3 Blood Tests More Important Than Cholesterol
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- čas přidán 15. 07. 2024
- Here's some blood work to consider ordering on your next annual physical or health check and how to interpret the results.
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----------------------------------------Show Notes-------------------------------------
0:00 Intro
0:05 Your bloodwork should be done once a year.
1:11 Liver function tests: AST, ALT and GGT. GGT is involved in the production of glutathione (GSH). It is an enzyme that catalyzes the addition of cysteine to the glutathione tripeptides.
2:03 Elevated GGT can indicate that you have oxidative stress in your body and/or your liver.
4:20 LDH (lactate dehydrogenase) increases as you become more insulin resistant.
5:15 Blood viscosity and thickness is reflected in markers for iron, ferritin, total iron-binding capacity, as well as RDW, RBC, hematocrit, and hemoglobin.
5:40 Examining blood thickness/viscosity is important for men and post-menopausal women.
7:40 Usual cholesterol testing is an indirect measurement and a triangulation. Lipoprotein particle testing or Apolipoprotein (ApoB) is advanced testing.
10:10 Albumin and albumin to globulin ratio: Cancers and neoplasms can be diagnosed early with a sudden drop in albumin to below 4.
11:15 DHEA/Sulfate Ratio: DHEA hormone feeds into the production of androgens and other hormones.
12:40 Additional hormone testing can be a look at testosterone, estrogen, progesterone, and sex hormone binding globulin, in addition to the cortisol Leaking Response by Precision Analytics, the DUTCH test or DUTCH Plus test.
My doctor had this all backwards. The tail doesn't wag the dog! Last January my blood work indicated fatty liver, diabetes and high cholesterol. He wanted to treat the cholesterol first!
I took his advice into consideration (statins and metaformin) and then I ignored it. I went keto and intermittent fasting. In three months, tested blood again. Everything returned to normal. Food is more powerful than medicine!
Keto is the first step. Carnivore is the second.
Congratulations!!!
I’ve always heard liver enzymes such as alt, ast and ggt can be elevated if you’re an avid exerciser
My triglycerides dropped from 77 to 54 despite adding in dried fruit to my diet in addition to honey, ray peat was right!!
Simply put: if your fasting insulin is greater than 5, cut carbs.
That's a bit extreme to cut carb at 5, some would argue ignorant. Most health gurus say 6-10 is the healthy limit range. Carbs aren't evil...sure, lower it to fit your activity level. Your statement is too broad and rather unhealthy...sure, if you sit all day, overweight and do nothing, then, cut out the carb smh. Yea, I know the *optimal for the younger and active is ~2 fasting insulin...
It isn't extreme. Most people are overweight & a large percentage are obese.
Thirty years ago, that was not true. Insulin resistance is absolutely the cause of most pathology in the world & it is fed by the food and drug industry.
People who are overweight are overweight because they eat carbs as their main source of calories.
An insulin level of 5 is definitely an indicator of good health & a healthy responsive metabolism. All the hormones in the body can do their job when insulin levels are optimized-not "normalized."
Consider the FDA recommendation for vitamin D & the absolute fear-mongering that is associated with "overdosing" on it. It is nearly impossible. But, all the earliest studies predicting covid morbidity & mortality had direct correlation & causation with vitamin D deficiency.
I'd like to see a recent study linking vitamin D deficiency with influenza & RSV infections for this year...
The key is to see how responsive & disease resistant a cohort of healthy people is & look at their insulin level & other hormone levels.
Insulin levels rise as disease progresses, just like narcotic tolerance.
@@joykelly567 going by your logic...let's all water fast 32hrs weekly then🤔
Have not had a blood test since 1996. Figured I would be dead by now. Instead I feel great. 40 years low carb carnivore really is not the Heart Attack Diet!
40 years? That is awesome!
"What's normal is not ideal!"
I tried to teach my teen children this. They weren't necessarily open to the concept.
I keep saying it. They're thirty-one now. Maybe they'll start hearing it soon when they see the normal people around them falling apart...
Life is a teacher.
Thanks, Mike, for your steadfast commitment to telling the truth!❤
Love you videos as a medical student! We don't get taught a ton about diet/exercise so your channel has been awesome for me
Thank you, Med Student, for being open to the wider perspective! Our world needs you😊 Keep your open mind and gentle humble spirit.
You will be a true healer❤
Thanks Mike! Just got blood work back . Good timing for this vid!
Excellent! This complete perfect my study!
So good to see how you are coming into your own Mike! 🤺You are looking good!
Love ur stuff Mike! Thanks!
Mike, it's always a treat when you lay some of your classic (Awesome by the way) bumper music on a video! Keep rockin'!
Great video..... again
If A1C elevated -metabolic health already impaired . You can do zillion million tests -recommendation is the same -cut out sugar and flour , cut out simple carbs
Was looking at what standard blood work do here in BC that's covered. The only ones we do that you recommend are A1C, AST & Trig. My MD likely balk if I ask him to do others, citing these are not in the BC diagnostic guidelines, but I'll try (for example, he said he only looks at LDL score, nothing else! to determine your CVD risk per "all knowing" guideline) Wish me luck!
Just pay for the tests yourself, your health is worth it.
Canad ugh. Yup. Sounds about right. BC=( north of the border)Biden Country
Looking for a new doc, who is willing to work with me on these issues. Thanks for giving me a more defined perspective on which to base my evaluation.
THANK YOU
I guess I mention this since it's related to cholesterol, and statins. 2-3 years ago I got a back injury and then backpain, and no matter what I did it kept getting worse up until 1 month ago, when someone mentioned "cholesterol is a precursor to testosterone"... while I don't know how accurate that is, it did make me double check the labeling of a statin I was using, and sure enough, it did mention back pain, I did mention it for my doctor but it seems like this flew over both our heads since I quit the statin a month ago and have been getting better (didn't consult my doctor about it yet but idc)
Long story short: Medicines can have side-effects(statin in my case)
Statins decrease CoQ10 which is needed in all.of your cells to produce energy.
Stating also decrease Vitamin K2 which your body uses to direct calcium in your diet for where it is needed and not deposited in your arteies.
@@chrismacdonald4570 First time learning about CoQ10... Vitamin K2, does that mean I should supplement K2?
@@atmas1337
Yes.
It's cheap and a small tablet. It works with Vit D. Get your Vit D levels checked this will help with cholesterol and many many other things. You want vit d levels between 40-80 mg/ dl
I could go on and on. But this is a good place to start.
@@atmas1337I like naturesplus K2 MK-7, some people take it with vitamin D3 as well.
@@chrismacdonald4570
Normal stating side effects: myalgia & permanent irreversable myopathy--muscle pain & weakness, & over the long term, permanent irreveraable muscle wasting.
I made my mother stop taking them. Her doctor is making her take a half dose, but she's waiting to see her test results & might stop it altogether.
She is bullied by the doctor's "noncopliance" note in her chart. 😡
Her cardiologist told her that your cholesterol & triglyceride levels can never be too low. Her muscles wasting away, she was in pain, she was passing out while taking a blood thinner & he blew her off. I was about to drive across the state to meet with the dumbazz. She started gradually decreasing her prescribed meds & is feeling much better. But, I never trust an arrogant sob. I wonder if he would treat his own mother that way...
Great tips, really enjoy your clips. Any chance you could do both styles of trig etc levels. So the aussies can keep up. Thanks
Thank you so much for the cheat sheet, Mike. Very helpful info! I’ve been thinking of ordering my own blood tests (because doctors are useless) but wasn’t sure which ones to get.
Calling them Useless is being kind
I have been ordering my own for 6 years
See my doctor Tuesday for testing. Ill tell her to test for this as well.
I just check homocysteine and C reactive protein. My ALT is 14 and triglyceride is 44, fasting insulin 4.1. I don't care about apo b; I'm LMHR, of course my apob will be high.
Next week, Dave Feldman should have some important new research on metabolic health and cholesterol to share. I'm guessing you already know about that, but if not it worth knowing about.
Great video! Could you do one on How to Lower LP(a)?
Hey Mike, considering Triglycerides you have to look at the newest japanese study called "Higher levels of triglycerides
linked to lower risk of
dementia" from 2023! Cheers brother
I heard this as well! Are we ever going to get this right? 😂
I thought the recent study about dementia was higher HDL, above 80 was correlated to higher dementia?
While I am sceptical, I will purchase and read this article / study very thoroughly. It may appear to throw a wrench in my current understanding of triglycerides. I wish the medical / nutrition field could agree on things once and for all. Thank you VERY much for posting this, this will hopefully expand my knowledge on this subject and brighten my path to increased health as I get older.
Great Job Sir! 👍
@@lj9089It is very tiring... 😞
@@jimg6970Last I read, higher cholesterol decreased likelihood of dementia. Medical / Nutrition Field flip flops so much, it is giving me a headache... 😞
Most doctors don't know a lot of things you know, Mike.
A lot of doctors aren't paid to know it, just to push drugs.
They don’t care and That’s by design.
HDL should be higher then Trigylcerides
This video might be useful if there was GGT and ApoB in my blood work results.
Great review. Where does c-peptide fit in with insuin?
Niacin and metformin will help
You gave us a goal for ALT/AST that you view as optimal, which is different than the “good range” which is relayed to me by my provider. Is there a subsequent goal for triglycerides and A1C that you consider optimal?
Good presentation, just confirming, tif an insulin test is more effective or better than a glucose blood sugar test?
Hi Mike! Great information and explanations, I subscribed for the Labs worksheet, verified email address but still not able to get the cheat sheet, please help me get it, Thanks for your videos 💯👏🏻👍🏻 UPDATE, I got it!!!
Hello, where can I find the Metabolic Cheat Sheet mentioned in this video?
I exercise a ton and my insulin is 6.4, I don’t think that’s something to panic about personally, triglycerides are 54, hb1ac is 5.1, glucose is 93, apob is 90, ggt is 18
Love it. What would you say to someone who is struggling with low T when carbs go too low? How can they live a low carb lifestyle when quality of life suffers?
Just increase carbs. No need to drop carbs to the point where it crushes your testosterone
High insulin starts the dominoe affect of HBP, heart disease, cancer, lowers natural infection response and wound healing.
💪🏿💪🏿
People need to stop confusing what’s common with what’s normal.
Well, how would anyone know?! Doctors don't explain it that way. 😢
@@jellybeanvinkler4878 one simple example is obesity is common, but it’s not normal.
ApoB. Is this ldl.
Did a lot of these tests. ApoB (141)/Apo A1 (137). HDL = 43 (was 31), Triglycerides = 132 (was 205) Insulin = 15 (was 27). A1C = 6.9 (was 9.1). I now eat low carb, mostly red meat and some other low carb foods. I've rid seed oils from my diet. I play tennis 3 hours/wk, weightlift 2-3 times per week. 59 y/o now, had a non-debilitating stroke two years ago (affected only my temperature sensation on L-side). All the bad stuff happened while on statins.
After seeing my ApoB, doc wants me on statins again. 8-( Trying to figure out what else I could do to protect myself and get my ApoB/Apo A1 ratio to safe levels. Any thoughts?
czcams.com/video/SKOVv4KkszQ/video.htmlsi=I4UjWAZr-dS0qQco
Just found this article in PubMed about insulin resistance and cholesterol:
Association between insulin resistance and the development of cardiovascular disease
Valeska Ormazabal,1 Soumyalekshmi Nair,2 Omar Elfeky,2 Claudio Aguayo,3 Carlos Salomon,corresponding author2,3,4 and Felipe A. Zuñiga3
The article, is finally, blaming the true culprit--high insulin (which is the result of high carb diet) as the driver in cardiovascular plaques and pathology progressing to cardiovascular disease.
It takes years, decades to develop diagnosable cardiovascular disease, while all the while insulin levels are just ramping up, up, up until a person is insulin resistant enough to raise blood glucose levels. In other words, the higher & higher insulin levels are no longer able to effectively reduce blood glucose back to "normal" levels of 70-100. That's the problem.
After years of developing hyperinsulinemia, the doctor prescribes med to treat high glucose, but never addresses the high insulin.
If you start eating a very low carb/keto diet to lower glucose, then insulin, the triglycerides & cholesterol will eventually follow.
It may take some time, but it should eventually self-regulate unless their is actual permanent organ dysfunction. That is usually not the case. Mostly, it just takes time, maybe years--lifestyle change😊
Good luck, brother!
ALL blood tests are more important than cholesterol.
I am LMHR, I don’t care about TC and/or LDL, thus I don’t care about ApoB since they track.
Just make sure your oxLDL is not elevated. LDL does not cause atherosclerosis but the more of it there is in circulation, the more opportunities for oxidation that exist, which is atherogenic. The great confusion is that folks wrongly assume that saturated fat is deleterious when/if it raises one's circulating LDL, but in fact it renders said LDL more impervious to oxidation, which is cardio protective. TLDR, as a LMHR, your LDL is likely greatly impervious to oxidation so in all likelihood you have nothing to worry about, but if it were me, I would double check my oxLDL and make sure it's below 60.
@@JasonActualizationthanks for your response. A very solid post, you know your stuff. I haven’t tracked oxLDL, but have tracked sdLDL. I am observing that number to fall as my large fluffy LDL rises. My TG is at all time lows while HDL is all time highs. Feeling good and anxiously await Dave Feldman et al study results.
@@tserevenad Amazing, you are definitely on a highway to health. I'm very curious as to those study results as well. Do you happen to know when they're going public, December 8th was it?
@@JasonActualization thanks! Yes they’ve announced that some data coming 12/8.
Here's a question. My lab results have me very confused. My TGL were 49, LDl 89, HDL 47 and ApoB 65. My TGL/ HDL ratio is almost 1.0. My ApoA1/ApoB ratio is .5. All look great. But my LDL particles are 1300 large and 800 small. Totally discordant with the ApoB results. Three months ago they were 900/ 400 so they increased dramatically but both TGL and ApoB dropped substantially at the same time. What in the world does it all mean? H1C is 5.3 and liver AST/ALT is 13 and 20. What's going on?
Yea I know, how the hell is the particles so high!!!
Definitely confusing since APOB is still low. Good luck man, I’m definitely interested in what someone has to say.
What type of diet have you been eating?
Get tested weekly until a certain pattern that is more definitive emerges, bloodtest are often just markers of your metabolic health for that 24 to 72 hour window, not reflective really of your health beyond that timeframe, I know this because I've seen my own enzymes and lipd panel swing 15 to 25 points within a 2 hour window, where I've not eaten or exercise or done anything, so imagine how much inconsistency can be occuring over the course of a week ? The fact is 95% of all bloodwork unless your in a hospital where bloodwork is being done daily for urgency, is often. misleading. Unfortunately, false guidance is largely the result of misleading bloodwork. Adult body's have 100 Trillion cells, and each cell is like a highly complex city, from a metabolic perspective. Needless to say our body's are in a constant state of homestasis, altering and skewing your bloodwork, all day and night, if you were to ever have the opportunity to get your bloodwork this frequently, which isn't the case for 99.9% of humanity, It's not all hopeless of course, if you took private lab test exactly 30 days apart and say your liver-GGT score was always between 25 and 40. There is a good chance your bile flow is working optimally, which is what is needed in the first place for any nutrition in the first place, But technically only blood testing taken morning and evening for 60 days is actually scientific in the truest sense of the word, so don't jump too conclusion's so soon about how healthy or unhealthy you think you are from bloodwork you get only twice a year let alone 1X a year.
Great reply!
The "fasting lipid panel" is considered the gold standard, but it would vary greatly, if people were in a nonfasted state when tested--which is the normal state...
Yet, all the statin, bp meds prescriptions are based on the fasting state, which INCREASES triglycerides & cholesterol levels...make no wonder!
So thankful hthat Mike puts this stuff out there with the cheat sheets for the average Joe to access & free access teaching to really help people heal & optimize their health!
Such a valuable human being!❤
Common but definitely not normal
I'm good then, I have all the bad markers below what you said, all thanks to intermittent fasting actually, because I have even eaten a lot of junk fat and carbs foods to be able to be in a surplus these past 2-3 months because I'm bulking, but even with eating badly, because my body has the time to rest from food, and that's why is so important to do either intermittent fasting or fasting, to let the body "recycle or destroy the bad stuff". Best
🤔I wonder if theres a test to see how much spike protein is in your body.😱 So is there?
Hi Mike
Can you check Erick video who ate the largest woman and man in the world diet in a day, he gained weight in one day but didn't do blood markers for us to see what is happening inside
Somebody ate the largest woman and the largest man in the world in one day? That’s quite the diet. I bet he DID gain weight! Who, indeed? Was it Erick? And did they arrest him for the double homicide afterwards?
Besides an up or down arrow, CZcams could really use a “?” option for comments!
@@margaretmarshall3645 Yeap Erick was shocked but wonder what is happening inside the body I am curious 🤨
Er?
If your levels are around 180, maybe 200, your hormones are balanced, and you have more brown fat than you do white fat, I would say you are doing damn good
Essentially, if you are sedentary, then yes be worried about cholesterol because inflammation will turn it from a lubricant into a wax