I got my blood test results back today. A little background: I am 22 years old. I lost about 50 lbs in 2008-2009 eating low carb (been low carb 3 1/2 years, paleo about 2 years (~80-100% strict)... last 2-3 months have been paleo/raw close to 100%). I was overweight growing up and even when I lost 50 lbs the lowest I got was 26% body fat even though I was eating very clean and VLC, working out 1-3x/day, with a trainer, I was in great shape (running 3 miles in 20 minutes on stair master) but couldn't lose the fat! When I stopped working out as much (3-4x/week) I gained about 20 lbs back and have been around the same weight/body fat for about 2 years. Several months ago I did a whole30 and lost 10 lbs (not working out to see just the diet factor) but I don't feel like I look different. In the past month and a half I have been eating primarily raw/paleo. My body just will not let go of fat. I am very strong and have good muscle and shape, just under the fat. My body is proportional/hourglass so it's not just collecting around my stomach. I am probably about 29-31% body fat right now and a size 8-10. I think last week my waist was 30 inches. If I diverge WHATSOEVER from paleo eating, I will be up 3-4 pounds the next day and stay at that weight until I can get back down to where I was (by staying strict).
Symptoms I've had for years: low/no energy. I drink coffee daily (quad shot of espresso usually) and am still tired/ falling asleep during the day. I cannot function without coffee but if I don't drink it on a weekend day for example I don't have coffee withdrawls. I have sleep problems, disturbances, not restful sleep, still exhausted in the morning, waking up during the night, etc (not from caffeine). I drink a LOT of water. 7-10 liters a day. I am ALWAYS thirsty. I have had a chronic cough my entire life. It's there even when I'm not sick. I get sick a LOT too, 1-2x/month I have a new cold. I have heartburn, especially when I eat non-paleo foods, but even clean foods give me heartburn. There are probably more things that I can edit onto later if I remember. A lot of these symptoms line up with adrenal insufficiency.
Now onto my results! I will type them exactly how they are on the paper and in a Tests/ Results/ Reference Values format. I fasted for over 12 hours before the blood test.
Cholesterol 166 mg/dL Desirable: <200
Triglycerides 54 mg/dL <150
HDL-Cholesterol 71 mg/dL >=40
LDL-Cholesterol 84 mg/dL <100 Optimal
Chol/HDL Ratio 2.3 RATIO <5.0
Vitamin B12 515 pg/mL 211-946
Cortisol, P.M. <1.4 L (low?) ug/dL 3.0-16.0
Insulin 8.4 uIU/mL 2.6-24.9
Prolactin 6.6 ng/mL 4.8-23.3
TSH w/reflex to Free T4 1.46 uIU/mL 0.27-4.20
C-Reactive Protein 1.7 mg/L 0.0-10.0
CBC w/Platelet Ct
White Blood Count 7.7 x10(9)/L 3.8-10.8
Red Blood Cell Count 4.31 x10(12)/L 3.60-5.40
Hemoglobin 13.9 gm/dL 12.0-16.0
Hematocrit 39.4% 36.0-48.0
MCV 91.5fL 82.0-101.0
MCH 32.2 pg 26.0-34.0
MCHC 35.1 gm/dL 32.0-36.0
Neutrophil 66% 40-80
Band NORM % 0-6
Lymphocyte 28% 12-44
Monocyte 5% 0-12
Eosinophil 1% 0-7
Basophil 0% 0-2
Platelet Count 313 x10(9)/L 140-440
RBC Morphology NORM
Abs Neutrophils 5.06 x10(9)/L 1.80-7.70
RDW 11.9% <14.5
Comprehensive Metabolic Profile
Glucose 80 mg/dL 70-99
BUN 5 L (low?) mg/dL 6-23
Creatinine 0.7 mg/dL 0.6-1.4
GFR calc. if non-African Am. >60 mL/min/1.73
Sodium 139 mEq/L 133-145
Potassium 4.2 mEq/L 3.3-5.1
Chloride 102 mEq/L 95-108
CO2 25 mEq/L 21-30
Calcium 10.2 mg/dL 8.3-10.5
SGOT (AST) 19 IU/L 0-40
SGPT (ALT) 18 IU/L 0-41
Alkaline Phosphatase 70 IU/L 35-129
Bilirubin, Total 0.4 mg/dL 0-1.2
Total Protein 7.1 gm/dL 6.4-8.3
Albumin 4.3 gm/dL 3.5-5.2
Globulin 2.8 gm/dL 2.3-4.0
Albumin/Globulin Ratio 1.5 1.0-2.0
Hemoglobin A1c 5.4%
Estimated Average Glucose 108 mg/dL
asked byDanielle (2944)
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on August 03, 2011
at 03:21 AM
1) you've got to deal with the GERD. See Chris Kresser's series on this...
2) have a sleep study done. this kind of fatigue isn't just adrenal fatigue, if it's adrenal fatigue at all. this sleep thing has to be fixed in order for the rest to be fixed.
3) how long has the nut/seed experiment been going on? There is enough available evidence to be fairly sure that high short chain PUFA intake is not amenable to weightloss or resetting metabolism.
4) I'd go hardcore on reducing n6 as much as possible - no nuts, seeds or their oils. Little/no poultry or pork.
5) focus on grassfed ruminants and seafood. I do best with lots of non-starchy veggies. Lots. But not everyone does.
6) reduce the amount of water you're drinking. you'll be thirsty at first b/c your kidneys are set at a high rate based on your intake. decrease intake and thirst will decrease. However, if it doesn't, it's worth further medical investigation for some rather unlikley possibilities. The excessive water consumption may dilute stomach acidity, causing or contributing to the GERD/heartburn.
7) what's your produce intake looking like? for me, low energy is virtually always predominantly an issue of insufficient potassium intake and secondarily insufficient magnesium intake...
8) what kind of sleep issues do you have? what's your zinc intake like?
on August 12, 2011
at 02:53 AM
Your TSH is good but you should DEFINITELY get your Free t3, t4, and antibodies tested. Have you tried starch? What about fermented foods? I have recommended Iodine quite a bit this week and I am starting to feel like an advertisement for the stuff... but it really helped me in areas of fatigue, low energy, unrestful sleep.
Thyroid is important to check on low carb. You won't go full blown hypo on Low carb, it should be reversible with adequate glucose. Check thyroid, and Katherines recs are all great too.