Recent Blood Work #2 – July 2015

Recent Blood Work #2 - July 2015

Introduction

Last time I posted about my blood tests was in November 2014. I’ve taken a few other samples ever since, but not much has changed until now. So, let’s see what’s been going on.

Recent Blood Work #2 - July 2015 - Table 1

And here’s a comparison with previous values from the past two years:

Recent Blood Work #2 - July 2015 - Table 21

Context

Looking over my current results, I would say that my lipid profile has improved very much due to the interventions that I took.

**I have to mention that I measured total cholesterol (TC) and TAG levels a couple of days before measuring HDL, LDL, TAG (for the second time) and the rest of the markers. Hence, the latter total cholesterol, if calculated using the TC formula, would be:

TC = HDL+LDL+TAG/5
TC = 107+94+35/5
TC = 208 mg/dL

I measured TAGs on both days. On the day I measured TC and TAGs alone, TAGs were 34 mg/dL. On the day when I did the rest of the blood work, TAGs were 35 mg/dL. So, they were quite consistent which makes me think that the latter TC would show lower values had I directly measured it.

HDL and LDL have improved since my last assessment, while magnesium levels have dropped; paradoxically, I’ve been consuming more greens and plant based foods than ever. I’ve also been supplementing with elemental magnesium (from organic sources) 150% RDA. I could also be using more magnesium due to my recent extensive heavy workout routine. Here’s a very insightful paper on Mg as the micronutrient involved in thousands of chemical reactions within the human body.

My Highly Sensitive CRP (hs-CRP) is way below the worrying point.

My HbA1C is probably at its best value. I don’t want to see it drop further or go over 5.9%.

Testosterone is maintaining high, even though I have a low body fat percentage and I consume the same low-calorie-low-carb-moderate-to-low-protein-ketogenic diet. In my case, low-calorie (as long as it includes plenty of healthy fats and cholesterol consumption) does not seem to correlate with the historical “Low calorie => Low T” message. I follow the protocol that I’ve written about in my Testosterone book.

The rest of the markers seem to fall into their normal ranges. So, there’s nothing interesting to point out. As for my CBC, all markers are in their range, except for: HCT, neutrophils, monocytes, and eosinophiles, which are slightly below their normal range. I suspect this is due to my long-term adherence to a ketogenic nutritional protocol (constant ketosis for almost two years); I’ve seen similar CBC values in some studies on people adhering to ketogenic diets over the long term and I will not worry about it as long as everything else looks good.

My low-calorie ketogenic diet includes 65-75% of calories coming from fat. I also consume plenty of plant foods to optimize for micronutrient intake as well as to promote microbiota diversity. As for protein, I usually eat less than 1g/kg of total body weight (usually 50-70g of protein/day); my gym performance has never been better.

This is a very different approach compared to the poorly nutritious (80%-90% fat) keto diet promoted out there. A diet so high in fat (and, often times, very hypercaloric) should only be followed by folks with severe medical conditions.

The low-calorie approach + daily intermittent fasting (18-20 hours of fasting, 4-6 hours of feeding – two meals) + daily cold thermogenesis help me recover faster and train more often with heavier weights (high-intensity-strength-training). See Ellington Darden’s similar findings in his book.

I also engage in longer fasts (30+ hours) almost every week. It’s very convenient for me.

As I’ve written in Periodic Fasting, I hate routines and habitual stuff. There are a few basics that I like to stick to (daily IF + ketosis + CT), but to most of what I do I like to apply randomness, to increase my antifragility. If you’re not familiar with Nassim Taleb’s ideas, you may not understand the concept of antifragility.

That’s why I sometimes have 3,000-5,000+kcals (ketogenic) feast days followed by extended fasts. Sometimes I binge on nuts (including lots of peanuts), cheese and very dark chocolate, and some red dry wine. I don’t care that peanuts are legumes; I have no problem tolerating/binging on them.

Sometimes I train heavy for a couple of days in a row, while some other times I rest for an entire week. This makes everything less boring and much more enjoyable. Here’s a recent photo:

Recent Blood Work #2 - July 2015 - Me

Conclusion

I’d measure many more biomarkers if I could afford to pay for it. In Romania there are private labs where you can go and pay for any test you want, without having to go through your doctor’s office. You can do this in other countries as well and, from what I know, if you’re in the U.S. there may be some limitations and the costs are much higher than here.

I also have to highlight that these interventions (diet + exercise) make up for only a very small part of an optimal life protocol. Reducing EMF exposure, fixing the circadian clock, reducing the exposure to artificial light at night, improving redox potential, fasting, CT, hormesis (beneficial stressors), and smart supplementation are extremely important as well; if you focus on diet + exercise alone you may never achieve optimal results.

I do not imply that what I do is something that anyone else should follow to get the same results. My studies of epigenetics and genomics tell me that we’re all different, we live in different environments, and we’re exposed to different stimuli everyday. So, it would be rational to approach health optimization in a similar fashion.

References

1. de Baaij, J. H., Hoenderop, J. G., & Bindels, R. J. (2015). Magnesium in man: implications for health and disease. Physiological reviews, 95(1), 1-46.

2. Ellington Darden – The Body Fat Breakthrough

3. Nassim Taleb – Things that Gain from Disorder

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6 Responses to Recent Blood Work #2 – July 2015

  1. Valerie says:

    Hi.

    Quick question:
    Your HbA1C is 5.2%. You wrote “My HbA1C is probably at its best value. I don’t want to see it drop further or go over 5.9%.” What is wrong with a lower value? I thought a value in the fours was more protective.

    Thanks.

  2. Justin Wilcox says:

    I have a friend with some interesting blood work and I was wondering if you had some input..
    He follows a ketogenic diet and has been for almost a year but there were a few values that really stuck out

    Blood Glucose: 105
    total cholesterol: 300
    HDL: 53
    LDL: 226
    TG: 105
    Apo B: 148

    T-Uptake: 36
    Reverse T3: 9
    SHBG: 70

    These numbers were the numbers that stuck out to me the most and I was wondering if you had any opinions on what is going on with those lipids and SHBG. Total test was 1111 and free was 144

    • Chris Chris says:

      To give you a reasonable insight, I would need many more details about the lifestyle of your friend. Otherwise, I would make reckless assumptions.

      Anyway, the lipid panel and blood glucose (assuming – fasting) dont look good at all…

      Assuming he’s on a hypercaloric ketogenic diet, I’d focus on introducing fasting (intermittently) and cleaning out the diet and optimizing for nutrient richness. Like I said, many keto diets are poorly nutritious. Sadly, even though they are promoted by fat gurus, people still follow them.

      I’d also focus on fixing the circadian clock and reducing EMF exposure.

      For more insight, I’d do more thorough blood testing and if possible some genetic testing.

      Oh, and:

      P.S.: Ketogenic diets and ketosis are not “one size fits all”.

      Hope this helps

      • Justin Wilcox says:

        Sorry about that he is a former natural professional bodybuilder and powerlifter. He’s 27, he’s a big fan of Peter Attia, Jack Kruse, and a big Weston Price guy. I know the perfect diet for you, my friend, or me is not the same and keto is not perfect for everyone. The diet I’m almost positive is pretty clean and I know he understands the ratios his diet needs to be. He was one of Dr. Layne Norton’s clients, but diet was complete crap filled with vegetable oils(canola oil) as the only fast consumed. He’s been doing Keto for about a year now and got blood work done about 8 months ago blood sugar came back high about 105 back then as well. Because of Layne he has connections and knows Dr. Dominic D’Agostino and they were suspecting the blood sugar was high because he just started keto and was experiencing the dawning effect. I read your books and was curious to know your input on it because it just seemed unusual for someone to have those numbers and feel so good on keto and what could be causing it.

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