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Blood tests, Paleo indicators

by (65)
Updated May 26, 2010 at 2:37 AM
Created February 14, 2010 at 9:14 PM

To build on the great answers to the blood tests question:

What results/metrics per test indicate that one is in the evolutionary metabolic milieu as described by Dr. Harris? For example, "Test X - desired result is Y - higher/lower is better."

48f9bb680fbc1bc1bd0d9cb09ee10273
0 · August 28, 2010 at 6:57 PM

Have to love use of the third person ;) I had my hormone profile work done about 3 months ago, and was actually the reason I went paleo. I had really low T on SAD/low fat diet. Went paleo but also started T replacement at the same time - I wonder now if PaNu or Paleo alone might have been able to correct the T levels? But at this point I dread the thought of months without T in some hope that it would rebound to proper levels...

7bea72ef073e8f76b5828727f1460900
0 · May 26, 2010 at 2:38 AM

Oops! I can't believe I mis-attributed the rule! Sorry about that!

Ae011d9f1c8654ea66854ca2a977c397
0 · May 25, 2010 at 2:37 AM

This is a different Ryan but I agree with the one above. I had my testosterone tested and it came back really low despite the fact I do Olympic lifts 3xs a week. I've since added in 10k IUs of D3, ZMA before bed, and more fat to my diet. Looking forward to retesting and seeing if there is a change. This might have to wait a bit as the test is a few hundred dollars.

C4d4a9db7ee3b315eae97795555a1177
0 · April 05, 2010 at 10:46 PM

Why do you not recommend a testosterone test, at least for males? It seems that gluten, lack of vitamin D, lack of fat in diet, cortisol, bad/lack of sleep can all have an adverse effect on testosterone

3e35e1c0a7d7a63e4c8a413dac3c655b
0 · February 17, 2010 at 1:46 AM

"...It might be hard to get them if you don't schedule them yourself." Thanks, Robert. That's why I asked the question. I want to go into an exam well armed and well prepared for the almost obligatory statin lecture if the LDLs are even remotely higher than the "accepted" norm.

77732bf6bf2b8a360f523ef87c3b7523
0 · February 15, 2010 at 3:33 PM

Vitamin D Council recommends everyone have vitamin D around 50-80ng/mL. I think they are just being cautious with the upper bound on that. http://www.vitamindcouncil.org/

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A49ad052f6f7cb7dfe39e9285e2263fb
11
1205 · March 06, 2010 at 4:08 AM

No, Dr. Harris thinks that LDL is generally useless: ) I only recommend NMR to reassure those on high fat diets that they have low sdLDL and lower particle numbers than direct or calculated LDL would predict. The best alternative is no "lipid" testing at all.

I don't believe in the lipid hypothesis in any of its variants. Incidentally, lowering your measured LDL to 60 is impossible on a high fat diet without poisoning your cholesterol metabolism with statins.

48f9bb680fbc1bc1bd0d9cb09ee10273
0 · August 28, 2010 at 6:57 PM

Have to love use of the third person ;) I had my hormone profile work done about 3 months ago, and was actually the reason I went paleo. I had really low T on SAD/low fat diet. Went paleo but also started T replacement at the same time - I wonder now if PaNu or Paleo alone might have been able to correct the T levels? But at this point I dread the thought of months without T in some hope that it would rebound to proper levels...

Ae011d9f1c8654ea66854ca2a977c397
0 · May 25, 2010 at 2:37 AM

This is a different Ryan but I agree with the one above. I had my testosterone tested and it came back really low despite the fact I do Olympic lifts 3xs a week. I've since added in 10k IUs of D3, ZMA before bed, and more fat to my diet. Looking forward to retesting and seeing if there is a change. This might have to wait a bit as the test is a few hundred dollars.

C4d4a9db7ee3b315eae97795555a1177
0 · April 05, 2010 at 10:46 PM

Why do you not recommend a testosterone test, at least for males? It seems that gluten, lack of vitamin D, lack of fat in diet, cortisol, bad/lack of sleep can all have an adverse effect on testosterone

48d73cb880d957ebc147d658f21c0318
7
261 · February 16, 2010 at 9:28 PM

I think Dr Kurt recommends these tests as the best panel. What the good numbers are, I don't know. It might be hard to get them if you don't schedule them yourself. After all, you are just a data point between your doctor and the insurance company. I'm sure your doctor wouldn't mind if you got healthy, but that's of secondary concern.

  • NMR lipoprofile
  • Fasting insulin and blood glucose
  • HbA1c
  • TSH
  • fT3
  • fT4
  • 25 OH D3

3e35e1c0a7d7a63e4c8a413dac3c655b
0 · February 17, 2010 at 1:46 AM

"...It might be hard to get them if you don't schedule them yourself." Thanks, Robert. That's why I asked the question. I want to go into an exam well armed and well prepared for the almost obligatory statin lecture if the LDLs are even remotely higher than the "accepted" norm.

A480640a53eb5dc8966f49141942f705
2
1694 · May 25, 2010 at 2:19 AM

I have been getting my blood tested approximately every six weeks since adopting PaNu.

The next time I do bloodwork, I plan to order:

  • Cholesterol, lipids, and NMR lipoprofile
  • Fasting insulin and blood glucose
  • HbA1c
  • Thyroid panel with TSH, T3, T4
  • Vitamin D, 25-Hydroxy
  • C-Reactive Protein

I don't get these tests through a doctor; I use directlabs.com.

https://directlabs.com/OrderTests/tabid/55/language/en-US/Default.aspx

Unfortunately the website doesn't support direct links so I can't link to specific tests. Their monthly specials change all the time so I tend to end up lashing together various combos to give me what I want.

After a few months, I plan to publish my numbers on some dataviz site.

If other people were willing to share their results, we might build shambling momentum towards a sort of Clinical Trials 2.0 concept.

7bea72ef073e8f76b5828727f1460900
2
2713 · February 16, 2010 at 4:09 AM

Dr. Davis's "Rule of 60" uses the following:

  • HDL at 60 mg/dl or above
  • Triglycerides at 60 mg/dl or below
  • LDL at 60 mg/dl or below

Since we know now that LDL has many subtypes (some bad, some neutral), the LDL number is somewhat less useful diagnostically. Based on this, I would use just the HDL at or above 60 mg/dl and triglycerides at or below 60 mg/dl as good indicators. Alternatively, if the triglycerides over HDL ratio is at 1 or below, it's a good indicator that you're doing Paleo right.

7bea72ef073e8f76b5828727f1460900
0 · May 26, 2010 at 2:38 AM

Oops! I can't believe I mis-attributed the rule! Sorry about that!

2cf57afdb5e0e1eb86e30c5ff570bff1
1
10 · February 16, 2010 at 9:53 PM

The "Rule of 60" is from Dr. William Davis.

Dr. Kurt Harris does think that LDL is of value (as measured by the standard lipid profile as opposed to an NMR). He does think that the triglyceride/HDL ratio has some value as a marker.

65125edd5aafad39b3d5b3a8b4a36bb7
1
6082 · February 14, 2010 at 10:34 PM

From my recent physical examination and blood tests, it was indicated that:

For fasting glucose levels, a range of 65-99 mg/dL is normal. For Vitamin D levels, a range of 32-100 ng/mL is normal.

My results indicated that my fasting glucose level was at 81, and my Vitamin D was at 30.3

77732bf6bf2b8a360f523ef87c3b7523
0 · February 15, 2010 at 3:33 PM

Vitamin D Council recommends everyone have vitamin D around 50-80ng/mL. I think they are just being cautious with the upper bound on that. http://www.vitamindcouncil.org/

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