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Hack my lab results

Commented on August 11, 2014
Created August 10, 2014 at 5:29 PM

Here's some of my lab results, let me know your thoughts:

Glucose 102mg/dL

BUN 18mg/dL

Creatinine Serum 0.85mg/dL

BUN/Creatinine Ratio 21

Iron 38ug/dL

Cholesterol total 172mg/dL

Triglycerides 48

HDL 53

Testosterone Free 524 ng/dL

TSH 0.651uIU/mL

T4free 1.82 ng/dL

T3free 3.3pg/mL

rT3 24.4ng/dL

A1c 53

DHEAs 302.6ug/dL

Cortisol 24.8 ug/dL

Estradiol 16.3 pg/mL

Vitamin D3 53.1ng/mL

CRP 3.4mg/L

Progesterone 0.8ng/mL

Insulin 9.5uIU/mL

Ferritin 98 ng/mL

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 03:38 PM

CRP is just a marker of general inflammation, it won't tell you where there's inflammation, nor why. For all I know, I lifted too heavy the day before the test, and it's just from that. Or it could be an infection, or some other general inflammation. Could even be inflammatory cytokines generated by the excess fat itself. I noticed that as I started gaining fat I also started getting pains in the back of my neck and I'd hear crunching when I moved my neck around...

47cbd166d262925037bc6f9a9265eb20

(55)

on August 11, 2014
at 01:12 PM

Excuse me but, is there evidence that resistant starch feeds some better bacteria selectively ? Also, how is tooth sensitivity related with CRP ?

PS: I mean selectively better than other prebiotics ?

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 10:52 AM

but there's definitely something wrong digestion wise, whenever I eat carbs I get gassy, and burp within minutes of a carby meal. I'm also waking up with a thick white coat on my tongue.

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 10:49 AM

I don't have a gallbladder so I take digestive enzymes with Betaine HCL + oxbile (Now Super Enzymes). Since I refluxed on the rice if anything I should have that at lunch, but if it is SIBO, I think I'm better off going lower carb and starving them out.

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 10:42 AM

Ok, so I'll ignore the CRP results for now. I would imagine it's the SIBO, though I do at times have a bit of PND. I've not had a PSA lab.

I've tried resistant starches - as both potato starch and actual cooled potatoes, but not for a whole month, just here and there. Might be worth a shot.

I'm fairly sure the thyroid's fine, but was suppressed by too much IF. That one workout where I took dessicated thyroid kinda proved it. I stopped taking it and I haven't felt cold since. Yes, I do eat liver 2x-3x a week.

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 12:12 AM

No cold before labs, not sure on infection, it's possible there's SIBO or candida. 6'3", 220lbs, 43. Not sure what my ratio levels are, I suspect 20-30% carbs, 30% protein. Eating window is 2pm-8pm. Activity level is medium-high, I do full body weights 2-3x a week, lots of walking 6k-10k steps + occasional exercise bike.

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3 Answers

0
0f8f77156cd0667d43194fc4b8bc3b5d

on August 11, 2014
at 01:54 AM

Random thoughts:

Like your idea about stopping the IF. If you are gaining fat, especially abdominal/girth fat, it might not be working for you. Also like the salt at breakfast for adrenal support, in bone broth would be ideal for intestinal support if you are facing SIBO.

If the labs were fasting and drawn first thing in the morning then the cortisol is okay, if later in the day, then seems high. That along with the elevated glucose, and night waking could speak to stress, which may have been from IF. So again, good to stop IF.

CRP does not stay elevated for much longer than 24-36 hours unless there is chronic inflammation or infection of some sort. If you had a cold/flu, then recovered, it should be right back down again. Continuously elevated CRP is something chronic. Anything going on with your teeth or sinuses? Old root canal going bad, off and on hot/cold tooth sensitivity? Chronic sinusitis? Have you had your PSA (prostate labs) and your prostate manually checked? (Elevated CRP is significantly linked to to elevated PSA.)

If you have real concerns about SIBO, can you get a methane or hydrogen breath test done to rule this in or out?

If you don't have SIBO, have you considered a month trial of including resistant starches in your diet to see if you can get your glucose numbers down and increase your tolerance to other carbs? The two I use: Cooked, cooled overnight, then re-heated or eaten cold converted/parboiled and Basmati rice have the highest amounts in white rices, and very green bananas. Also, (but this nightshade triggers joint pain for me, so I avoid): Raw or cooked, cooled then eaten cold or reheated white potatoes. The resistant starch does not spike your blood sugar and it has a "second meal" effect where it helps hold down your sugar later on in the day after the meal in which it was eaten.

Also, the resistant starches are feeding the types of bacteria in your colon that produce serotonin and melatonin, so might improve your sleep quality.

Lastly, low ferritin = can mean iron deficiency. Are you eating liver weekly, or canned smoked clams (high in iron) something else, a couple times a week? If you are eating enough iron, some reason your intestines are not absorbing it? (Back to ruling out SIBO.) Hypothyroidism can lead to low stomach acid production which can mean less iron absorption, which has me thinking back to your body coldness you mentioned.

47cbd166d262925037bc6f9a9265eb20

(55)

on August 11, 2014
at 01:12 PM

Excuse me but, is there evidence that resistant starch feeds some better bacteria selectively ? Also, how is tooth sensitivity related with CRP ?

PS: I mean selectively better than other prebiotics ?

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 10:42 AM

Ok, so I'll ignore the CRP results for now. I would imagine it's the SIBO, though I do at times have a bit of PND. I've not had a PSA lab.

I've tried resistant starches - as both potato starch and actual cooled potatoes, but not for a whole month, just here and there. Might be worth a shot.

I'm fairly sure the thyroid's fine, but was suppressed by too much IF. That one workout where I took dessicated thyroid kinda proved it. I stopped taking it and I haven't felt cold since. Yes, I do eat liver 2x-3x a week.

0
0f8f77156cd0667d43194fc4b8bc3b5d

on August 11, 2014
at 12:05 AM

More details please: age, ht/wt, marcros currently eating, activity level, meds taken, shift-work? What has been your eating window with the IF? Any remnants of a cold or infection when the labs were drawn? (CRP up)

96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 11, 2014
at 12:12 AM

No cold before labs, not sure on infection, it's possible there's SIBO or candida. 6'3", 220lbs, 43. Not sure what my ratio levels are, I suspect 20-30% carbs, 30% protein. Eating window is 2pm-8pm. Activity level is medium-high, I do full body weights 2-3x a week, lots of walking 6k-10k steps + occasional exercise bike.

0
96440612cf0fcf366bf5ad8f776fca84

(19463)

on August 10, 2014
at 11:49 PM

So, I didn't want to skew anyone's responses by answering my own question, but since it's been quiet, here's my interpretation of what's going on here:

This is an LEF.org weight loss panel. I noticed I've been slowly gaining some unwanted fat in the last year and took this test.

What's going on here is that I've been doing too much IF for too long, and more than likely under-eating despite trying to fit 3 meals worth of food into two meals. High cortisol, high blood sugar in the morning along with high reverse T4 is a sign of this.

So I switched to adding in a breakfast every day again - 2-4 eggs + bacon or ham. Also using a teaspoon of licorice each morning, along with Vitamin C, and salt for adrenal support, along with phosphatidyl serine, ashwagandha, eleuthero, controlled, deeper breathing. (Not using DGL since I normally have slightly lower blood pressure than normal.)

My A1C is good, though I'd like it lower, maybe at 5.0 or 5.1.

About a month before this test I wasn't sure what was going on with my thyroid so I took dessicated thyroid supplements, but I noticed something interesting. A day that I worked out heavily ended with me feeling cold, this was on a fairly warm day, so obviously TSH must have dropped after too high T3/T4, and after that I didn't bother with the thyroid supplements. Instead I suspected adrenals, which this test does reflect. Glad it's not the thyroid.

Part of the stress and high CRP is due to interrupted sleep. Sometimes due to low blood sugar in the middle of the night (the usual waking up with a high heart rate), or possibly too much caffeine during the day. Eating carbs at night doesn't seem to help much with this anyway. i.e. I'd eat a sweet potato for dinner, or a banana or an apple, or the usual teaspoon of honey - but still woke up in the middle of the night.

A few days prior to the blood draw, I had some acid reflux at night due to dairy I thought was safe, and a brand new allergy to hazelnuts that I didn't have before (now causes acid reflux). How long does the CRP test reflect stress for? Weeks? Months?

I also suspect SIBO as I'm recently not handling carbs very well. I wind up burping after eating things like fruit or other carbs, when I was able to handle them just fine a few months ago. A few weeks ago, a meal containing rice caused some reflux at night and I coughed up some undigested rice grains as well. Perhaps the CRP is reflective of the SIBO as well as the stress.

Not sure what to make of the BUN/Creatinine ratio. Maybe this has to do with ammonia disposal which I have a bad gene for. (I'm also heterozygous for MTHFR, not sure if this relates.) I do notice that urine is slightly foamy, not a lot, just a little, that's probably something to ask the doc about and get tested at the next visit.

Weirdly enough iron levels are low. Not sure what to make of that, though ferritin is normal. Probably need to eat more beef/bison/lamb instead of chicken/duck/fish.

Since my HDL is slightly lower than I'd like, increasing butter/coconut oil is in the works as well.

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