Welcome to this page about blood tests in the context of a low-carb, keto or carnivore way of eating.
My book is available for those that want more detail than is featured here.
It includes case studies and much more depth.
Guide To Bloods Book
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Blood Test Check List
Here's a detailed overview of common tests by category:
Here's a detailed overview of common tests by category:
1. Complete Blood Count (CBC)
1. Complete Blood Count (CBC)
- White Blood Cell Count
- Red Blood Cell Count
- Hemoglobin
- Hematocrit
- Platelet Count
- Mean Corpuscular Volume (MCV)
- Mean Corpuscular Hemoglobin (MCH)
- Mean Corpuscular Hemoglobin Concentration (MCHC)
2. Liver Function
- Alanine Aminotransferase (ALT)
- Aspartate Aminotransferase (AST)
- Alkaline Phosphatase (ALP)
- Bilirubin
- Gamma-Glutamyl Transferase (GGT)
- Total Protein
- Albumin
3. Kidney Function
- Urea
- Creatinine
- Estimated Glomerular Filtration Rate (eGFR)
Please note the best test for kidney function is
Cystatin C
4. Cholesterol Profile
- Total Cholesterol
- High-Density Lipoprotein (HDL) Cholesterol
- Low-Density Lipoprotein (LDL) Cholesterol
- Triglycerides
- Non-HDL Cholesterol
- Total Cholesterol to HDL Ratio
- *Footnote: Cholesterol testing can also include particle counts, glycated and oxidized LDL readings etc.*
5. Blood Glucose Levels
- Fasting Blood Glucose
- Hemoglobin A1c (HbA1c)
- C-Peptide
- Fasted Insulin
- Fructosamine
6. Thyroid Function
- Thyroid-Stimulating Hormone (TSH)
- Free Thyroxine (Free T4)
- Free Triiodothyronine (Free T3)
- Reverse T3
- Thyroid Peroxidase (TPO) Antibodies
- Thyroglobulin (TG) Antibodies
- Zinc
- Selenium
7. Vitamin D Levels
- 25-Hydroxyvitamin D
8. Iron Status, including Ferritin
- Serum Iron
- Total Iron Binding Capacity (TIBC)
- Ferritin
- Transferrin
- Unsaturated Iron-Binding Capacity (UIBC)
- Transferrin Saturation
9. Prostate Specific Antigen (PSA)
- Total PSA
10. Testosterone Levels
- Total Testosterone
11. Additional Tests of Interest
- Biochemistry Testing such as Electrolytes (e.g., Sodium, Potassium, Chloride, and Bicarbonate)
- Folate
- Vitamin B12
Note: The frequency and extent of testing are often influenced by budget considerations and should be tailored to identify symptoms or specific health concerns. Regular consultation with your healthcare provider can help determine which tests are most appropriate for your needs.
Common Biochemistry Tests
Biochemistry tests are used to evaluate the functional ability of various organs and systems within the body. Some of the most common tests include:
1. Electrolytes
- Sodium
- Potassium
- Chloride
- Bicarbonate
2. Liver Function Tests
- Alanine Aminotransferase (ALT)
- Aspartate Aminotransferase (AST)
- Alkaline Phosphatase (ALP)
- Bilirubin
3. Kidney Function Tests
- Urea
- Creatinine
- Estimated Glomerular Filtration Rate (eGFR)
4. Blood Glucose Tests
- Fasting Blood Glucose
- Hemoglobin A1c (HbA1c)
5. Lipid Profile
- Total Cholesterol
- HDL Cholesterol
- LDL Cholesterol
- Triglycerides
6. Calcium and Phosphate Levels
7. Proteins
- Total Protein
- Albumin
- Globulin
Tests for Immune System Function
Tests that evaluate immune system function often focus on immunological markers and include:
1. Complete Blood Count (CBC)
- White Blood Cell Count and Differential
2. Immunoglobulin Levels
- IgG, IgA, IgM
3. Antinuclear Antibody (ANA)
- Detects autoimmune disorders
4. Specific Autoantibodies
- Anti-dsDNA, Anti-Smith for lupus
- Rheumatoid Factor
5. C-Reactive Protein (CRP) and Erythrocyte Sedimentation Rate (ESR)
- Indicate inflammation
6. Complement Levels
- C3, C4
Common Urinary Tests
Urinary tests can provide insights into various health conditions:
1. Urinalysis
- Checks for infections, kidney issues, and metabolic conditions
2. 24-hour Urine Collection
- Measures kidney function and substance excretion
3. Microalbuminuria
- Detects early kidney damage
4. Urinary Cortisol
- Evaluates adrenal function and stress response
5. Urine Culture
- Identifies infections
Fecal Testing
Fecal Testing
Fecal tests assess gastrointestinal health and screen for various conditions:
1. Faecal Occult Blood Test (FOBT) / Faecal Immunochemical Test (FIT)
- Screens for gastrointestinal bleeding and potential bowel cancer (https://www.ncbi.nlm.nih.gov/books/NBK373089/)
(https://labtestsonline.org.uk/tests/faecal-immunochemical-test)
2. Stool Culture
- Identifies bacterial infections in the gut
3. Calprotectin Test
- Monitors inflammation in the intestines
4. Gut Microbiome Testing
- Analyzes the composition of gut bacteria (https://gutscharity.org.uk/advice-and-information/health-and-lifestyle/testing/gut-microbiome-poo-testing/)
These tests provide valuable insights into your health status, enabling effective monitoring and management of various conditions.
I can't directly access all external blood testing sites, but I can help with a general list of biomarkers typically included in "Well Man Advanced" type blood test packages.
For a precise list in the UK, please visit the [Well Man Advanced Blood Test]
(https://www.medichecks.com/products/well-man-advanced-blood-test#detailsBiomarkers) on the Medichecks website.
Blood Tests: What They Are and What A High or Low Reading May Mean
Blood Tests: What They Are and What A High or Low Reading May Mean
This detailed breakdown provides an understanding of what each of these tests is, and the potential implications of high and low values for each of them. Always consult with a healthcare professional for a thorough interpretation of these blood test results and for any necessary medical advice.
Serum Sodium
Serum Sodium
- Measures the concentration of sodium in the blood and helps evaluate electrolyte balance
- High Result: Dehydration, Cushing's syndrome, hyperaldosteronism, and diabetes insipidus can lead to high serum sodium levels.
- Low Result: Hyponatremia can be caused by excessive sweating, excessive water intake, diuretic use, kidney disease, heart failure, and liver disease
Serum Potassium
Serum Potassium
- Measures the concentration of potassium in the blood, crucial for nerve and muscle function, and maintaining a normal heart rhythm.
- High Result: Kidney disease, uncontrolled diabetes, Addison's disease, and certain medications can elevate serum potassium levels.
- Low Result: Diarrhea, vomiting, excessive sweating, diuretic use, and some kidney diseases can lead to low serum potassium levels.
Serum Urea
Serum Urea
- Assesses kidney function by measuring the level of urea nitrogen in the blood.
- High Result: Dehydration, high protein intake, kidney dysfunction, and high urea production can elevate serum urea levels.
- Low Result: Liver disease, malnutrition, and low protein intake are potential causes of low serum urea levels.
Serum Creatinine
Serum Creatinine
- Indicates kidney function by measuring the level of creatinine in the blood, a waste product of muscle activity.
High Result: Kidney disease, muscle injury, rhabdomyolysis, and excessive meat consumption can elevate serum creatinine levels.
- Low Result: Low muscle mass, possibly due to aging or a specific health condition, can lead to low serum creatinine levels.
eGFR (Estimated Glomerular Filtration Rate)
eGFR (Estimated Glomerular Filtration Rate)
- Estimates how well the kidneys are filtering waste from the blood and is used to evaluate kidney function
- High Result: It's not common to have a high eGFR; it usually indicates improved kidney function, possibly due to recovery from a previous injury or acute kidney damage.
- Low Result: Chronic kidney disease, acute kidney injury, or reduced kidney function due to other health issues, can result in a low eGFR.
TSH (Thyroid Stimulating Hormone)
TSH (Thyroid Stimulating Hormone)
- Measures the levels of TSH to assess thyroid function, involving the pituitary gland's control of the thyroid gland.
- High Result: Hypothyroidism, thyroiditis, and pituitary disorders can elevate TSH levels.
- Low Result: Hyperthyroidism and certain medications can lead to low TSH levels.
Free T4 (Thyroxine)
Free T4 (Thyroxine)
- Description: Free T4 measures the amount of unbound thyroxine, a thyroid hormone, in the blood.
- High Reading: Hyperthyroidism, thyroid hormone resistance, or use of medications like corticosteroids.
- Low Reading: Hypothyroidism, pituitary gland disorder, or malnutrition.
Free T3 (Triiodothyronine)
Free T3 (Triiodothyronine)
- Description: Free T3 measures the amount of unbound triiodothyronine, a thyroid hormone, in the blood.
- High Reading: Hyperthyroidism, thyroid hormone resistance, toxic nodular goiter, or use of medications like amiodarone.
- Low Reading: Hypothyroidism, severe illness, liver disease, or malnutrition.
Reverse T3 (Reverse Triiodothyronine)
Reverse T3 (Reverse Triiodothyronine)
- Description: Reverse T3 is an inactive form of T3 that may be elevated in cases of stress, chronic illness, or thyroid hormone resistance.
- High Reading: Significant acute illness, severe injury, or stress.
- Low Reading: Generally, no medical significance for a low reverse T3 level.
T4 (Thyroxine)
T4 (Thyroxine)
- Description: T4 measures the total amount of thyroxine, including both bound and unbound forms.
- High Reading: Hyperthyroidism, iodine-induced hyperthyroidism, or use of medications like estrogen or methadone.
- Low Reading: Hypothyroidism, malnutrition, or pituitary gland disorder.
T3 (Triiodothyronine)
T3 (Triiodothyronine)
- Description: T3 measures the total amount of triiodothyronine, including both bound and unbound forms.
- High Reading: Hyperthyroidism, toxic nodular goiter, or use of medications like amphetamines or birth control pills.
- Low Reading: Hypothyroidism, malnutrition, or liver disease.
TPO Antibodies (Thyroid Peroxidase Antibodies)
TPO Antibodies (Thyroid Peroxidase Antibodies)
- Description: TPO antibodies are associated with autoimmune thyroid diseases, such as Hashimoto's thyroiditis and Graves' disease.
- High Reading: Hashimoto's thyroiditis, Graves' disease, or postpartum thyroiditis.
- Low Reading: Generally, no medical significance for a low TPO antibodies level.
TG Antibodies (Thyroglobulin Antibodies)
TG Antibodies (Thyroglobulin Antibodies)
- Description: TG antibodies are associated with autoimmune thyroid diseases and can be used to monitor thyroid cancer.
- High Reading: Hashimoto's thyroiditis, Graves' disease, or thyroid cancer.
- Low Reading: Generally, no medical significance for a low TG antibodies level.
Serum Cholesterol
Serum Cholesterol
- Measures the total amount of cholesterol in the blood, a crucial factor in assessing heart health.
- High Result: Poor diet, lack of exercise, obesity, diabetes, and genetic factors can lead to high serum cholesterol levels.
- Low Result: Malabsorption, hyperthyroidism, liver disease, and malnutrition can result in low serum cholesterol levels.
HDL (High-Density Lipoprotein)
HDL (High-Density Lipoprotein)
- Measures the level of HDL cholesterol, often referred to as "good" cholesterol due to its role in reducing heart disease risk.
- High Result: Regular exercise, moderate alcohol consumption, and healthy diet can elevate HDL cholesterol levels.
- Low Result: Smoking, obesity, lack of physical activity, and an unhealthy diet can lead to low HDL cholesterol levels.
Total White Cell Count
Total White Cell Count
- Measures the total number of white blood cells (leukocytes) present, indicating the body's immune response.
- High Result: Infection, inflammation, leukemia, and autoimmune conditions can elevate the total white cell count.
- Low Result: Bone marrow disorders, viral infections, and autoimmune diseases can lead to low white cell counts.
Red Blood Cell Count
Red Blood Cell Count
- Measures the number of red blood cells in a sample of blood, essential for oxygen transport in the body.
- High Result: Dehydration, congenital heart disease, chronic obstructive pulmonary disease (COPD), heart failure, chronic hypoxia, kidney cancers, kidney transplant, and certain bone marrow disorders can lead to a high red blood cell count [citation:2].
- Low Result: Anemia, bleeding, nutritional deficiencies, bone marrow failure, chronic diseases, and systemic inflammation can lead to a low red blood cell count.
Hemoglobin
Hemoglobin
- Measures the amount of hemoglobin in the blood, crucial for oxygen transportation in the body.
- High Result: Dehydration, lung disease, congenital heart disease, high altitude living, and erythrocytosis can lead to high hemoglobin levels .
- Low Result: Anemia, nutritional deficiencies, bone marrow disorders, chronic diseases, and blood loss can lead to low hemoglobin levels.
Hematocrit
Hematocrit
- Measures the proportion of red blood cells to the total blood volume, indicating hydration and anemia status.
- High Result: Dehydration and erythrocytosis can lead to high hematocrit levels [citation:2].
- Low Result: Anemia, fluid retention, blood loss, and nutritional deficiencies can lead to low hematocrit levels.
Mean Corpuscular Volume (MCV)
Mean Corpuscular Volume (MCV)
- Calculates the average volume of a red blood cell, aiding in the diagnosis of various types of anemia.
- High Result: Folate or vitamin B12 deficiencies, liver disease, hypothyroidism, and some medications can lead to high MCV levels.
- Low Result: Iron deficiency anemia, thalassemia, lead poisoning, and anemia of chronic disease can lead to low MCV levels.
Mean Corpuscular Hemoglobin (MCH)
Mean Corpuscular Hemoglobin (MCH)
- Measures the average amount of hemoglobin in a red blood cell, providing insights into anemia types.
- High Result: Macrocytic anemias, and certain genetic conditions can lead to high MCH levels.
- Low Result: Microcytic anemias, iron deficiency anemia, and thalassemia can lead to low MCH levels.
Red Blood Cell Distribution Width (RDW)
Red Blood Cell Distribution Width (RDW)
- Measures the variation in red blood cell sizes, assisting in diagnosing different types of anemia.
- High Result: Iron deficiency anemia, vitamin B12 deficiency, and folate deficiency can lead to high RDW levels.
- Low Result: Chronic liver disease and inherited disorders can lead to low RDW levels.
Platelet Count
Platelet Count
- Determines the number of platelets in the blood, crucial for blood clotting.
- High Result: Infections, inflammation, bone marrow disorders, and certain medications can lead to high platelet counts.
- Low Result: Bone marrow disorders, chemotherapy, and certain viral infections can lead to low platelet counts.
Mean Platelet Volume (MPV)
Mean Platelet Volume (MPV)
- Measures the average size of platelets in the blood, aiding in the diagnosis of various conditions.
- High Result: Inflammatory conditions and infection can lead to high MPV levels.
- Low Result: Bone marrow disorders and certain treatments for cancer can lead to low MPV levels.
Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils
Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils
- Differentiate types of white blood cells indicating various immune responses and potential infections
- High Result: Various infections, inflammation, leukemia, and certain medications can lead to high white blood cell counts.
- Low Result: Bone marrow disorders, viral infections, and some autoimmune diseases can lead to low white blood cell counts.
Nucleated Red Blood Cell Count
Nucleated Red Blood Cell Count
- Measures the number of red blood cells with nuclei, assisting in diagnosing certain medical conditions.
- High Result: Severe anemia, thalassemia, and certain bone marrow disorders can lead to high nucleated red blood cell counts.
- Low Result: Generally, a low nucleated red blood cell count is within normal limits, as the presence of these cells is abnormal in the circulation.
ALT (Alanine Aminotransferase):
ALT (Alanine Aminotransferase):
- ALT is an enzyme found mostly in the cells of the liver and the kidney. A high level of ALT in the blood can indicate liver damage, such as hepatitis or cirrhosis, while a low level is not typically a cause for concern.
AST (Aspartate Aminotransferase):
AST (Aspartate Aminotransferase):
- AST is an enzyme present in various tissues, including the liver, heart, muscles, and kidneys. An elevated AST level may signal liver damage, but it can also indicate heart or muscle issues. A low level of AST is not usually a cause for concern, as it's not typically considered when evaluating liver function.
GGT (Gamma-Glutamyl Transferase):
GGT (Gamma-Glutamyl Transferase):
- GGT is an enzyme found in the liver. Elevated GGT levels can indicate liver disease, alcohol use, or bile duct problems, while low GGT levels are generally not a focus in liver function testing.
ALP (Alkaline Phosphatase):
ALP (Alkaline Phosphatase):
- ALP is an enzyme found in various tissues, including the liver, bones, intestines, and kidneys. A high ALP level can indicate liver or bone disease, as well as certain bile duct issues. A low level of ALP is not usually a significant concern when assessing liver function.
Albumin:
Albumin:
- Albumin is a protein produced by the liver. A high level of albumin is not typically a concern, whereas a low level can suggest liver disease, kidney disease, malnutrition, or inflammatory conditions.
Albumin Globulin Ratio:
Albumin Globulin Ratio:
- The albumin globulin ratio is the ratio of albumin to globulin in the blood. A high ratio may indicate dehydration, while a low ratio can be associated with hematologic disorders, kidney disease, or liver disease.
BUN (Blood Urea Nitrogen)
BUN (Blood Urea Nitrogen)
- Description: BUN measures the amount of nitrogen in the blood that comes from urea, a waste product of protein metabolism.
- High Reading: Kidney disease, congestive heart failure, dehydration, or high protein diet.
- Low Reading: Malnutrition, liver failure, or overhydration.
Creatinine
Creatinine
- Description: Creatinine measures the waste product of muscle energy metabolism.
- High Reading: Kidney dysfunction, dehydration, or rhabdomyolysis.
- Low Reading: Low muscle mass, liver disease, or pregnancy.
Fasted Glucose (Blood Sugar)
Fasted Glucose (Blood Sugar)
- Description: This measures the amount of glucose in the blood after fasting for at least 8 hours.
- High Reading: Diabetes, prediabetes, or pancreatitis.
- Low Reading: Hypoglycemia, insulinoma, or liver disease.
Fasted Insulin
Fasted Insulin
- Description: Fasted insulin reveals how well one's body processes sugar after fasting.
- High Reading: Insulin resistance, prediabetes, or type 2 diabetes.
- Low Reading: Hyperinsulinism, excessive insulin injections, or tumor in the pancreas.
C-Peptide
C-Peptide
- Description: C-peptide is involved in the production of insulin by the pancreas. It is a useful proxy marker for insulin production.
- High Reading: Insulinoma, kidney failure, or pancreatitis.
- Low Reading: Type 1 diabetes, pancreatic damage, or reduced insulin production.
Uric Acid
Uric Acid
- Description: Uric acid measures the breakdown product of purines and can be associated with gout and kidney stones.
- High Reading: Gout, kidney disease, or dehydration.
- Low Reading: Fanconi syndrome, Wilson's disease, or overhydration.
C-Reactive Protein
C-Reactive Protein
- Description: CRP measures inflammation in the body and is used to assess the risk of heart disease.
- High Reading: Infection, inflammatory disorders, or cardiovascular disease.
- Low Reading: Generally, medical significance for a low CRP level.
HDL (High-Density Lipoprotein)
HDL (High-Density Lipoprotein)
- Description: HDL is mistakenly known as the "good" cholesterol and helps remove other forms of cholesterol from the bloodstream. It is the same cholesterol as that contained in LDL particles.
- High Reading: Lower risk of heart disease.
- Low Reading: Higher risk of heart disease.
Triglycerides
Triglycerides
- Description: Triglycerides are a type of fat found in the blood.
- High Reading: Hypertriglyceridemia, pancreatitis, or obesity.
- Low Reading: Low triglyceride levels are less common, but they can be associated with malnutrition or hyperthyroidism.
LDL (Low-Density Lipoprotein)
LDL (Low-Density Lipoprotein)
- Description: LDL is MISTAKENLY known as the "bad" cholesterol and is alleged to lead to the buildup of plaque in the arteries, there is no causal proof of this. Cholesterol is required by every cell in the body and is a precursor and co-factor to many hormones and processes.
- High Reading: The theory is that it leads to a higher risk of heart disease, although proof of this cause has never been established.
- Low Reading: Less common, but low levels of LDL can be associated with malnutrition, malabsorption, or hyperthyroidism.
Understanding the context of these readings will depend on the individual's symptoms, medical history, and other diagnostic tests. It's essential to consult with a healthcare professional for accurate interpretation and appropriate management.
Complete List of Recommended Labs and Blood work and its Relation to Adaptation
We are often asked 'what tests to get?'
As a qualified phlebotomist I'd say it's more important to consider if you have any symptoms. Remember once adapted you might have levels that are not what you are used to.
If you feel great and healthy then you probably don't need to get the tests.
But some people just want the numbers, so...
Here are some good tests to get for a benchmark
(Fast for 12 hours before the tests, no tea or coffee either)
SUGAR RELATED.
SUGAR RELATED.
Fasted Glucose,
Fasted Insulin,
Hba1C,
C-peptide (good proxy for insulin)
LIPID PANEL.
LIPID PANEL.
HDL,
Triglycerides,
LDL,
LDL particle sizes / fractions are handy (LDL 1 to 7)
THYROID.
THYROID.
TSH,
T4,
T3,
Free T4
Free T3
Reverse T3,
Antibodies (TPO).
Selenium
LIVER.
LIVER.
ALP
ALT,
AST.
GGT.
Albumin
KIDNEY.
KIDNEY.
BUN,
Creatinine (both these are higher than normal if you eat more protein than the average person).
eGFR
Cystatin C is a better test for kidney filtration than relying on the eGFR
INFLAMMATION.
INFLAMMATION.
C REACTIVE PROTEIN (C-RP HS).
Uric acid
Other tests that are specialist but handy
Other tests that are specialist but handy
Antidiuretic Hormone (ADH) Test
CMP 14,
CBC
Dutch test,
Gylcated albumin
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