My boyfriend has been following a paleo diet for years now. Often 100% carnivore and recently with the addition of offal/guts etc instead of veggies for vitamins. He still eats veggies occasionally and this test is right before the change from meat plus veg to 99% meat/offal.
He works out almost every day and has for years but could not lose any weight until going low carb and eventually paleo. He lives a very healthy lifestyle in general. He has a fairly stocky build and I would not put much stock in the bmi. He has some excess skin from the weight loss (he lost a ton when he finally found the right diet). So if they used the caliper things they probably got a false amount.
Anyway any help would be appreciated we have NO idea what it means.
male, 28, 200 pounds 5'8 (but really 5'4ish but dont tell anyone)
alkaline phosphatase 52
total bilirubin 0.8
AST (SGOT) 37
ALT (SGPT) 27
GGT (GGTP) 16
total protein 7
globulin (total protein minus albumin) 2.3
total cholesterol 149
ldl hdl ratio 1.68
protein creatinine ratio 102
leukocyte esterase screen NEG
Blood Pressure 118
blood preassure dias 70 pulse rate 66
Thank you all for the thoughtful responses. You have been such a great resource!! Ok so I thought I would add some information.
He does drink some- a glass of good whiskey some nights. But that is really his only vice. You wont see him pigging out on junk food etc. I will need to get him to cut back on the caffeine if he is dehydrated.
When I first met him I knew nothing about paleo and was very SAD oriented. I really kinda freaked out and thought his diet was super unhealthy so he let me tweek it a bit as long as it stayed low carb. He did not know he was paleo- he just knew that he was super carb sensitive but he basically followed the paleo ideals.
At first I gave him tons of veggies of all kinds but he was eating far too much in the way of chicken breasts and not enough fat. That and many other mistakes such as tons of marinara sauces etc. I had no idea how much sugar is in those sauces!! Ugh.. To think how wrong I was shakes head sadly.
That did not seem to make a difference in his weight loss though. He has been pretty set at a certain weight for awhile now despite exercise/diet changes. He then started adding apples as a snack at work. When he literally ate 3-4 apples a day it was obvious that his weight loss had completely stalled and he had to workout really hard to barely maintain what he had.
So fruit was a no no. Basically around this time I actually started researching paleo in earnest and seriously considered joining him. I now know that my body just gave up on processing gluten and violently rejected anything "normal" I gave it. Through research I finally understood how to do paleo "right" and what it really meant. With this new information we went to work on fussing with both of our ratios. I do best with 100g or less carbs but not on vlc. He seems to feel best and enjoy being mostly carnivore. He only ate the green stuff because I told him to etc. In the past it was just to add variety to his diet. He did do a brief stint of eating tons of raw kale with meat on top and that seemed to really fill him up and make him feel good- however the kale we get has been coming limp and bitter lately (probably out of season) so we had to stop with that.
His daily food is usually:
one of those giant chubs of ground beef (3 pound I think) cooked with guts, seasonings, and now with kale (which I had him add back in in cooked form - so it doesnt matter if its a little limp when we buy it). He will eat brocolli with steak if I make it and also chicken soup made the slow/right way with gelatin and bone broth etc.
So would you guys suggest going back to half kale half meat so probably cutting it to 1.5 lbs of ground beef a day? I am going to add a picture of him so you can see his body type.
These pictures are after a 2 year journey in weight loss. He has asked me to post on this forum in the hopes that we will finally figure out the best diet for him. He has been struggling for years and was unimaginably frustrated after eating "healthy" (SAD) and working out religiously and seeing no changes. Low carb is the only thing that works.. now to fine tune it!
asked byancestral_stars (1600)
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on October 22, 2011
at 09:46 PM
The only thing that jumps out at me is that total cholesterol is probably too low. Has he ever had another panel to compare to?
on October 23, 2011
at 05:26 PM
One other thing you might want to look at. The BUN is high-normal.
This could be that your boyfriend may have been dehydrated at the time (was he able to produce enough sample for the urine)?
But this could also be due to excessive protein consumption. If you're on an all-meat diet with very little veggies, this is certainly possible. This is the reason why some GPs freak out when they find out you're on an Atkin-type all-meat diet. BUN skyrockets, giving the impression that your kidneys are malfunctioning.
So, find out how much protein he's been eating. I would not eat more protein than his lean body mass (LBM). I'm sorry, he may be really muscular, but at 5-4/200, he's a bowling ball. I can't see anyone that wide being that lean and muscular. I would be curious what his body fat % is.
Use that to restrict protein. Increase fat. Unless he is carb-intolerant, I would increase the carbs to about 100g but you say he couldn't lose weight. Then stay low carb but restrict protein and increase fat (coconut oil, EVOO, etc.) Maybe the carb increase should follow after losing some more weight.
He needs other inflammation markers to see why his liver enzymes are elevated.
on October 23, 2011
at 06:49 AM
Those liver enzymes are really high... you want to get those as close to 20 as possible and ideally as close to 15
on October 23, 2011
at 12:07 AM
Does he observe any physiological symptoms? If he's stressed out (physically or mentally) or he is hypothyroidic, that'll kill any kind of weight loss. My disclaimer here is that he may not be suffering from hypothyroidism, but the hormones produced by your thyroid are almost sole proprietors for regulating weight loss. If they're out of whack, you simply will not lose weight or you'll have an unbelievably hard time. They can be out of whack for a myriad of reasons.
For self-diagnosing high stress, I suggest looking up adrenal fatigue. The symptoms of hypothyroidism are also floating out there. Irregular cortisol can screw up hormonal uptake even in people with perfectly healthy thyroids.
Oh, and remember that physiological stress is also stress. Too much protein and too few carbs is stressful. I cannot interpret your results now, but diets are physiologically stressful.
http://stopthethyroidmadness.com is an amazing website I'd use for research. Good luck!