Ep:57 Interpreting Keto Bloodwork: Making sense of complex human systems.

If you are interested in finding out what your bloodwork shoes including a detailed interpretation text us at 561.517.0642 to set up an appointment.
FOLLOW ME ON SOCIAL MEDIA:
FB: / carbaddictiondoc
IG: / carbaddictiondoc
Patreon: / carbaddictiondoc

[@KenDBerryMD]

Great video doc! The more we know...

[@pattyv341]

My doctor says insurance does not pay for the insulin test. Is it expensive?

[@jorgecarrejo7562]

What about type 1 diabetics?? You say a 71 blood sugar means that person is fat adapted... How do we as type 1s know we're fat adapted??

[@barbaracoyle72]

Two of the best doctors. Thank you both.

[@gallettiguitartones]

@@jorgecarrejo7562 I'm a type one diabetic and usually my fasting blood glucose is about 85mg/dL. A1C 5.1%. How is yours? I've been doing keto-carnivore for 15months

[@michellegray8646]

Is it safe for somebody with he fh to go keto?

[@ruthbiafora5443]

I went to my integrative doctor here in California and he ordered Coronary Artery Score and bone density. Easy tests and I scored zero on the CAS and my bone density was that of someone 20 years younger. Keto / Carnivore lifestyle works.😃

[@geoffreylevens9045]

Can I give more than one "Thumbs up?"

[@carolethomas5003]

Love the beard Dr Cywes!! Looks very distinguished! Thank you for all your honest and clear advice, it is appreciated, so much!! From a fellow South African in the UK.

[@songmansinatra120]

I went keto 8 months ago HDL 68 trigs 49 ldl 153. I refused a statin, my calcium score was 28 6 years ago, doc told me to get off diet i'm gonna have a heart attack. I said lets get another scan now 6 years later age 60. scan came back at 14.9 almost a 50% reduction. Cardiologist said see you in a year....

[@ChrisM-mu8rc]

What scan? Do you mean a cholesterol panel?

[@landdesigner4195]

@@ChrisM-mu8rc Probably the Coronary Artery Calcium scan for the Coronary Artery Calcium Score. Ivor Cummings talks about this all the time too.

[@dana102083]

👌👏👏👏👏

[@alphacause]

Thanks for sharing that story. Please share your dramatic results with all fat phobic vegans out there who like to claim that this ketogenic diet will promote atherogenesis. Your story, along with a growing number of people who are showing a regression in plaque deposits in the artery when doing keto, completely refutes the long held myth that the consumption of fat will lead to heart disease. These dietary myths, because they have been foisted on the public for decades, will take a long time to dispel. The best way to do this is to share these success stories.

[@DeborahThomasRNCPht]

@@ChrisM-mu8rc It's a CT scan of the chest for calcium deposits in the vessels. A score of zero is best. I did the test 12 years ago and my score was 0. Insurance may or may not pay but it was $75 12 years ago. Having it done tomorrow b/c after being strict keto one year, my LDL's and inflammation has gone way up. My HDL actually went up 10 points and it has not gone up in years of trying to eat a regular diet cutting out fat and meats.

[@melissajames2706]

I really appreciate you going over the lab values. Most people don’t have any idea how to interpret them. This helps everybody.

[@pacobarr9710]

very interesting! would love to hear about normal levels in a non pregnant human

[@kaychesnut2898]

Me too. I would love to see the data on 30000 fat adapted folks.

[@TheJeffatan]

This one of the most informative videos...Ever 👍

[@lane1368]

Great information💯 Can you please do keto markers for not pregnant humans😀

[@DavidDavis911]

It would be nice to have a printable list of what blood tests to do, so we can take it to our docs..

[@bradtozier6776]

Dr Ken Berry w/Kim Howerton have a great reference book for this, with thorough explanations.

[@marceygaitan4812]

@@bradtozier6776 what’s the name of the book, please?

[@QuiltBeadKnit]

Very interesting video! Would love to learn more about desired blood values in a non-pregnant person.

[@marceygaitan4812]

This is exactly what I want to get done! I practically beg my doctor for blood work every year. But, I have nothing to go on besides the “normals” on the paper. This helps me understand so much more about what I should be seeing from now on.

[@toddo222]

You have mentioned FAT ADAPTION takes about 3 months after you are in Ketosis. Please make a video explaining fat adaption.

[@rangerdoc1029]

It also progresses over the years as well. It's not a switch that flips yes or no. At first, you'll stop producing excess ketones in the urine. Netostix stop working. Eventually excess blood and breath ketones will diminish as well. In fact, after 5 years, I really can't get into ketosis (as indictated by meters) very easily. I've become so fat-adapted that I have little to no ketones in my breath or blood. IMO, becoming highly fat adapted needs more emphasis than ketosis.

[@paulwiffin2452]

@@rangerdoc1029 hi. Just curious. Did you find energy levels drop off when ketosis tailed off and fat adaptation started ?

[@kennethgbketokcity8325]

I asked my doctor this week to add C-Peptide to my blood work. Fasting insulin was 57.5 (2.6-24.9) and C-Peptide was 7.0. My A1C was 5.5, and fasting glucose was 129 (70-105). I don't know what my starting C-Peptide was, but my highest A1C was 9.4.

[@bettywhill]

Oh wow

[@monnoo8221]

you need to change your diet... did you meanwhile? hopefully, because you were killing your pancreas 2y ago. Note that if you go low carb (

[@zayd7282]

How are you now?.looks like your pancreas working super hard to keep sugar levels at bat. Need to protect your organ and stop sugar/carbs

[@boondoggle4820]

This was extremely helpful and informative. I would actually trust Dr. Cywes to do my bloodwork. It’s a shame that most people will be led astray by conventional wisdom from the medical community because doctors base their standards and expectations on the standard American diet. I don’t care what my doctor says. I’m going to continue to practice keto and intermittent fasting and I’m not going to take statins just because vested interests at the AMA aren’t acknowledging the actual science on LDL cholesterol for example.

[@Meritumas]

That’s it may be better to do blood work and learn to interpret results (thanks to fantastic knowledge shared by doctors like dr Cywes)

[@jamx97]

I love that comment about comparing the bones and not tapping into your retirement.

[@raysoriano3185]

Great Video Doc! Love the detail very much appreciated, it helps a ton!!!!!

[@MaryPothoven]

Although I am not pregnant, this was very helpful. Thank you!

[@joanblond8527]

Thank you for this interesting video. There is a huge amount of information here which you covered very quickly. I tried taking notes but I missed a lot. I wish you would present a chart showing ideal values for all these values. I'm on a low carb diet now and will be getting my yearly physical exam and blood panel from my doctor in 2 weeks. I would like to compare my values with what you recommend. Also, I went on a keto diet in 1987 to lose weight. After a few months I got temporarily sick from it and would like to know why. (Maybe I lost too much weight. I went from 225 lbs down to 164 lbs.) Any input you might have on this would be appreciated.

[@dana102083]

In the show notes it says you can text him to set up an appt with him to review your labs. Unfortunately nothing comes free.

[@diperf]

Thank you so much

[@frankfromupstateny3796]

You're a fine, fine fellow Robert.

[@jennycheong8634]

Another good video Dr!!

[@connieeash7935]

Thank you for all of this great info. One question - why not a 25(OH)D test?

[@mariabentel2076]

Wow! Amazing video! I love how you explained it😊Blessings

[@kellymcclurg5755]

Thank you! This specific real life info was amazing and soo informative! 👍🏻

[@jeffreycrate4002]

Wonderful Information...especially the sodium explanation so necessary but why is low-sodium prescribed to diabetics so often with depleted kidney function...

[@benge3x]

My appointment is coming in a week. Had to ask my doc to add several different tests. Then on th Doc Cywes late June.

[@kaychesnut2898]

Completely fascinating

[@mariecole5847]

Well explained! Thanks.

[@jarekgalik3909]

Magic info ! Thanks Dr

[@EXCELSIOR_INC]

You said, exactly what I was thinking

[@katecollins3894]

My trigs when I drink milk tend to be higher. Her increase may also be from this.

[@monnoo8221]

nice, very nice. Getting to the numbers in context :) What would you say to this constellation: triglyc 37, HDL 94, gluc 81, insulin 2.4, fasting c-peptide 0.9, and ... HbA1c 6.0, not on a keto diet, but not overly sugary, more mediterranean style... for me its very puzzling Thank you

[@zayd7282]

Looks to me like you dont make enough insulin to keep a1c closer or bellow 5.

[@andrewtaylor9799]

Very helpful. What are the units of the blood glucose measurements being talked about here?

[@markmontgomery1447]

Did you say it's hard to get a CAC score in America!??

[@Rollanotheronemyfriend]

Does age have anything to do with blood pressure?

[@carlossolorio8844]

Please could you elaborate on on elevated ferritin levels and its relation to nafld.

[@eugeneclark4515]

Great content:. Note typo in the summary: : "shoes" should be shows.

[@mandymahon1771]

Excellent information sharing, thank you. Is it possible with modern technology to have a consultation across the seas? I’m in the UK and you are exactly what I need at this stage of my health right now. Would be great if it was possible? Mandy

[@rangerdoc1029]

Man, I wish my doc understood this. I'm fat adapted, about 5 years. My HDL:Trig is excellent. My inflammation markers have plummeted (along with my blood preasure). He's freaking out because my LDL is "high". Well duh, I metabolize fats primarily. How the he do yo7 think they're transported in the blood?

[@bonniemillage7377]

Is there anywhere I could go to get this info in a chart form? What you feel is normal for keto/carnivore folks?

[@lisawilliams6527]

Alkaline phosphatase =90. Fatty liver??

[@JudsonCook]

Is this kind of medical help covered by insurance? And, how do I find this kind of help in my area (Raleigh NC)

[@antoniadispalato2900]

It would have been better with normal bloodwork not of a pregnant woman, but maybe you could you summ it up under the video (for non-pregnants fat adapted) because it is a complicated (all the more for non english people)? Thank you very much. Greetings from Germany :)

[@sofializzy4519]

So I had high testosterone with my twin boys? Lol Completely agree about the glucose tolerance test.

[@marceygaitan4812]

I refused it so they had me prick my finger for several weeks. Lol

[@Tyrannocaster]

So many of these results you just dismiss by saying "they're fine" without giving a number. Since you went to great lengths to show how the lab ranges are skewed by the SAD, saying that without the numbers (MCV, MCH, for example) means that part of the video is useless. I have to argue with my hematologist next week and I was excited when you started this video because you were including actual measurements and they are closer to my own numbers than the Labcorp range, but then you stopped. Bummer.

[@CustomKits]

Love the video, love the Dr. but I honestly think that 99% of the viewers here are NOT Pregnant.

[@sweett3486]

Absolutely love a MD who arms patients with the knowledge of self autonomy. Thank you!

[@alphacause]

Ivor Cummins, the biochemical engineer who has emerged as a major figure in the keto space due to his data driven analysis of dietary protocols and myths, frequently cites a statement that is said in his field of engineering (paraphrase): "If it doesn't get measured, it doesn't get fixed". I agree. We must have good measurements if we desire to see if things are functioning properly. The question is what measurements to use, and more importantly, should we alter our benchmarks for what constitutes "health" based on dietary context. This is why I really appreciate this segment you have provided us, Dr. Cywes, where you emphasize that many of the standard health parameters that are provided to us my the authorities are not applicable to a keto practitioner. Moreover, many of these health standards, since they are predicated on an individual eating your standard American high carb diet, may give that individual the false sense that they are healthy when they are not.

[@bradtozier6776]

Love Ivor! A great man.

[@garymaserow7723]

Very, very impressive Doc! I doubt that 1% of doctors have the depth of understanding of these biochemical and hormonal functions/interactions of the body that you have demonstrated in this video. Full respect for continually challenging the lazy masses of medical practitioners.

[@frankfromupstateny3796]

That's why it's: Ph.D,...over M.D....every time. Every time.

[@lloydhlavac6807]

I had 2 NMR cholesterol tests done at different times last year. My HDL was in the 70s-80s, triglycerides 55-85, and LDL both times 300+, but it was almost all large pattern A, with very little pattern B.

[@buckan8r999]

i just had this but did not receive results yet. does this test also include the hona-ir (insulin resistance)?

[@carlapilcher3707]

Such a helpful video! Could you talk about high levels of ferritin on a carnivore diet?

[@carolynlenschzoesmom]

Wow!! So helpful thank you! I have had a slightly elevated WBC for several years and never once has any doctor suggested it may be due to inflammation in my diet/body. They always ask if I feel sick and I always say no. This makes a lot of sense to me. I can't wait to get some blood work now after following a Keto diet for months to see how much it has gone down.

[@minjaeyoon3603]

Thank you for going through your wife's private blood work. I again, learnt a lot about keto adapted body physiology. Wish you, your wife and your baby the best.

[@EMTdrummer]

wondering why you don't do a c-reactive protein since we know how important inflammation is?

[@bettywhill]

Too sensitive. You can get an infection anywhere in the body and the number goes up.

[@marvyd]

man i wish i could get a list of all the markers i need to test for. Since i'm on the carnivore myself. Even if there were screen graphics with text of all the markers, that would have been helpful. Not to mention what could be tested for "normal" men and women !! :-(

[@splatterdaynightmares]

I experienced total carb addiction yesterday. I'm assuming it was. I couldn't get full. I ate and ate ground beef and boiled eggs not getting full or satisfied so then I ordered a cup of chili from Wendys along with a chicken parmesan salad (the salad is actually pretty decent but I'm sure the chili was way out of bounds) and then I was satisfied and now this morning I feel like poop, was extremely hungry, gassy with a headache. :/ like a hangover.

[@monnoo8221]

that was simply overeating... What helps is minimally diluted lemon juice (1 lemon), including the pulp (important) or a tomato salad with vinegar... This triggers sensors to tell the brain to be quiet

[@splatterdaynightmares]

@@monnoo8221 you obviously don't understand how keto works.

[@monnoo8221]

@@splatterdaynightmares if you think so... What you described is far from a sustainable metabolic state... It is the nitrogen in the proteins that provide the feeling of satiety... If You Would be in keto, you certainly would not have cravings for sugar... Sth does not add up... I just wanted to make a suggestion how to trick the body into satiety, whether in keto or not... And that could help to counter the craving

[@pedrolavigne9718]

I wish there were an agreed international medical set of measurement units for bloodwork. Since most units are not stated, there is limited value for non US residents in the suggested guideline ranges. Yet this doctor is my preferred nutritional keytosis guide; perfect balance between sound meaningfull explanations while not over simplified.

[@lindabladon9205]

Brilliant video, but here in UK we have different units. I can calculate the blood sugar and LDL figures, but not the rest.

[@dana102083]

@@lindabladon9205 me too, Im in Canada. Some are just a decimal shift to the right, like hemoglobin. In the hospital the transfuse under 100 here so 11.5 is likely 115 here in Canada. Im going to rewatch and write it down and see how far I can get with my lab book and i ternet conversions haha 👌✌

[@andrewdaigle5081]

makes me realize how much my doc has left me in the dark

[@bettywhill]

Maybe doctor doesn’t know either

[@pamelajones2425]

Thank you for explaining many of the test results. Although I am not pregnant, I have not had any test results explained in spite of me having blood test every three months. I pretty much have to understand them alone without any suggestions or a plan to make improvements.

[@sararainey118]

Just going to the doctor today to request CMP, lipid panels etc... timing is perfect even for the non-pregnant, menopausal woman!

[@jacquelinejohnson8322]

Great video! Where can I find a list of different blood tests to request from my doc? Several factors you discussed haven't been included in my work up. I've been living a Keto lifestyle for over 2 years and am a 61 year young female. Thanks for all the information.

[@mini4196]

I am at awe from your explanation of lab results🌝I am 64years old and not once had a doctor sat down with me to explain any of my lab work except when they wanted to prescribe statins😱 my ld l is134😠 thank you so much🙏🙏

[@briguy4238]

As a 64-year-old man I found it very interesting to compare my numbers with Janae's, especially considering that I am not currently pregnant.

[@GlennLazado78]

my ldl is 311 and im fine, im carnivore

[@cjnguy7325]

I love you!! thank you for this video!! my blood work is AWESOME!! But the DR is telling me that my Vitamin D level is low at 25. It looks good based on the research I could find. But what is a good vitamin D level in a nonpregnant post menopausal women?

[@williamodell8634]

WOW!! great info Doc. We need more Doctors like you in this world. I am so glad I found you KZbin.

[@bettywhill]

Very informative video. Thanks!

[@landdesigner4195]

Saving this KZbin, just had my CAC scan, waiting for those results and going to see my Doc next week and will get those numbers too.

[@mere773]

Great info Dr. C. The way you explain the markers you look for in a fat adapted person is priceless.

[@leelyon9412]

This was fantastic! Loved hearing the details of the lab work. That helped me understand a lot gave me a lot of good questions to research. Thank you!

[@lucylu902]

Great information! I watched three times pausing and taking notes.

[@valardohaeriz5163]

Bro how many tests are you doing to your wife, let her rest hahahah

[@ElishaCook007]

What is your opinion on remnant cholesterol?

[@JamesKing2understandinglife]

Thank you for such a detailed breakdown of her blood test.

[@kathleensturgis8525]

Perfect timing. I just had bloodwork done.

[@garyfarm]

I just love the Carb Addiction Doc ! Can't wait for my next physical after being Keto since Christmas.

[@cbacon7813]

Besides folate, we know choline is important. For someone sensitive to eggs, should they supplement with choline or just bank on the prenatal and other animal proteins?

[@dana102083]

Can you eat just the yolks? I know some people that are only allergic to the proteins in the white. I know the carnivores also separate and eat just the yolks. Its a good question I want to follow too ✌

[@sgdarlin]

Fantastic information! Thank you so much

[@dcryder9736]

Does she know your talking about her? Lol my wife would kill me 😃

[@dana102083]

Consent is the first things of all things medical; Id have to say he did regardless if he is her doc or not..

[@frankfromupstateny3796]

Takeaways: Always have your girlfriend...get her CMP checked after...."the first date"...and add one major test...after each test. Want good numbers? "Take her out for a steak...no bread!" LOL. Gotta have some fun. Hey Jenai...I can only imagine your "Healthcare conversations!" God only forbid!!

[@TyronPiteau]

Yeah great video! Thanks for this sort of detail. Will help me with my clients.

[@Dandy30249]

After 3 months I repeated my HgA1C & it only came down 1 point from 5.7 to 5.6. ( disappointed)My fasting glucose is 87 from 100. My LDL is 381, HDL is 130. VLDL is 2. I tried eating keto & more meat, lots if low carb vegetables. Still have more to work on.

[@bettywhill]

Did you watch the video Dr. Cywes reviewed lab results of 2krazyketos? I think your situation (and mine) are similar to Rachel Stauffer… what Dr Cywes called “insulin Suppression”. Very interesting.

[@zayd7282]

Not close to Rachel her a1c is 4.7

[@edgardodelgadolebron]

I’m on keto. My C-PEPTIDE is 0.59 ng/ml, is that ok?

[@winnersofchampions]

What about particle size for her LDL? Are you concerned about that Dr, Cywes?

[@jacquelinebernalmueller3673]

👏👏👏 Thank you for going through all of these numbers. So wish my doctor would go through these numbers. Good luck to your wife and new baby.♥️

[@stefmcmc5050]

Great Info Thanks. Could you do the same Blood panel Analysis for someone NOT pregnant PLEASE

[@estherbartkiw]

Great video can't wait for our consult

[@PaulCoboPhoto]

Great Information Dr. Cywes. Would it be possible to have these key target blood work for a 53 year old male? Thank you from Miami.

[@cbacon7813]

Since starting keto in 2017, my testosterone is always on the below-normal range. Thinking this relates to my challenge of losing body fat. ??

[@husseinselit4942]

What do you think of other tests like food allergy, Nutrigenetics and Hair Mineral Analysis HMA ?

[@natashadaniels8057]

Anyone else find this on their recommended and thought he looked like Simon Cowell??

[@lindasmith177]

Thanks for sharing this, very informative :) glad I found your channel

[@pest1688]

Another great video thank you so much for all of these

[@skylarderthick8828]

He looks like Simon Cowell... 😄😄

[@DanielE15]

One hell of a video thank you doctor

[@sararainey118]

Hey Rob, I just got my blood work done and wanted to know if you could comment? I’ve been keto for about 2 years off and on a little. Total CHOLESTEROL 209 HDL 89 Trigl 55 LDL 106 Cholesterol/HDLCSERPI 2.3 NonHDLC 120 TSH 5.67 RBC 5.48 Hgb 16.4 Hct 49.8% I’m kinda concerned about the red blood cells being high and wanted to know if keto has anything to do with it. Thank for any suggestions!! Sara

[@bettywhill]

RBC is 4.14-5.80. Yours is within range?

[@ChrisAzzurro]

Hey Dr Cywes, im a bit worried about my cholesterol results. My LDL is 135, HDL is 44, Total is 197, and triglycerides are 85. LDL looks a bit high, ive been doing keto. I know you mention LDL isnt terrible, but is that still a high number?

[@bettywhill]

Your LDL is ok. Not too low 😂

[@monnoo8221]

the only thing you should worry about is Triglyc/HDL, which should be

[@lizakiesling1289]

Committed keto 2 years. My A1C went from 5.0 6 months ago to 5.9 with going closer to carnivore with leafy greens? Also APOb is 178. Triglycerides 90. Going in the opposite direction with more effort. 😞

[@dana102083]

Are you trying to lose weight? Have you tried eating more fats instead of more protein? Ive done keto 2.5 years and want to go carnivore. I eat 130-150g fat and around 75g protein at maintenance and ate 75-100g fat to 75g protein in weight loss mode. Many carnivores report their aic going up and someone calles it a false raise..but protein is more insulin rising, but I personally think its due to more protein than fat.. Protein needs stay the same and the goal needs to be met whereas fats can be played with. Depending on your preferences, you can add fat or dip meat directly or on top, add more salad dressings (preferably homemade as corn starch and maltodextrin linger in most with bad oils), sauces like a mushroom gravy, bernaise, alfredo.. But truly id youre not solid carnivore Id take a closer look at what youre eating if eating any packaged goods at all. There may be more offenders than you realize. Do you track your food and weight everything out? Trying to help! ✌

[@dana102083]

And sorry i missed the first line.. So some newbie things i wouldnt have said, sorry! :)

[@stuartgoldstein1856]

Hi there. Trig 151 Total cholesterol. 300 Hdl. 43 Ldl 222 A1c 5.5 Crp .6 Take a statin? Thank you.

[@bettywhill]

Cut carbs, processed food, seed oils. Watch videos by Dr Cywes, Dr Ken Berry, Dr Paul Mason… watch videos by David Diamond on statin before you take the medicine.

[@monnoo8221]

no, change diet. Ststin do NOT have a reduction of absolute risk, but they create pain, make you impotent, cause diabetes

[@jameskantor0459]

Please less ads.

[@monnoo8221]

suggestions: firefox with ad-blocker, or move forward till 5 sec before end and re-watch

[@arditaalsula1619]

is it possible that too much meat, will be stored for type A+ blood? I read the book on how to feed according to your blood type.

[@dana102083]

Blood type and diets has no correlation between the two in literature. The question is qhat ratio of protein to fat thats needed. I think women need higher fats and men can handle more proteins. Some people like shawn baker do well on higher protein to fat and others get sick if not enough fat. It will also depend on if youre in weight loss mode or maintenance and what your goals are, like building muscle. Personally at maintenance I eat twice as much fat to protein, gram to gram. In weight loss, protein and fat were 1 to 1 gram to gram so usually sat around 75g/75g. Remember, ketosis and fasting are both protein sparing, so we lose less protein than glucose metabolizers. But how much protein is a big contention in the keto community. Some say eat 0.4g/kg other 0.6..0.8...1.0.. Traditional literature says 1.2.. But more carnivores say even 1.5 to 2.0. Im at 68 kg so 75g naturally occurred and at 1.1g/kg. Needs also go up with age, double but from what startpoint I'm unsure. ✌