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What blood tests should I get to see what's missing?!

by (20)
Updated October 19, 2014 at 4:02 AM
Created February 03, 2013 at 11:22 PM

Hi all, going on week 4 of paleo (haven't been 100% strict as I still cant stop my tsp of sugar in my coffee :( Working on it though! I'm going to see my new primary care doctor in a few weeks and I wanted to know which blood tests I should get to get a good feel about how my body is doing, like which deficiencies I may have, etc. I want to make sure I'm not missing anything with supplements. Is there just one general blood test or are there a few important ones I should ask for?

I already get my T4 and TSH tested, haven't had my cholesterol tested in awhile and last time I had my Vit D tested a few months ago it was in the lower 30's. Is that too low? Originally when I first tested it, it was 12.

I'm currently taking:

  • Multi Vit for her with Iron and Calcium (gluten free)
  • 3-4g of Fish Oil (I want to get Flaxseed to add to it this week)
  • 500mg typically (unless I'm getting "stopped" up) of Magnesium
  • 3000mg D3
  • 75mcg Levothyroxine (generic Synthroid for Hypothyroid) I want to talk to my Endo about Armor Thyroid because its more natural. This is the only 'script' I am still taking.

About me:

I'm 28, female, no kids, never been pregnant, work in an office and am getting arthroscopic surgery on my right medial meniscus in a few weeks. I was moderately active prior to knee injury and hope to be hiking come spring! Eye sight is starting to go and am overweight but losing at a good pace from being on paleo. Bad to rush it!

Thanks! :-)

A5127d60bca783084f191f38ffa357a6
697 · February 04, 2013 at 5:45 AM

Well if you don't have any specfic symptoms just eat right and excersise while keeping your thyroid in check

A5127d60bca783084f191f38ffa357a6
697 · February 04, 2013 at 5:44 AM

Note: Serum magnesium levels aren't very accurate, they just measure whats in the blood not in tissues

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 1:15 AM

Thanks for the info, I did get my CK checked (something to do with muscles?), came back ok. My blood sugar was right in the middle, which is good. I did see something that said it was High, it was called MPV? But these results are months old, July I think? I started to track what I eat on Cronometer and from just yesterday and today it shows very low B Vitamins.

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 1:12 AM

Saw something on another post, called Cron-o-meter. Going to track what I eat for a week and see whats missing (without fish oil and multi).

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 12:06 AM

I try to stay away from Soy, but soy oil is in a lot of organic items :(

4bd4e2fe6a095663f80c69656936e487
744 · February 04, 2013 at 12:00 AM

You don't consume soy or raw cabbage, right? They can slow down thyroid function as well.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:59 PM

Yeah I heard the only downfall of the Armor is the potency is unpredictable.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:51 PM

Well, the weight lose is a good thing for me in the long run as I am about 30lbs overweight from where I should be. Ive already lost 60lbs. I had massive weight gain due to thyroid not working properly and bad eating habits. Mostly though I want to be healthy and happy. I did have my t3 tested, will have to look for my test results to see what it was.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:49 PM

When it comes to thyroid, I trust Ray Peat, and he said that they changed the formula or something and it's not what it used to be. He does recommend to take a mix of T4 and T3 and not just T4.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:48 PM

I think vit D supplementation is fine. There is still a lot of controversy about what's the ideal level of vit D.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:48 PM

I can try it for a week and see how I feel ... I know that my thyroid is off, I can feel it. Do you think trying for the Armor Thyroid is a good idea?

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:46 PM

Fish oil might lower cholesterol and triglyceride in the short run, but at the expense of reduced immune system and thyroid function in the long run.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:45 PM

Natural practitioners often mention that people with TSH higher than 2 are rarely healthy. The polyunsaturated fats slow down thyroid function. I would stop the oils immediately. Better thyroid function will bring down your cholesterol and triglycerides. Also, I think it's better to eat meat from beef and lamb, instead of chicken and pork or fatty fish, to further reduce pufa consumption.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:42 PM

T4 is 1.67 up from 1.50 about 2.5 months ago, TSH is 3.46 which is going up as well. I just got a new test 2 days ago, should know the results tomorrow. I was told to take the fish oil for my cholesterol and triglyceride levels! My trigs were once 1500!!! now down to 190 last tested, need a new test soon. Thanks for the info! I feel totally lost as to which supplements I need to take now.

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4bd4e2fe6a095663f80c69656936e487
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744 · February 03, 2013 at 11:35 PM

I wouldn't take a multivit. You would have to analyze each vitamin one by one. For example, vitamin E should be natural, not synthetic. It should be in the form of tocopherols, not tocotrienols, and it shouldn't contain just alpha-tocopherol, but a mix of all tocopherols. Otherwise, studies show you might get a negative effect.

I think it's a better idea to compute the average amount of vitamins you get from your diet to see which you need to take, and then study and figure out what is the best way to take that vitamin (oral, topical, in the morning, etc.)

I don't think it's good to take iron unless a blood test shows one is deficient in iron.

I believe polyunsaturated fats slow down thyroid function so I wouldn't take fish oils or flaxseed. I do take coconut oil.

I just get thyroid, lipid profile, and vit D. If I suspect something at a particular moment, I of course ask for that too.

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 1:12 AM

Saw something on another post, called Cron-o-meter. Going to track what I eat for a week and see whats missing (without fish oil and multi).

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 12:06 AM

I try to stay away from Soy, but soy oil is in a lot of organic items :(

4bd4e2fe6a095663f80c69656936e487
744 · February 04, 2013 at 12:00 AM

You don't consume soy or raw cabbage, right? They can slow down thyroid function as well.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:59 PM

Yeah I heard the only downfall of the Armor is the potency is unpredictable.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:49 PM

When it comes to thyroid, I trust Ray Peat, and he said that they changed the formula or something and it's not what it used to be. He does recommend to take a mix of T4 and T3 and not just T4.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:48 PM

I can try it for a week and see how I feel ... I know that my thyroid is off, I can feel it. Do you think trying for the Armor Thyroid is a good idea?

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:48 PM

I think vit D supplementation is fine. There is still a lot of controversy about what's the ideal level of vit D.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:46 PM

Fish oil might lower cholesterol and triglyceride in the short run, but at the expense of reduced immune system and thyroid function in the long run.

4bd4e2fe6a095663f80c69656936e487
744 · February 03, 2013 at 11:45 PM

Natural practitioners often mention that people with TSH higher than 2 are rarely healthy. The polyunsaturated fats slow down thyroid function. I would stop the oils immediately. Better thyroid function will bring down your cholesterol and triglycerides. Also, I think it's better to eat meat from beef and lamb, instead of chicken and pork or fatty fish, to further reduce pufa consumption.

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:42 PM

T4 is 1.67 up from 1.50 about 2.5 months ago, TSH is 3.46 which is going up as well. I just got a new test 2 days ago, should know the results tomorrow. I was told to take the fish oil for my cholesterol and triglyceride levels! My trigs were once 1500!!! now down to 190 last tested, need a new test soon. Thanks for the info! I feel totally lost as to which supplements I need to take now.

D7cc4049bef85d1979efbd853dc07c8e
1
4029 · February 04, 2013 at 12:43 AM

Can you get iodine and selenium levels tested? Good to know for thyroid health. I've considered some of the following for the day I ever go in to get tests run:

Adrenal Panel: (Cortisol, DHEA, DHEAS)

Complete Hormonal Panel: (Total testosterone, free testosterone, Estradiol, GH stimulation tests, IGH-1, SHBG)

Renal Function

Mineral levels: calcium, zinc, copper, magnesium, selenium

Vitamin levels: A, B (all, especially B12 testing for Holotranscobalamin II), D3, K2

A5127d60bca783084f191f38ffa357a6
697 · February 04, 2013 at 5:44 AM

Note: Serum magnesium levels aren't very accurate, they just measure whats in the blood not in tissues

6028144172f94f96f0d609d2dfccccf9
20 · February 04, 2013 at 1:15 AM

Thanks for the info, I did get my CK checked (something to do with muscles?), came back ok. My blood sugar was right in the middle, which is good. I did see something that said it was High, it was called MPV? But these results are months old, July I think? I started to track what I eat on Cronometer and from just yesterday and today it shows very low B Vitamins.

089dd41b18fbb95ebb5347cded708d98
0
5650 · February 04, 2013 at 1:17 AM

i always get a metabolic panel done when i do blood work.

A5127d60bca783084f191f38ffa357a6
0
697 · February 03, 2013 at 11:46 PM

So your main concern is losing weight? You need to mention what symptoms you have or what you are trying to accomplish.

Get free t3 tested Get vit d up, 30s to low

A5127d60bca783084f191f38ffa357a6
697 · February 04, 2013 at 5:45 AM

Well if you don't have any specfic symptoms just eat right and excersise while keeping your thyroid in check

6028144172f94f96f0d609d2dfccccf9
20 · February 03, 2013 at 11:51 PM

Well, the weight lose is a good thing for me in the long run as I am about 30lbs overweight from where I should be. Ive already lost 60lbs. I had massive weight gain due to thyroid not working properly and bad eating habits. Mostly though I want to be healthy and happy. I did have my t3 tested, will have to look for my test results to see what it was.

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