 18, 2011
at 01:31 AM

677% is a lot of Vitamin A...probably not as big a deal because you are not female/pregnant-prone, but Vitamin A toxicity is not a good time, very hard on the liver, bone abnormality, hemorrhage, hair loss, and skin rash. Are you supplementing it to get that high a level? Or eating beef liver every day?

Everything else looks good!

518bce04b12cd77741237e1f61075194

(11577)

on December 20, 2011
at 02:24 AM

Oh, much better! I was worried you had some crazy supplementation going, Vitamin A is one of those you don't want to megadose. Yeah, there's no way you are getting all the retinol out of the beta carotene, should be fine.

4a7929c2aa05bf11349d9e55cb542d47

(646)

on December 20, 2011
at 01:53 AM

I eat a handful of baby carrots every day.. which is around 100-120 grams. This provides 15000 IU Vitamin A which is 500% of the USDA RDA. Understandably, this is just carotene, not retinol. My retinol numbers are not so great.. only around 800 IU which is 75% USDA RDA.

0
06d21b99c58283ce575e36c4ecd4a458

(9958)

on March 23, 2011
at 06:26 AM

You are a pretty healthy guy.

What jumps out at me is your serum Vit D3 level is way low.

Dr. K wants his patients to be 70 to 100 nanograms/milliliter. You are at 26.1 (25 hydroxy). See this posting as to why a higher level is important http://paleohacks.com/questions/28750/do-you-know-how-vit-d-assists-the-body-in-warding-off-diseases#axzz1HORGKrk7 You can sun yourself half naked once a day for 20 min or take Vit D3 gel caps....5000IU a day to get your serum Vit D3 level up.

The only other thing I see is your omega 6 to omega 3 ratio should be reversed. We want more 3 than 6. Cut out/reduce nuts, and supplement with fish oil. The most potent I have seen is the following and at the best price.

https://shop.trackyourplaque.com/Category/24/Omega-3_Fish_Oil.aspx

You want the $58.95 500ml product.

Others can give you better guidance than I on what to avoid.

Eat no products that contain any wheat...including oats, corn, sugar. Fuel yourself with meat and fat, with some leafy green salads with olive oil and vinegar and a few sweet potatoes. Eggs cooked in butter or coconut oil, bacon, sausage, hard cheeses. No oats/oatmeal because they are loaded with sulphuric acid. http://www.heartscanblog.org/2011/03/battery-acid-and-oatmeal.html

Many of us eat 75-80% fat, 15-20% protein and 5% or less in carbs. Do this for the rest of your life and you will live a long healthy life with and excellent quality of life. Wish I had known this 40 years ago

531db50c958cf4d5605ee0c5ae8a57be

(8868)

on March 23, 2011
at 04:14 PM

I'm going to disagree on the omegas. The omega-6 to omega-3 ratio shown here is less than 4 to 1. Not terrible, perhaps could be improved. I know of no study or theoretical framework that posits health benefits from reversing this ratio.

3fc07ff31006b1860083f0cfe4472ae4

(561)

on March 24, 2011
at 12:55 AM

I use this fish oil: http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg

4a7929c2aa05bf11349d9e55cb542d47

(646)

on March 23, 2011
at 05:54 PM

Thanks for the help and advice. For my O6:O3 ratio, I also notice it to be high, but I'm doing the best I can. I do not eat nuts or use vegetable oils (except a little bit of EVOO or salad dressing), and I only eat pastured beef/bison, pastured cheese/butter, and wild salmon. I limit pork to only bacon with half of my breakfast and minimal poultry (occasionally duck). My biggest deviation would be lunch meats.. I do go for Applegate Farms or Welshire sliced ham (averaging probably 2-3 slices a day). But this is a fairly small quantity with less than 1g of total PUFA for my daily intake.

3fc07ff31006b1860083f0cfe4472ae4

(561)

on March 24, 2011
at 12:57 AM

I use this fish oil. It's a little cheaper but I hear the Pharmax is good too. http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg For more Paleo hacks: http://paleohacks.com/questions/29021/relatively-new-to-paleo-baseline-blood-work#ixzz1HTSQwkgM

39a1a0bc7855c084ac59df60fdf9c0dd

(1505)

on April 26, 2011
at 08:42 PM

I don't think there is any guarantee that "you will live a long healthy life with excellent quality of life," but I do believe that we become healthier when we stop eating things that hurt us.

50637dfd7dc7a7e811d82283f4f5fd10

(5838)

on May 04, 2011
at 04:24 PM

I just had some blood work done and asked for my O3:O6 index / ratios. My DR. said they don't test that, or cannot (can't fully remember) Clearly the above states otherwise. Anyone know how I can get that tested?

3846a3b61bc9051e4baebdef62e58c52

(18635)

on July 28, 2011
at 06:44 PM

You can either find a different doctor or go directly to a lab and let them know you are willing to pay cash. They are out there, the ones not affiliated with a particular hospital cost the least.

E5c7f14800c5992831f5c70fa746dc5c

(12867)

on August 24, 2011
at 02:36 PM

Meat and eggs have just as much if not more sulfur than oats. Avoiding oats because of the sulfur content is pretty dumb.

84666a86108dee8d11cbbc85b6382083

(2389)

on August 24, 2011
at 02:33 PM

http://paleohacks.com/questions/34419/where-can-i-order-lab-for-omega-six-three-indexes#axzz1VxLv7QgR

32f5749fa6cf7adbeb0b0b031ba82b46

(41777)

on November 05, 2011
at 11:34 PM

I'll agree with your comment on D3, but his omega ratio is acceptable, particularly if not supplementing. And the oats comment/link... 100% scientific ignorance. If that guy is a doctor... wow...

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