Scott, Jill and Friends...
"Fear of the Lord is the begining of knowledge, but fools despise wisdom and disciple". Prov 1:7
Q. Josh, I took your advice and finally got my blood work done. I was experiencing stomach cramps, numbness, occasional rashes and just tired. I was kinda Paleo, but with "options" when I had my tests. Enclosed is my blood work. Can you tell me what I'm looking at?...Mary.
This question came to me from an athlete I have been working with for some time. Her name is changed, and I did not post her tests for obvious reasons. I have already communicated this to her and she and I have spoken many times since. I wanted to demonstrate how "guessing" is not healing. How critical testing is. And how all action is diagnostic, and all healing is just a process of elimination.
The following is what someone who is not a doctor can very easily learn to read and look to on their own. I have no real background other than years and years of experience in fitness and nutrition. My drugs are foods, and I know the effects they should have when I prescribe them. I can't stress the value of the occasional blood test enough.
Issue 1-High Fasting Blood Glucose
A.Mary, all I am looking for is a pattern. Your FBG is 85mg/dl, and even though this is within the ADA's guidelines, they fail to tell you that 83mg/dl and above increases your chances for diabetes by, at least 50%.
Now if you have been following a low-carb or ketogenic Paleo diet, the triglycerides broken down for energy production can show up as an elevated FGB. So for now, we keep reading.
Issue 2- Elevated Hemoglobin A1c
Next, look to HA1c. If the values are 5 or lower and the FGB is higher, no problem. HA1c measures glucose levels attached to the red blood cells over a three month period.
Yours is not terribly high, but it is slightly higher than what we would like to see.
Mary, the case is building. I don't think you're low carb. In fact, I think you eat sugar, and I think you're allergic. So...
Issue 3-Elevated C-reactive Protein
C-reactive protein is essentially a measure of inflammation. Yours is high. This is not something to take lightly as it is really a great measure of how long we will live and the quality of that life. If CRP level are below 1mg/dl we may just realize the life of our dreams.
Issue 4-Elevated Vitamin-D
Now remember, I am no Doctor. And I don't say that so you won't sue or some dumb bullshit. Who sues people trying to help them anyway? Oh, that's right, assholes do. Anyways, I say this because I just may not know. I hope I have it right, and I pray I get it, but in the end MD's are still worth their weight in gold for experience alone. While they, truly, have no clue about how to heal with food, they may have witnessed a disorder in the past that I have yet to study. Simply weigh their diagnosis like you would that of a mechanic. If it seems sketchy, go down the road and get a second opinion.
I have read my share of blood work, and I know my study time is nowhere near the amount of your family physician but, damn. Your Vit-D levels are three times higher than average. This is unacceptable.
You don't achieve this kind of "too high" level of vitamin-D through long sunbathing trips. Generally, it's realized by taking too many supplements. If that's the case, eliminate supplementation of Vit-D now. Also, if your taking calcium - which your shouldn't be - STOP. Too much calcium or hypercalcemia is worse than too much Vit-D, and since Vit-D is crucial in the absorption of calcium, elevated D usually means elevated Ca.
Interestingly, your blood work shows a calcium value in normal range. Huh, the plot thickens.
Next, I would look to your thyroid levels as a wonky thyroid value with signs of elevated calcium and phosphate could be signs of hyperparathyroidism. But HPT is mainly present when Vit-D levels are low, and clearly this isn't you, nor is your calcium levels too high.
High Vit-D causes constipation, nausea, vomiting, kidney dysfunction, heart arrhythmias, and hypercalcemia. Calcium regulates many processes in us, including the transmission of messages via electrolytes, bone health, muscle contraction, fat burning and more. But too much can make bones porous and weak, harden arteries with plaque resulting in CVD or death, and just all in all suck.
The Call Went Like This
Mary, your Paleo with "options" program has given you a decent bill of health, in my opinion. Cholesterol was good, triglycerides were great, and just about everything else was pretty spot on except for what's mentioned above. Now I've gotta know, is your "options" dairy?
"Yes," Mary said. "And I kinda knew you would say that, so after the test I gave it up. Currently, I am six days a week Paleo, with a few liberties one day on the weekend".
Why Dairy?
Mary's elevated FBG and HA1c made me think insulin was being secreted as a result of ingesting glucose. First, the galactose and casein protein in milk is highly insulinogenic meaning it elicits the release of insulin, the storage product in our body. And even though the glycemic index on milk comes back decent, it is the combination of allergenic casein protein, the galactose and the amino acid content that make milk, virtually, horrible to anyone the least bit sensitive to carbohydrates.
Second, Mary's high C-reactive protein leads one to believe she engages in inflammatory eating regularly. The casein protein found in milk is an allergen/toxin, or a dairy lectin. And remember, lectins are glycoproteins that hold a special key to our gut, opening the door on the way to the small intestine. Or more aptly stated, punching holes through the door letting everything jump the protective fence of the body.
Lastly, Mary's Vit-D level was high and everyone knows fortified milk has lots of it. But I still think this is reaching.
Sure, let's say Mary was creating a sort of negative feedback loop where the Vit-D she was taking in wasn't being excreted or absorbed due to the damage she was doing by ingesting an allergen. Let's say the elevated test results were just a correlate to various underlying factors, which is often the case. But why risk it?
Mary, I would order chest X-rays to ensure there are no granulomas present. After that, I would immediately re-check my Vit-D levels since you have been away from the milk culprit for some time now. I believe the tests identified what we already know; dairy and milk sugar is bad, and the protein in milk is toxic. I believe this is most of your issue, but being proactive is better than reactive.
Hopefully, we are right and dairy is the devil. Hopefully, theses tests did exactly what they were supposed to do, and merely present us with roads to travel down the map of better living. Hopefully, I will receive an email for Mary soon enough telling me that, thanks to the Paleo change+blood work, she couldn't be happier, more fit, or more energized.
Strength:
Rest
For Time:
"CF Games 2011"
30-Double Unders
10 Overhead Squats 95/135
3 Rounds
then
10-Handstand Push-ups
40m-Overhead Carry 95/135
3 Rounds
Post time to comments.