1

votes

Please hack my boyfriends lab results. He has been paleo for a long time. We just dont know what it all means!*pics added*

Answered on August 19, 2014
Created October 22, 2011 at 7:41 PM

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)

Blood

glucose 87
fuctosamine 1.6
bun 21
creatinine 0.8
eGFR 144
alkaline phosphatase 52
total bilirubin 0.8
AST (SGOT) 37
ALT (SGPT) 27
GGT (GGTP) 16
total protein 7
albumin 4.7
globulin (total protein minus albumin) 2.3
total cholesterol 149
HDL 52
LDL 87
ldl hdl ratio 1.68
triglycerdies 49

urine

glucose NEG
protein 9
hemoglobin NEG
creatinine 88.4
protein creatinine ratio 102
ph 5.9
leukocyte esterase screen NEG

Blood Pressure 118
blood preassure dias 70 pulse rate 66

update

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!

alt text

alt text

Ce41c230e8c2a4295db31aec3ef4b2ab

(32564)

on October 24, 2011
at 11:45 AM

What is his Vitamin D level? D deficiency can stall fat loss.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:14 AM

HDL becomes more and more important as your TC increases, and especially your non-HDL TC proportion increases. Then, it's very critical. At a lesser level such as 150, it's less so.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:12 AM

His 149 TC suggests his cells are not making excess cholesterol than they could use, so he doesn't even need really high HDL because they need not be deployed.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:09 AM

HDL is >1/3 of TC; Trigs / HDL <1. That alone establishes the particle size of any LDL he has as the less dangerous type. However, all that is superfluous. First, the 149 TC signals one patently obvious thing: he's not ApoEE, so he has no FH nor genetic vulnerability on a high fat Paleo diet. He is blessed. But second, and more important:

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:04 AM

I don't think it's valid to judge cholesterol based on TC. The components are important and in this case, he has excellent components. Those curvilinear TC graphes equating low TC w/cancer and other diseases are faulty and full of noise. Here's how I would interpret the "low TC":

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:54 AM

I've conducted several satiety experiments along this line. Before Paleoing, I used to consume Planter's Spanish Red Skin Peanuts, which induce incredible satiety, especially before a large meal. 1 oz of that has 7g of protein and 15g of fat. Out of 170 total calories, fat is 78% while protein is 17%. I would say the satiety-inducing (and by extension, appetite-suppressing) effect of these peanuts stem from FAT (mostly MUFA and PUFA) rather than protein. Try these peanuts if you get a chance. You'll know exactly what I mean.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:42 AM

Mem, u should not be paying undue regard to "normal" ranges provided by labs. They're not meant to indicate "normalcy" but the preponderant incidence of test results by all test takers. We live in a country that's 2/3 obese or overweight. Do you think a BG of 100 is normal? Most T2 diabetics have fatty liver before being diagnosed? When a significant portion of the population suffer from Metabolic Syndrome, u do not have the luxury of pointing to ranges derived by test results as "normal"; it's all relative, and u don't need to be a health practitioner to realize that in this day and age.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:27 AM

I don't think his liv enzyme elevation is from his protein consumption but from bodily inflammation. A very low carb diet w/relative high proteins one can eat from a carnivorous diet, is basically anti-inflammatory. I think that suggests his legacy weight probems and erstwhile metabolic syndrome, given his struggle with weight. Btw, liver enzymes are fairly specific insofar as inflammation w/regard to fatty liver is concerned. Just like BG of 83 isn't equivalent to BG of 105. Both may be considered normal, but normal in a SAD diet can be a sad indicator of IR and herald metabolic syndrome.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:22 AM

Correct, his high protein intake could be elevating his liv enzymes. But he's not taking any supplements, just whole foods. Food proteins have natural built-in inhibitors; he will become sick if he tries to eat 300g of protein like some bodybuilders try to do and succeed by taking soy and supplements.

Cbb1134f8e93067d1271c97bb2e15ef6

on October 23, 2011
at 10:33 PM

http://arthritis.about.com/od/diagnostic/a/liverbloodtests.htm The discussion for this link is specific to ppl taking meds for arthritic disorders that can affect liver enzymes. This next one has some nice ed and discussion to help you put the numbers in perspective.http://www.liverdisease.com/liverenzymes_hepatitis.html Discussing labs with the healthcare provider you are seeing in always a good thing to do.

Cbb1134f8e93067d1271c97bb2e15ef6

on October 23, 2011
at 10:25 PM

The same lab values can have different norms through different labs. Some labs will have a nomm for potassium as 3.5-4.5 - some will go to 4.8 or 5.0. In looking at the labs, the normal range for that particular lab is what should be paid attention to. I agree with Travis re: high protein effect sometimes. I think his liver enzymes are fine - nothing to write home about. GGT is the indicator most sensitive to recent alcohol intake.You will see in the following two links that the norm range is slightly different.http://www.medicinenet.com/liver_blood_tests/page2.htm

Medium avatar

(39821)

on October 23, 2011
at 10:00 PM

It's the satiety per unit of net energy that is relevant though. Fat doesn't really have a thermic effect nor is it used structurally.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 09:32 PM

Pics and update added=) Thank you

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 06:06 PM

Actually, fat induces satiety as well, as much as protein. The bone broth I think is mostly bone marrows (MuFA). One sip of that and I can't eat anything. Avocadoes are mostly fat and they're filling.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 06:02 PM

Just as an aside, restricting protein could help him lose further weight. Stop all protein bars, whey protein, all dairy, cheese, etc. The more fat the better at this stage of his weight loss. Start him on a bone broth routine and non-starchy veggies like avocadoes, the cruciferous, greens, etc.

Medium avatar

(39821)

on October 23, 2011
at 05:46 PM

High protein diet can elevate these as well. Hard to say if it's actually medically significant however.

Medium avatar

(39821)

on October 23, 2011
at 05:45 PM

Hard to know if the reference ranges are flawed due to the fact that they are based on cereal-eaters. It's really difficult to lose fat while maintaining satiety on anything but a high protein diet.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 04:42 PM

Ditto, those are high liver enzymes. There could be several reasons for this. Does he drink? He should have them in the teens if like he says he's been eating close to zero carbs.

0a0c8c37d3a56738dc017e4ff09f21ee

(480)

on October 23, 2011
at 03:36 PM

@sage, it could be many things. Sleep deprivation, high stress, etc. I never said it was only one thing. You _need_ cholesterol to produce testosterone and other things. @ancestral_stars, physiological stress is difficult to spot. I was doing the Slow Carb diet for about 5 months, exercising almost every day, and eating well. After a while I started observing the symptoms of bad adrenal fatigue because I wasn't resting enough. Work, even if sitting at a computer all day, is stress on your body. If you don't do it when people say "take it easy for a while" then it is likely, too.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 06:55 AM

How do we change that? What do high liver enzymes mean?

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 02:39 AM

He does not exercise intensly every day or anything. He runs sometimes (though hasnt in a little while now that I think about it) but hates it. He does it to make sure he keeps up his ability to run for a few miles at a slow pace but cardio is not a focus. He lifts weights and does full body exercises every other day. He lives a very active life through his job so thats why I say he exercises daily. Neither of us drive so we do a lot of walking etc. He used to work out a lot more but seems to have found a good balance (no more insane hours of exercise when he couldn't seem to lose the weight).

Medium avatar

(39821)

on October 23, 2011
at 02:38 AM

Butter and cream are probably the two foods that increase cholesterol the most. In his case, he might actually be healthier if he made a point to consume them. For someone like me, it spikes my total cholesterol into the 300s+, so I avoid it. We all want at least a TC of 200 though.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 02:36 AM

So not something to worry about if it is genetic? He has been eating a high fat diet for awhile but I would not say that he makes a point to eat super high fat. He is a very simple kind of guy Food=eat and generally makes a single pan full of beef/guts/spices and the occasionally kale. He doesnt add extra butter or other stuff.

Medium avatar

(39821)

on October 23, 2011
at 01:12 AM

Well the good news is that his low cholesterol will make the life insurance cheaper. It's probably genetic in his case if he has been eating a high fat diet for a while.

B4e1fa6a8cf43d2b69d97a99dfca262c

(10255)

on October 23, 2011
at 01:05 AM

my ND diagnosed me as having adrenal fatigue and said that it was the cause of my HIGH cholesterol; so which is it?

3846a3b61bc9051e4baebdef62e58c52

(18635)

on October 23, 2011
at 12:35 AM

The ONLY thing I see that might be "stressful" in OP's description of her husbands diet and lifestyle could be the daily exercises. And that depends on what type of daily exercise we are talking about.

0a0c8c37d3a56738dc017e4ff09f21ee

(480)

on October 23, 2011
at 12:10 AM

Testosterone is derived from cholesterol, another magic hormone that leads to weight loss and better health all-around when in check. Bodies synthesize it during sleep, which is why I eat 4 eggs or so if I'm doing a late dinner.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 12:03 AM

Sadly no. He got the test because he was applying for life insurance. How does one have low cholesterol with the amount of animal he eats? Is it genetic or is he lacking on some vitamin or another?

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4 Answers

4
Medium avatar

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?

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 12:03 AM

Sadly no. He got the test because he was applying for life insurance. How does one have low cholesterol with the amount of animal he eats? Is it genetic or is he lacking on some vitamin or another?

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:09 AM

HDL is >1/3 of TC; Trigs / HDL <1. That alone establishes the particle size of any LDL he has as the less dangerous type. However, all that is superfluous. First, the 149 TC signals one patently obvious thing: he's not ApoEE, so he has no FH nor genetic vulnerability on a high fat Paleo diet. He is blessed. But second, and more important:

Medium avatar

(39821)

on October 23, 2011
at 01:12 AM

Well the good news is that his low cholesterol will make the life insurance cheaper. It's probably genetic in his case if he has been eating a high fat diet for a while.

Medium avatar

(39821)

on October 23, 2011
at 02:38 AM

Butter and cream are probably the two foods that increase cholesterol the most. In his case, he might actually be healthier if he made a point to consume them. For someone like me, it spikes my total cholesterol into the 300s+, so I avoid it. We all want at least a TC of 200 though.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 02:36 AM

So not something to worry about if it is genetic? He has been eating a high fat diet for awhile but I would not say that he makes a point to eat super high fat. He is a very simple kind of guy Food=eat and generally makes a single pan full of beef/guts/spices and the occasionally kale. He doesnt add extra butter or other stuff.

0a0c8c37d3a56738dc017e4ff09f21ee

(480)

on October 23, 2011
at 12:10 AM

Testosterone is derived from cholesterol, another magic hormone that leads to weight loss and better health all-around when in check. Bodies synthesize it during sleep, which is why I eat 4 eggs or so if I'm doing a late dinner.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:12 AM

His 149 TC suggests his cells are not making excess cholesterol than they could use, so he doesn't even need really high HDL because they need not be deployed.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:14 AM

HDL becomes more and more important as your TC increases, and especially your non-HDL TC proportion increases. Then, it's very critical. At a lesser level such as 150, it's less so.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 05:04 AM

I don't think it's valid to judge cholesterol based on TC. The components are important and in this case, he has excellent components. Those curvilinear TC graphes equating low TC w/cancer and other diseases are faulty and full of noise. Here's how I would interpret the "low TC":

3
3c6b4eed18dc57f746755b698426e7c8

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.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:54 AM

I've conducted several satiety experiments along this line. Before Paleoing, I used to consume Planter's Spanish Red Skin Peanuts, which induce incredible satiety, especially before a large meal. 1 oz of that has 7g of protein and 15g of fat. Out of 170 total calories, fat is 78% while protein is 17%. I would say the satiety-inducing (and by extension, appetite-suppressing) effect of these peanuts stem from FAT (mostly MUFA and PUFA) rather than protein. Try these peanuts if you get a chance. You'll know exactly what I mean.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 06:02 PM

Just as an aside, restricting protein could help him lose further weight. Stop all protein bars, whey protein, all dairy, cheese, etc. The more fat the better at this stage of his weight loss. Start him on a bone broth routine and non-starchy veggies like avocadoes, the cruciferous, greens, etc.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 06:06 PM

Actually, fat induces satiety as well, as much as protein. The bone broth I think is mostly bone marrows (MuFA). One sip of that and I can't eat anything. Avocadoes are mostly fat and they're filling.

Medium avatar

(39821)

on October 23, 2011
at 05:45 PM

Hard to know if the reference ranges are flawed due to the fact that they are based on cereal-eaters. It's really difficult to lose fat while maintaining satiety on anything but a high protein diet.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 09:32 PM

Pics and update added=) Thank you

Medium avatar

(39821)

on October 23, 2011
at 10:00 PM

It's the satiety per unit of net energy that is relevant though. Fat doesn't really have a thermic effect nor is it used structurally.

1
Ef4c5b09fdccf73be575d3a0c267fdd9

(2539)

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

Medium avatar

(39821)

on October 23, 2011
at 05:46 PM

High protein diet can elevate these as well. Hard to say if it's actually medically significant however.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 06:55 AM

How do we change that? What do high liver enzymes mean?

Cbb1134f8e93067d1271c97bb2e15ef6

on October 23, 2011
at 10:33 PM

http://arthritis.about.com/od/diagnostic/a/liverbloodtests.htm The discussion for this link is specific to ppl taking meds for arthritic disorders that can affect liver enzymes. This next one has some nice ed and discussion to help you put the numbers in perspective.http://www.liverdisease.com/liverenzymes_hepatitis.html Discussing labs with the healthcare provider you are seeing in always a good thing to do.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 23, 2011
at 04:42 PM

Ditto, those are high liver enzymes. There could be several reasons for this. Does he drink? He should have them in the teens if like he says he's been eating close to zero carbs.

Cbb1134f8e93067d1271c97bb2e15ef6

on October 23, 2011
at 10:25 PM

The same lab values can have different norms through different labs. Some labs will have a nomm for potassium as 3.5-4.5 - some will go to 4.8 or 5.0. In looking at the labs, the normal range for that particular lab is what should be paid attention to. I agree with Travis re: high protein effect sometimes. I think his liver enzymes are fine - nothing to write home about. GGT is the indicator most sensitive to recent alcohol intake.You will see in the following two links that the norm range is slightly different.http://www.medicinenet.com/liver_blood_tests/page2.htm

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:22 AM

Correct, his high protein intake could be elevating his liv enzymes. But he's not taking any supplements, just whole foods. Food proteins have natural built-in inhibitors; he will become sick if he tries to eat 300g of protein like some bodybuilders try to do and succeed by taking soy and supplements.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:42 AM

Mem, u should not be paying undue regard to "normal" ranges provided by labs. They're not meant to indicate "normalcy" but the preponderant incidence of test results by all test takers. We live in a country that's 2/3 obese or overweight. Do you think a BG of 100 is normal? Most T2 diabetics have fatty liver before being diagnosed? When a significant portion of the population suffer from Metabolic Syndrome, u do not have the luxury of pointing to ranges derived by test results as "normal"; it's all relative, and u don't need to be a health practitioner to realize that in this day and age.

3c6b4eed18dc57f746755b698426e7c8

(5152)

on October 24, 2011
at 01:27 AM

I don't think his liv enzyme elevation is from his protein consumption but from bodily inflammation. A very low carb diet w/relative high proteins one can eat from a carnivorous diet, is basically anti-inflammatory. I think that suggests his legacy weight probems and erstwhile metabolic syndrome, given his struggle with weight. Btw, liver enzymes are fairly specific insofar as inflammation w/regard to fatty liver is concerned. Just like BG of 83 isn't equivalent to BG of 105. Both may be considered normal, but normal in a SAD diet can be a sad indicator of IR and herald metabolic syndrome.

1
0a0c8c37d3a56738dc017e4ff09f21ee

(480)

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!

0a0c8c37d3a56738dc017e4ff09f21ee

(480)

on October 23, 2011
at 03:36 PM

@sage, it could be many things. Sleep deprivation, high stress, etc. I never said it was only one thing. You _need_ cholesterol to produce testosterone and other things. @ancestral_stars, physiological stress is difficult to spot. I was doing the Slow Carb diet for about 5 months, exercising almost every day, and eating well. After a while I started observing the symptoms of bad adrenal fatigue because I wasn't resting enough. Work, even if sitting at a computer all day, is stress on your body. If you don't do it when people say "take it easy for a while" then it is likely, too.

C836b2644e7319bb957fbb794a97708e

on October 23, 2011
at 02:39 AM

He does not exercise intensly every day or anything. He runs sometimes (though hasnt in a little while now that I think about it) but hates it. He does it to make sure he keeps up his ability to run for a few miles at a slow pace but cardio is not a focus. He lifts weights and does full body exercises every other day. He lives a very active life through his job so thats why I say he exercises daily. Neither of us drive so we do a lot of walking etc. He used to work out a lot more but seems to have found a good balance (no more insane hours of exercise when he couldn't seem to lose the weight).

3846a3b61bc9051e4baebdef62e58c52

(18635)

on October 23, 2011
at 12:35 AM

The ONLY thing I see that might be "stressful" in OP's description of her husbands diet and lifestyle could be the daily exercises. And that depends on what type of daily exercise we are talking about.

B4e1fa6a8cf43d2b69d97a99dfca262c

(10255)

on October 23, 2011
at 01:05 AM

my ND diagnosed me as having adrenal fatigue and said that it was the cause of my HIGH cholesterol; so which is it?

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