I finally returned from traveling and met with my doctor, for whom I have mixed feelings...but that's a topic for another day.
We've already gone over some of my improved markers in an earlier post, but here are some of the ones still needing improvement:
LDL-P went from 2589 to 2030 (but needs to be under 1100, so it's still 2x what it should be.)
VLDL-P is 343 (2x what it should be) since optimal is under 150.
ApoB is 137 (high) and ApoA-1 is 146 (optimal) and the ratio is .94 and it should be less than .60.
My sdLDL-C got worse! It went from 35 (mildly elevated) to 57! (Didn't I read somewhere that it can go up as you lose weight and not to be freaked out or am I mistaken?)
My Lp-PLA2 Activity went from 325 (high) to 175 (optimal.) I don't get how this measure of vascular inflammation is great, if my oxidized LDL is still so high. Can anyone speak to this?
And here's one she is freaked about: Uric Acid is 7.1 (high) and could mean a gout attack in the future. She wants me to take two supplements to lower this, one containing a substance in cherries and the other containing a substance in pineapple. At first she said to eat pineapple and I had to remind her that pineapple is high glycemic. Then she suggested the supplement. I just don't know how specialized she is in Bredesen/Gundry if she keeps forgetting key points of their dietary recommendations (oh, and she thinks Gundry is an idiot! WT?! I didn't ask why and I should have....see, I have very mixed feelings about her.) I read that obesity itself can raise uric acid, but she said follow a low purine diet. I've read very conflicting info on what foods to AVOID on a low purine diet and sometimes sources say the very thing we are told to eat: avocado, nuts, cruciferous veggies, asparagus, mushrooms, salmon. Does anyone know for sure what foods to avoid on a low purine diet? Mayo Clinic's site says it's not true that veggies like asparagus affect uric acid levels. And in Jason Fong's book about fasting, which I did get, he says uric acid can go up with fasting. I've been intermittent fasting just recently 20 hours and would like to do 24-36 hour fasts, but now since she told me my uric acid is already high, I'm worried I'm making it higher!!!
I am anemic -- microcytic anemia. She has given me iron supplements and said to increase my magnesium to combat the constipative effects of iron. Praying I don't have to deal with that! But here are my results and they are so close, I'm wondering if I should've been put on iron right away or retested later. Iron 47 (optimal.) Ferritin (20 optimal.) TIBC 504 (high.) Transferrin 343 (optimal.) Blood count is all optimal except MCV is 79.7 (low is equal to or less than 80.6.) MCH is 27 (low is equal to or less than 28.5.) Can anyone speak to this?
Free fatty acids went from .86 (high) to .53 (optimal.)
My T4 Total and Free, T3 Total and Free and Reverse T3 are all optimal, but my TSH is mildly elevated. She didn't even speak about that. Anyone?
I am kind of confused by all of the results and how fast she goes through them and always think of lots of questions AFTER our appointment. She'll take an email or two of questions, but then suggests I come in again to talk and at insurance-UNcovered $360 an hour, that can get really expensive fast. <sigh>
Every time we do blood tests, they seem to include different tests and I'm not sure why. I wish she would just focus on Bredesen's cognoscopy (is that the word?) and I'm wondering about getting a different doctor. What do you all think?
Any help on these results from the learned community here would be appreciated!
P.S. Have lost 5 more pounds since mid-September. Yay.