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Looking for point A

Discussion in 'Optimal Labs' started by FutureVision, Sep 22, 2015.

  1. Hi all. It was suggested I post in this forum regarding labs. Below are my lab results grim June 2015. This was pretty Leptin RX which I started about a month ago. And pre- AM UV and tighter control on my environment. As the title of my post indicates I am looking for a precise location of point A on my health map so I can effectively get too point B. Part of that is to determine if I am really leptin resistant and get the best markers to track psoriasis and general inflammation improvement. You can read more about my background in my Optimal Journal. As I mention at the end of this post my doc is willing to run whatever I need. TIA!

    Bloodwork June 2015

    I had a VAP cholesterol profile, thyroid panel(TSH+T4F-Hhyabs+TPO+T3F+T3 Reverse), CBC with differential/platelet,Comp metabolic panel, Lyme Western Blot serum, lipid panel, X-reactive protein(cardiac), Sedimentation rate-Westergen, and a Vitamin D 25-Hydroxy panel. Here are the full results.

    VAP
    • LDL Cholesterol • 143 mg/dL <
    • HDL Cholesterol 54 mg/dL >
    • VLDL Cholesterol 15 mg/dL
    • Cholesterol, Total • 211 mg/dL
    • Triglycerides 57 mg/dL
    • Non HDL Choi. (LDL+VLDL)' 158 mg/dL
    • apoB100-calc 102 mg/dL
    • LDL-R(Real)-C i • 121 mg/dL
    • Lp(a) Cholesterol • 10.0 mg/dL
    • IDL Cholesterol 12 mg/dL
    • Remnant Lipo. (IDL+VLDL3) 21 mg/dL
    • Probable Metabolic Syndrome No
    • HDL-2 (Most Protective) 11 mg/dL
    • HDL-3 (Less Protective) 42 mg/dL
    • VLDL-3 (Small Remnant) 9 mg/dL
    • LDL1 Pattern A 20.2 mg/dL
    • LDL2 Pattern A 39.1 mg/dL
    • LDL3 Pattern B 52.3 mg/dL
    • LDL4 Pattern B 9.3 mg/dL
    • LDL Density Pattern A

    TSH+T4F+Thyabs+TPO+T3F+T3Reverse
    • TSH2 4.010 ulU/mL
    • Triiodothyronine 3.1 pg/mL
    • T4,Free(Direct) 1.31 ng/dL
    • Reverse T3, Serum 11.6 ng/dL
    • Thyroid Peroxidase (TPO) Ab 12IU/mL
    • Thyroglobulln, Antibody <1.0IU/mL
    CBC With Differential/Platelet
    • WBC2 5.3 x10E3/uL
    • RBC2 4.73 x10E6/uL
    • Hemoglobin 14.8 g/dL
    • Hematocrit 43.9%
    • MCV 93 fL
    • MCH 31.3 pg
    • MCHC 33.7 g/dL
    • RDW 14.0%
    • Platelets 194x10E3/uL
    • Neutrophils 58%
    • Lymphs 26%
    • Monocytes 9%
    • Eos 6%
    • Basos 1 %
    • Neutrophils (Absolute) 2 3.1 X10E3/UL
    • Lymphs (Absolute) 1.4 X10E3/UL
    • Monocytes(Absolute) 0.5x10E3/uL
    • Eos (Absolute) 0.3 X10E3/UL
    • Baso (Absolute) 0.0 X10E3/UL
    • Immature Granulocytes 0%
    • Immature Grans (Abs) 0.0 X10E3/UL
    Comp. Metabolic Panel (14)
    • Glucose, Serum 84 mg/dL
    • Creatinine, Serum 0.98 mg/dL
    • eGFR If NonAfrlcn Am TNP mL/min/1.73
    • BUN/Creatinine Ratio 15
    • Sodium, Serum 142 mmol/L 1
    • Potassium, Serum 4.7 mmol/L
    • Chloride, Serum 103 mmol/L
    • Carbon Dioxide, Total 24 mmol/L
    • Calcium, Serum 9.3 mg/dL
    • Protein, Total, serum 6.5g/dl
    • Albumin, Serum 4.6g/dL
    • Globulin, Total 1.9g/dL
    • A/G Ratio 2.4
    • Bllirubin, Total 0.2 mg/dL
    • Alkaline Phosphatase, S 78 lU/L
    • AST (SGOT) 28 lU/L
    • ALT (SGPT) 22 lU/L
    Lyme, Western Blot, Serum
    • Negative
    Lipid Panel
    • Cholesterol, Total 183 mg/dL
    • Triglycerides 62 mg/dL
    • HDL Cholesterol 53 mg/dL
    • VLDL Cholesterol Cal 12 mg/dL
    • LDL Cholesterol Calc 118 mg/dL
    Vitamin D, 25-Hydroxy
    • Vitamin D, 25-Hydroxy 49.6 ng/mL
    C-Reactive Protein, Cardiac
    • C-Reactive Protein, Cardiac 0.19mg/L
    Sedimentation Rate-Westergren
    • Sedimentation Rate-Westergren 3 mm/hr
    ----------------------------------------------------------------------------------------------------------------

    Surgeries
    • Cartilage repaired in my right knee(2001)
    • Had my appendix removed (May 2013)
    ----------------------------------------------------------------------------------------------------------------

    So there you have it. My doc(naturopath) has given me the hammer to request whatever labs I need I just need to know what nails to hit
     
  2. Jack Kruse

    Jack Kruse Administrator

    This is a base line..........NeilBB hopefully will come on here and tell you his carb UV story........trend these as you go on.
     
    Shijin13 likes this.
  3. I'm working on doing labs every 3 months. I'm at month 3 so just run these same labs? Any I need to add?
     
  4. Jack Kruse

    Jack Kruse Administrator

    nope.......change your environment and trend
     
  5. JanSz

    JanSz Gold

    [ quote="FutureVision, post: 177570, member: 9778"]
    As I mention at the end of this post my doc is willing to run whatever I need.
    TSH+T4F+Thyabs+TPO+T3F+T3Reverse
    • TSH2 4.010 ulU/mL
    • Triiodothyronine 3.1 pg/mL
    • T4,Free(Direct) 1.31 ng/dL
    • Reverse T3, Serum 11.6 ng/dL
    • Thyroid Peroxidase (TPO) Ab 12IU/mL
    • Thyroglobulln, Antibody <1.0IU/mL
    • Vitamin D, 25-Hydroxy 49.6 ng/mL
    Had my appendix removed (May 2013)[/ quote]
    iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
    Post your FreeT3
    ------------------------
    Get vit D high, 100 is ok
    -----------------------------
    (On good easy/happy day) Get saliva tests, day and night profiles, 4+4 samples, cortisol, melatonin, DHEA.
    ----------------------------------
    Get
    pregnenolone
    progesterone
    Cortisol, AM & PM (7:20AM, noon, 3PM)
    DHEAs,serum
    Fatty Acid Profile, Comprehensive (C8-C26), Serum
    --------------------------------
    Get

    LH
    FSH
    SHBG
    TotalTestosterone
    DHT
    Estradiol,sensitive
    Estrone
    Total Estrogens
    Prolactin
    Insulin,fasting
    Glucose,fasting
    HgA1c
    homocysteine
    IGF-1 (if there are any doubts, repeat using radioimmunoassay, RIA)
    IGFBP3(if there are any doubts, repeat using radioimmunoassay, RIA)
    homocysteine
    ----------------------------------
    =================+++++++++|///////////
    buy directly------->>>
    http://spectracell.mybigcommerce.com/
    Micronutrient Test
    $390.00
    On a slide #12 there is a list of measured items:
    http://www.spectracell.com/media/up...itamin-mineral-and-antioxidant-assessment.pdf
    Sample Report
    http://www.spectracell.com/media/uploaded/m/0e2064041_mnt-sample-test-report082312.pdf




    ---------------------------------
     
    Last edited: Sep 22, 2015
  6. I believe the Triiodothyronine 3.1 pg/mL is my Free T3
     
  7. Are these the same tests?
     
  8. Won't be able to swing this one financially.

    As for the others it looks like there are groupings or panels that cover many of those(I think).

    Now, as Jack responded I don't really need any other labs. I just need to change my environment and trend. There are certainly markers there that are trendable as-is but I as a web analyst(marketing) gathering data and trending is my thing. I would like to do the same for myself with one caveat. I don't think I want to track and trend things that "don't matter". For example if marker B always changes in parallel with marker A there is no reason to track marker B because the result can always be deduced by marker A results. Make sense?
     
  9. JanSz

    JanSz Gold

    As you might have expected this is the most important test.
    second is:
    Fatty Acid Profile, Comprehensive (C8-C26), Serum
    the other tests
    come latter
    or may just wait
    ------
    You said that your doc will do everything for you.
    With proper ICD-9 codes the tests will be paid by insurance.

    /
     
  10. JanSz

    JanSz Gold

    cortisol, melatonin, DHEA to be done from same saliva samples.
    That will tell you your Circadian Rhythm compliance.

    [​IMG]
     
    FutureVision likes this.
  11. JanSz

    JanSz Gold

    Then you are low.
    You want:

    FreeT3= (3.5-4.2) pg/mL)

    What is your underarm temperature,
    3-4 hrs after getting off the bed, rested.

    You want 36.6C

    ...................
     
    FutureVision likes this.

  12. Thanks. I have checked on a number of the blood tests and they are covered with proper ICD-9 (CPT codes). The Spectracel and salivary cortisol tests are not I believe. Those are out of pocket or am I wrong about those?
     
  13. I'm hoping to see improvement in all areas when I get my next tests which could be done as early as this week once I compile the list I want and the CPT codes. As for the temp. Good question. I'll check tomorrow morning.
     
  14. Couldn't check my temp this morning. The sublingual thermometer I have is dead. I just have the ones you use in your ear.
     
  15. JanSz

    JanSz Gold

    Mercury thermometer is the best.
    Measure under arm.

    .
     
  16. b612

    b612 New Member

    Jan, if you can't get a mercury thermometer (banned in EU)... Do you know an alternative?

    I've got a simple battery thermometer. It says I'm 36,5 underarm and 36,9 under tongue. Should I put in my butt and measure the average???LOL :eek:o_O

    I can't believe I'm 36,5, it's too good to be true.
     
  17. JanSz

    JanSz Gold

  18. b612

    b612 New Member

    I know! That's why I'm wondering because my hands and feet are cold. But I should pm you about all the rest of things (good) that have been happening to me lately in case you're interested.

    Thanks for advice, Jan. My friend will get it for me ;) Hope this one is more accurate.
     

  19. I saw thatone in Walmart the other day but wasn't sure if it was the same one. I'll pick it up today. Finalizing my list of labs for the doc today and will see if I am trending like I need too.
     
  20. b612

    b612 New Member

    Please post you body temp later.
    Mine is good but my thyroid hormones are low...
     

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