I am a male 5'7 about 135 lbs, very little bodyfat. I am very active. I play soccer 2 times a week, run 3 miles a week, sprint twice a week, lift weights twice a week, and my job requires me to be on my feet the whole day, sometimes hauling heavy plants. My main health issues are anxiety, seb dern/rosacea, dandruff, lack of energy, and at times low libido.
Throughout those 3 years I have ate a wide variety of macronutrient ratios ranging from high carb, low fat, high fat low carb, and a bunch in between. All the food I eat is within the paleo framework. I eat a lot of sweet potato, white rice, all kinds of vegetables, fruit, sardines, salmon, oysters, beef, and a lot of chicken breast. Currently my main fats are olive oil, light coconut milk, and avocados. I get around 250-350 of carbs, 120-200 grams of fat, and about 120-160 grams of protein on average.
Anyways here are my results on some bloodwork (results in bold):
Testosterone, Serum004227 464 348-1197 ng/dL
Hemoglobin A1c001464 5.3 4.8-5.6 %
Estim. Avg Glu (eAG)001471 105 mg/dL
Calcium, Serum001016 9.5 8.7-10.2 mg/dL
Phosphorus, Serum001024 3.2 2.5-4.5 mg/dL
Glucose, Serum001032 95 65-99 mg/dL
BUN001040 22 6-20 mg/dL
Uric Acid, Serum001057 6 3.7-8.6 mg/dL WBC005025 5.3 4.0-10.5 x10E3/uL
RBC005033 4.58 4.14-5.80 x10E6/uL
Hemoglobin005041 14.9 12.6-17.7 g/dL
Hematocrit005058 46.6 37.5-51.0 % BUN/Creatinine Ratio011577 26 8-19
HDL Cholesterol011817 75 39 mg/dL Triglycerides001172 38 0-114 mg/dL LDL/HDL Ratio011849 0.8 0.0-3.6 ratio units LDL Cholesterol Calc012054 62 0-119 mg/dL
TSH004264 5.78 0.450-4.500 uIU/mL
Triiodothyronine,Free,Serum010389 3 2.0-4.4 pg/mL
T4,Free(Direct)019745 1.01 0.82-1.77 ng/dL
Sorry the results are a bit hard to read. My TSH is pretty high and other than the slightly elevated BUN everything else seems to be in range, although testosterone looks a bit low. Is there anything else that might look a bit off? How should I approach my thyroid issues and elevated BUN?
EDIT: What is MCV015065? It is above range at 102. Range being 79-97.
asked byROB_3 (3536)
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on July 30, 2013
at 05:25 AM
Are you gluten and dairy-free? You can see if your A1c is high or not by looking at your ALT. How high is it? If it's under 15 or so (and you should be given your low trigs and high HDL), then no real insulin resistance. It could be high from prior fatty liver or insulin resistance; your somewhat high uric acid hints at this. But it's not really all that high. I used to think 5.0-5.5 was too high and it's true 5.5 is verging on prediabetes. But you can go through periods of pretty high BG for reasons other than insulin resistance.
You seem to have Hashimoto's and some of your symptoms seem to be hypothyroid. However, the dandruff and seborrheic dermatitis could also be related to connective tissue autoimmune issues. Your WBC is also low-normal. Could be your Hashimoto's but I would get ANA-tested. They're co-morbid in many cases.
on July 15, 2013
at 07:55 PM
Please ignore all of the other answers. You are in perfect health. If you're not eating kept on a regular basis you might want to add that in but it is a relatively minor point. You are in very good shape.
on May 31, 2013
at 10:54 PM
As someone who has bordered diabetes for years, it looks to me like your A1C and Glucose are on the high side. These are the measure of your average blood sugar over the last 3 months and your fasting blood sugar levels, respectively. You might consider cutting out the white rice and see if everything else falls into place afterwards. For me I can't even look at white rice without my sugar getting high. During processing, white rice has been stripped of most of its nutrients and therefore converts easily into sugar after consumption. You are probably noticing a lack of energy about 1.5-2 hours after your meal containing rice. This is when your sugar is dropping back down from your high, and you will feel tired and your body will be telling you to eat more or take a nap. I know when my sugars are generally higher, I tend to have skin problems (dandruff and eczema) and also when my blood sugar is dropping I will feel sluggish. This feeling often carries over to my workout the next morning. I notice that I can barely do 18" box jumps, whereas if I have meat, veggies, and the occasional sweet potato for dinner the night before, I can easily clear the 24" box jump, as well as increase my run pace.
on May 14, 2013
at 02:45 AM
Look into things that stabilize blood sugar, also since you train so much you would benefit from vitamin C and Phosphatidylserine to control cortisol.
on April 02, 2013
at 01:20 AM
ROB, your thyroid results indicate hypothyroidism. You might want to check your basal body temperature upon waking. If it is below 97.8 this also indicates hypothyroidism. You might consider getting tested for thyroid antibodies, which would indicate Hashimotos (autoimmune thyroid disease). You might also want to research iodine supplementatin.
on April 02, 2013
at 12:20 AM
Yeah, TSH is too high...
Is your HDL higher than LDL "naturally" or you are on statins?
Edit: I'd be wary of your very low LDL. It will make your cardiologist happy, but people with very low cholesterol tend to have problems.