4a7929c2aa05bf11349d9e55cb542d47
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Relatively new to Paleo - Baseline Blood Work

by (646)
Updated about 22 hours ago
Created March 23, 2011 at 4:36 AM

I started gluten free 5 weeks ago and discovered and started Paleo about 1 week later. I coincidentally had a regular check up with my doctor scheduled the day after I started Paleo (1 week into gluten free), so I believe I have a pretty solid baseline for vitals. Below are the results. I have no idea what anything means other than the included ranges in parentheses. My doctor told me that I am in excellent health and left it at that. Everything look good? I am a 29 year old Male 147lbs (I've lost some lbs since the physical).

Pulse   68 bp
Respiration     16 reps/min     
Systolic    100 mml-lg  
Diastolic   62 mmHg     
Weight  70.307 Kg   
Height  182.88 cm   
White Cell Count    4.9 K/UL    (3.5 -10.5) 
Red Cell Count  5.00 M/UL   (4.20 - 5.80) 
Hemoglobin  15.5 GM/DL  (13.0 ??? 17.5) 
Hematocrit  46.4 %  (38.0.- 50.0) 
MCV     93 FL   (80 - 99) 
MCH     31.0 pg.    (27.0 - 34.0) 
MCHC    33.4 %  (32.0 ??? 35.5) 
RDW     12.2    (11 -15) 
Platelet Count  207 K/Ul.   (140 - 390) 
Differential Type   AUTO    
Neutrophils     44 %    (34 ??? 73) 
Lymphocytes     37 %    (15 ??? 50)
Monocytes   13 %    (5 ??? 15) 
Eosinophils     5 %     (0 - 8) 
Basophils   1 %     (0 - 2) 
Absolute Neutrophils    2.2 K/Ul    (1.5 ~ 8.0) 
Absolute Lymphocytes    1.8 K/UI.   (1.0 - 4.0)
Absolute Monocytes  0.6 K/UL    (0.2 ??? 1.0) 
Absolute Eosinophils    0.2 K/UL    (0.0 ??? 0.60) 
Absolute Basophils  0.0 K/UL    (0.0 - 0.20) 
Sodium  140 mEq/L   (135 ??? 148) 
Potassium   5.0 mEq/L   (3.5 ??? 5.0) 
Chloride    104 mEq/L   (95 - 108) 
Bicarbonate     28 mEq/L    (24 - 32) 
Blood Urea Nitrogen     17 mg/dL    (0 - 20) 
Creatinine  0.97 mg/dL  (0.00 ??? 1.70) 
eGFR-NonAfr Am  * >60   (>59) 
eGFR???African Am     * >60   (>59) 
Glucose Level   77 mg/dL    (65 ??? 100) 
Calcium     9.9 mg/dL   (8.5 -10.5) 
Albumin     4.6 g/dL    (3:5 ~ 5.0) 
Protein ??? Total     7.5 GM/DL   (6.0 - 8.0) 
ALT (SGPT)  14 Unit/L.  (O - 48) 
AST (SGOT)  21 Unit/L   (0 ??? 40) 
Bilirubin ??? Total   1.1 mg/dL   (O ?? 1.3) 
Alkaline Phosphatase    69 Unit/L   (30 -115) 
Cholesterol     167 mg/dL   (- <200) 
LDL Cholesterol     96 mg/dL    (??? <100) 
HDL Cholesterol     64 mg/dL    (>40 -) 
Triglycerides   34 mg/dL    (- <150) 
Non???HDL Cholesterol     103 mg/dL   (- <130) 
Vitamin D 25 ??? Hydroxy  L 26.1  (30.00 ??? 100)

I also track my caloric intake with CRON-o-meter. Here are my averages as of 12/18/2011 (294 days of data):

General (73%)
===========================================
Energy               |  2497.8 kcal   104%
Protein              |   151.2 g       84%
Carbs                |   120.8 g       76%
  Fiber              |    20.9 g       55%
  Starch             |    10.3 g       17%
  Sugars             |    38.7 g       64%
Fat                  |   146.5 g      109%
Alcohol              |    13.6 g     1361%
Caffeine             |     4.5 mg     452%
Water                |  1257.5 g       34%

Vitamins (93%)
===========================================
Vitamin A            | 28780.3 IU     959%
  Retinol            |   733.7 ??g      73%
Folate               |   612.3 ??g     153%
B1 (Thiamine)        |     1.9 mg     156%
B2 (Riboflavin)      |     2.4 mg     188%
B3 (Niacin)          |    30.9 mg     193%
B5 (Pantothenic Acid)|     8.2 mg     164%
B6 (Pyridoxine)      |     3.3 mg     256%
B12 (Cyanocobalamin) |    11.1 ??g     464%
Vitamin C            |   158.4 mg     352%
Vitamin D            |   729.3 IU      36%
Vitamin E            |    13.2 mg      88%
Vitamin K            |   324.6 ??g     271%
Choline              |   750.5 mg     136%

Minerals (98%)
===========================================
Calcium              |   899.6 mg     112%
Copper               |     1.5 mg     168%
Iron                 |    18.4 mg     230%
Magnesium            |   326.2 mg     163%
Manganese            |     3.5 mg     151%
Phosphorus           |  1879.5 mg     268%
Potassium            |  3687.5 mg      78%
Selenium             |   174.5 ??g     317%
Sodium               |  2781.7 mg     185%
Zinc                 |    19.2 mg     175%

Lipids (99%)
===========================================
Saturated            |    64.7 g      129%
Monounsaturated      |    55.5 g      111%
Polyunsaturated      |    15.7 g      174%
  Omega-3            |     4.0 g      134%
  Omega-6            |    11.0 g      183%
Trans-Fats           |     0.9 g       92%
Cholesterol          |  1128.2 mg     113%
Phytosterol          |    57.2 mg     229%

518bce04b12cd77741237e1f61075194
11557 · December 20, 2011 at 2:24 AM

Oh, much better! I was worried you had some crazy supplementation going, Vitamin A is one of those you don't want to megadose. Yeah, there's no way you are getting all the retinol out of the beta carotene, should be fine.

4a7929c2aa05bf11349d9e55cb542d47
646 · December 20, 2011 at 1:53 AM

I eat a handful of baby carrots every day.. which is around 100-120 grams. This provides 15000 IU Vitamin A which is 500% of the USDA RDA. Understandably, this is just carotene, not retinol. My retinol numbers are not so great.. only around 800 IU which is 75% USDA RDA.

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 05, 2011 at 11:34 PM

I'll agree with your comment on D3, but his omega ratio is acceptable, particularly if not supplementing. And the oats comment/link... 100% scientific ignorance. If that guy is a doctor... wow...

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 05, 2011 at 11:30 PM

Why reduce protein?

E5c7f14800c5992831f5c70fa746dc5c
12847 · August 24, 2011 at 2:36 PM

Meat and eggs have just as much if not more sulfur than oats. Avoiding oats because of the sulfur content is pretty dumb.

84666a86108dee8d11cbbc85b6382083
2399 · August 24, 2011 at 2:33 PM

http://paleohacks.com/questions/34419/where-can-i-order-lab-for-omega-six-three-indexes#axzz1VxLv7QgR

3846a3b61bc9051e4baebdef62e58c52
18635 · July 28, 2011 at 6:44 PM

You can either find a different doctor or go directly to a lab and let them know you are willing to pay cash. They are out there, the ones not affiliated with a particular hospital cost the least.

B0fe7b5a9a197cd293978150cbd9055f
8933 · June 21, 2011 at 12:30 PM

Also had a blood test the day I started paleo, and my vitamin D was 9 (which caused loads of allergy problems, skin problems, ...). Vitamin D is an awesome vitamin you ABSOLUTELY need, so get some more of it, it helps a lot. If there's no sun in your area consider taking supps.

50637dfd7dc7a7e811d82283f4f5fd10
5838 · May 04, 2011 at 4:24 PM

I just had some blood work done and asked for my O3:O6 index / ratios. My DR. said they don't test that, or cannot (can't fully remember) Clearly the above states otherwise. Anyone know how I can get that tested?

39a1a0bc7855c084ac59df60fdf9c0dd
1500 · April 26, 2011 at 8:42 PM

I don't think there is any guarantee that "you will live a long healthy life with excellent quality of life," but I do believe that we become healthier when we stop eating things that hurt us.

3fc07ff31006b1860083f0cfe4472ae4
561 · March 24, 2011 at 12:57 AM

I use this fish oil. It's a little cheaper but I hear the Pharmax is good too. http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg For more Paleo hacks: http://paleohacks.com/questions/29021/relatively-new-to-paleo-baseline-blood-work#ixzz1HTSQwkgM

3fc07ff31006b1860083f0cfe4472ae4
561 · March 24, 2011 at 12:55 AM

I use this fish oil: http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg

4a7929c2aa05bf11349d9e55cb542d47
646 · March 23, 2011 at 5:59 PM

I'd like to add that my CRON-o-Meter results are probably a worst-case scenario. Although I do tweak some numbers based on available nutritional info, I rely pretty heavily on the default micronutrient breakdown provided with the app. I eat only organic fruit and veggies, pastured meat and dairy, wild fish, etc. However, I don't think the built-in info account for the better nutritional content of the food I'm eating (better O6:O3, more vits & mins, etc).

4a7929c2aa05bf11349d9e55cb542d47
646 · March 23, 2011 at 5:54 PM

Thanks for the help and advice. For my O6:O3 ratio, I also notice it to be high, but I'm doing the best I can. I do not eat nuts or use vegetable oils (except a little bit of EVOO or salad dressing), and I only eat pastured beef/bison, pastured cheese/butter, and wild salmon. I limit pork to only bacon with half of my breakfast and minimal poultry (occasionally duck). My biggest deviation would be lunch meats.. I do go for Applegate Farms or Welshire sliced ham (averaging probably 2-3 slices a day). But this is a fairly small quantity with less than 1g of total PUFA for my daily intake.

531db50c958cf4d5605ee0c5ae8a57be
8868 · March 23, 2011 at 4:14 PM

I'm going to disagree on the omegas. The omega-6 to omega-3 ratio shown here is less than 4 to 1. Not terrible, perhaps could be improved. I know of no study or theoretical framework that posits health benefits from reversing this ratio.

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4 Answers

1c33cda52b22490ef1666e768f2ebddf
1
25 · September 24, 2011 at 10:21 PM

You're doing well.

3c6b4eed18dc57f746755b698426e7c8
1
5132 · September 08, 2011 at 5:16 AM

Are you eating fruits but very little starch? What jumps out is your sugar intake as a proportion of total carbs (which at 80g net carbs is still pretty low).

You don't seem to have blood sugar issues, plus you're pretty thin. So I would decrease protein to say under 100g, while increasing the carbs a bit via safe starches like potatoes, yams, and yuca. In other words, keep your current calories (or increase a bit) but throw in more carbs and cut down on some proteins. Your fat intake seems fairly ideal: you must be either taking in olive oil or macadamia nuts.

And decrease the sugar just a bit if they're coming from non-fruity or processed sources, to say, 20-25g per day. That will keep your fructose to about 15g or less per day ... which I think is the sweet spot if you wanna lean out and avoid all inflammation and AGEs. With that, I think your liver enzymes will decline to the low teens.

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 05, 2011 at 11:30 PM

Why reduce protein?

518bce04b12cd77741237e1f61075194
0
11557 · December 18, 2011 at 1:31 AM

677% is a lot of Vitamin A...probably not as big a deal because you are not female/pregnant-prone, but Vitamin A toxicity is not a good time, very hard on the liver, bone abnormality, hemorrhage, hair loss, and skin rash. Are you supplementing it to get that high a level? Or eating beef liver every day?

Everything else looks good!

518bce04b12cd77741237e1f61075194
11557 · December 20, 2011 at 2:24 AM

Oh, much better! I was worried you had some crazy supplementation going, Vitamin A is one of those you don't want to megadose. Yeah, there's no way you are getting all the retinol out of the beta carotene, should be fine.

4a7929c2aa05bf11349d9e55cb542d47
646 · December 20, 2011 at 1:53 AM

I eat a handful of baby carrots every day.. which is around 100-120 grams. This provides 15000 IU Vitamin A which is 500% of the USDA RDA. Understandably, this is just carotene, not retinol. My retinol numbers are not so great.. only around 800 IU which is 75% USDA RDA.

06d21b99c58283ce575e36c4ecd4a458
0
9948 · March 23, 2011 at 6:26 AM

You are a pretty healthy guy.

What jumps out at me is your serum Vit D3 level is way low.

Dr. K wants his patients to be 70 to 100 nanograms/milliliter. You are at 26.1 (25 hydroxy). See this posting as to why a higher level is important http://paleohacks.com/questions/28750/do-you-know-how-vit-d-assists-the-body-in-warding-off-diseases#axzz1HORGKrk7 You can sun yourself half naked once a day for 20 min or take Vit D3 gel caps....5000IU a day to get your serum Vit D3 level up.

The only other thing I see is your omega 6 to omega 3 ratio should be reversed. We want more 3 than 6. Cut out/reduce nuts, and supplement with fish oil. The most potent I have seen is the following and at the best price.

https://shop.trackyourplaque.com/Category/24/Omega-3_Fish_Oil.aspx

You want the $58.95 500ml product.

Others can give you better guidance than I on what to avoid.

Eat no products that contain any wheat...including oats, corn, sugar. Fuel yourself with meat and fat, with some leafy green salads with olive oil and vinegar and a few sweet potatoes. Eggs cooked in butter or coconut oil, bacon, sausage, hard cheeses. No oats/oatmeal because they are loaded with sulphuric acid. http://www.heartscanblog.org/2011/03/battery-acid-and-oatmeal.html

Many of us eat 75-80% fat, 15-20% protein and 5% or less in carbs. Do this for the rest of your life and you will live a long healthy life with and excellent quality of life. Wish I had known this 40 years ago

531db50c958cf4d5605ee0c5ae8a57be
8868 · March 23, 2011 at 4:14 PM

I'm going to disagree on the omegas. The omega-6 to omega-3 ratio shown here is less than 4 to 1. Not terrible, perhaps could be improved. I know of no study or theoretical framework that posits health benefits from reversing this ratio.

3fc07ff31006b1860083f0cfe4472ae4
561 · March 24, 2011 at 12:55 AM

I use this fish oil: http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg

4a7929c2aa05bf11349d9e55cb542d47
646 · March 23, 2011 at 5:54 PM

Thanks for the help and advice. For my O6:O3 ratio, I also notice it to be high, but I'm doing the best I can. I do not eat nuts or use vegetable oils (except a little bit of EVOO or salad dressing), and I only eat pastured beef/bison, pastured cheese/butter, and wild salmon. I limit pork to only bacon with half of my breakfast and minimal poultry (occasionally duck). My biggest deviation would be lunch meats.. I do go for Applegate Farms or Welshire sliced ham (averaging probably 2-3 slices a day). But this is a fairly small quantity with less than 1g of total PUFA for my daily intake.

3fc07ff31006b1860083f0cfe4472ae4
561 · March 24, 2011 at 12:57 AM

I use this fish oil. It's a little cheaper but I hear the Pharmax is good too. http://www.iherb.com/Natural-Factors-RxOmega-3-Factors-EPA-1-500-mg-DHA-750-mg-Natural-Orange-Flavor-8-fl-oz-237-ml/2646?at=0 $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg For more Paleo hacks: http://paleohacks.com/questions/29021/relatively-new-to-paleo-baseline-blood-work#ixzz1HTSQwkgM

39a1a0bc7855c084ac59df60fdf9c0dd
1500 · April 26, 2011 at 8:42 PM

I don't think there is any guarantee that "you will live a long healthy life with excellent quality of life," but I do believe that we become healthier when we stop eating things that hurt us.

50637dfd7dc7a7e811d82283f4f5fd10
5838 · May 04, 2011 at 4:24 PM

I just had some blood work done and asked for my O3:O6 index / ratios. My DR. said they don't test that, or cannot (can't fully remember) Clearly the above states otherwise. Anyone know how I can get that tested?

3846a3b61bc9051e4baebdef62e58c52
18635 · July 28, 2011 at 6:44 PM

You can either find a different doctor or go directly to a lab and let them know you are willing to pay cash. They are out there, the ones not affiliated with a particular hospital cost the least.

E5c7f14800c5992831f5c70fa746dc5c
12847 · August 24, 2011 at 2:36 PM

Meat and eggs have just as much if not more sulfur than oats. Avoiding oats because of the sulfur content is pretty dumb.

84666a86108dee8d11cbbc85b6382083
2399 · August 24, 2011 at 2:33 PM

http://paleohacks.com/questions/34419/where-can-i-order-lab-for-omega-six-three-indexes#axzz1VxLv7QgR

32f5749fa6cf7adbeb0b0b031ba82b46
41544 · November 05, 2011 at 11:34 PM

I'll agree with your comment on D3, but his omega ratio is acceptable, particularly if not supplementing. And the oats comment/link... 100% scientific ignorance. If that guy is a doctor... wow...

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