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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 µg      73%
Folate               |   612.3 µg     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 µg     464%
Vitamin C            |   158.4 mg     352%
Vitamin D            |   729.3 IU      36%
Vitamin E            |    13.2 mg      88%
Vitamin K            |   324.6 µg     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 µg     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%
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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). – BaleoNub Mar 23 2011 at 17:59
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. – Korion Jun 21 2011 at 12:30

4 Answers

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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.

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Why reduce protein? – Matt Nov 5 2011 at 23:30
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You're doing well.

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0

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

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4 
 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. – wjones3044 Mar 23 2011 at 16:14
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. – BaleoNub Mar 23 2011 at 17:54
I use this fish oil. It's a little cheaper but I hear the Pharmax is good too. iherb.com/… $24 for an 8oz bottle at iherb Per Tsp EPA (eicosapentaenoic acid) 1,500 mg ** DHA (docosahexaenoic acid) 750 mg For more Paleo hacks: paleohacks.com/questions/29021/… – ladyp Mar 24 2011 at 0:57
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. – Lee Apr 26 2011 at 20:42
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? – Todd May 4 2011 at 16:24
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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!

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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. – BaleoNub Dec 20 2011 at 1:53
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. – JeJ Dec 20 2011 at 2:24

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