The following tests I will recommend that have posts attached to them, so you can read why they’re useful to check. Scroll down to the end of the page to get the blood test.
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Tests With Posts
Growth Hormone (coming soon)- Like IGF-1, you want this to be in balance. A deficiency causes a lack of vitality and being overweight, but too much increases cancer risk. You can easily increase this hormone.
SHBG (coming soon)– This binds to testosterone and estrogen and if this is high and these hormones are low, that could indicate a significant cause of health issues,
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Most Important Set of Tests (without Posts)
The basic blood tests are essential if you want to fully understand your issues. I listed out specifically which tests I look closely at that your doctor might not pay attention to…For the price, you need to get these….Every one of these tests are important. Some examples: The CBC will give me a snapshot of your immune system and help me understand what’s happening. For example, a high WBC count will tell me an infection is occurring, while a low WBC will indicate immunodeficiency and lectin sensitivity. Your RBC and similar tests will give me measures of hypoxia. CO2 levels will allow me to see how well you dissociate oxygen from hemoglobin – another measure of hypoxia….Ferritin will indicate an iron deficiency, which can be a cause of fatigue and an inability to combat infections. Uric acid can tell me what a crucial antioxidant in your body is like – and we can quickly correct it…High Bilirubin levels can also be enlightening…BUN/creatine and urinalysis can tell me if you’re hydrated enough.
Basic blood tests or Basic Blood Tests (missing D3)-CBC/Differential – (WBC, RBC, Hgb, Hct, neutrophils, lymphocytes, monocytes, etc..), Glucose, vitamin D, uric acid (See my article on uric acid), bilirubin, cholesterol, ferritin, iron, thyroid, kidneys, liver, Calcium, magnesium, HbA1C, CRP, CO2, BUN, Creatinine, Basic Thyroid Panel (total T4, TSH, T3 uptake), Alkaline Phosphatase, Urinalysis, Sodium, Potassium and others!
Heart Rate Variability Monitor – Checks heart rate, HRV and you can also check your recovery heart rate. These three measures are some of the most important measures for all cause mortality. They can indicate a lot about someone’s health status and what they’re going through. I use this monitor with the EliteHRV app.
Autoimmune Screening Panel – RA, ANA, tTG, TGA, TPO…You can check just thyroid antibodies (TPO, TGA)….If you have high levels of any of these, then you will need to go on a stricter lectin avoidance diet until these markers normalize…
Homocysteine – can indicate methylation status…
Comprehensive Stool Analysis -This is a screening of a variety of infections….If you detect any, then you can do a protocol to rid yourself of it….which will help reduce your infection burden……Other tests that also check for gut infections, but aren’t necessary include: Comprehensive Stool Test, or Comprehensive Stool Test, Intestinal Parasites, Microbiology Stool Test, Metamatrix DNA stool test (tests bacteria, yeasts, fungi, parasites, campylobacter, E Coli, C Diff, H Pylori, Calprotectin, Eosinophil Protein X, SCFA. See sample report.)
H Pylori Breath Test-both breath and stool tests are useful…(R) H Pylori can be a cause of inflammation, oxidative stress and contribute to food sensitivities. You can get rid of H pylori with various supplements.
Second Most Important Set of Tests
These tests are important, but not as important as the first set. If people have the money I recommend they also do these tests. Each of these tests produce results that can result in better understanding of a person’s issues.
Originally, these tests were in the most important section, but there were too many tests that I decided to split them up.
- Total IgE, IgG, IgM, IgA – if you have low levels, it will indicate an inability to fight infections. You can fix this by taking High IG colostrum and astragalus… If you have high levels of these antibodies in general, then developing food sensitivities will likely occur in the the future. Useful test for some to see immune status and if you’re dealing with infection.
- HLA Genes for mold – use with HLA calculator,
- Organic Acid Test by Metametrix – can give you a decent amount of info...
- Copper, RBC folate, – these are nutrients that are important and can easily be fixed if too low….In a group of depressed people, those with higher levels of magnesium had more intense depression – ironically. Both blood and erythrocyte magnesium levels are shown to be associated with the intensity of the depression. (R) This doesn’t mean it’s causal, but it’s interesting. Magnesium lowers cortisol levels (R), and if you have high levels you want to check what your magnesium status is.
- Histamine – For people with suspected histamine issues and can also tell you if you’re an over or under methylator. This will hep guide if you should take methylation supplements. High histamine suggests being an under methylator. Undermethylators have lower levels of serotonin, dopamine, norepinephrine….Under methylators are prone to Depression, OCD, Autism…Over Methylators are prone to anxiety, panic, sleeplessness, bipolar, schizophrenia….
- Pred: hs-CRP, IL-6, IL-8, TNF-a, PAI-1, Glucose, Adiponectin, Insulin, Proinsulin, HOMA-IR, Hemoglobin A1c, C-Peptide, Leptin
- Hepatitis Panel – A, B and C
- Methylation Pathway Test – Says how well your methylation systems are functioning and also shows oxidized and reduced glutathione.
- Osmolality – a measure of hydration. Normal human reference range is 285-295. Osmolality of blood increases with dehydration and decreases with overhydration. Increased osmolarity frequently occurs following illness due to chronic neurotoxic diseases such as Lyme disease (R). It can also occur if you have too much sodium or glucose in your blood. High levels of osmolality increases oxidative stress in cells. When your blood has too little water and too much solutes, water from your cells goes out to compensate and excrete water. Too little water will damage proteins and DNA in cells (R).
Third Most Important Set of Tests
These are all useful, but given that there are many test that are more important and we don’t have unlimited money, I generally will recommend these last.
- Circadian Rhythm of Estradiol, Testosterone, Progesterone, Cortisol, DHEA, Melatonin (All are salivary)
- ESR – a marker of inflammation…
- RBC minerals, heavy metals
- Neurotransmitters – Serotonin, GABA, Glutamate, Dopamine, Norepinephrine, Epinephrine…I was skeptical as to how accurate this is since in this the studies I read about, they check these directly in the brain on animals. However, I did find a study which says that they do have clinical utility and specifically mentions them in relation to depression, ADHD, and inflammation. (R) The point is, though, that they have utility.
- Interleukin-1beta -This cytokine is involved in fatigue and suppresses orexin. Average IL-1beta= 0.83pg/ml (High =1.88) (R). See my post on IL-1.
- Essential Fatty Acid Test – I would recommend this test because it can tell you how your ratios are for omega3 and omega6 and can be informative in other ways. I would take this test after I take the other ones, if my financials permit it
- Nutreval Test – tests if you’re lacking in vitamins, minerals, antioxidants, amino acids, fatty acids…and tests for heavy metals.
- NMR Lipoprofile – Test LDL particle number and more. VAP Cholesterol Test is also good….This is a more comprehensive cholesterol test than you will get from your doc.
- Leaky Gut Test -Lactulose and Mannitol Test….This test is used in the scientific literature.
- IgG Food Allergy Testing – I was skeptical about this test before, but I have read some research on it and it seems to have some validity. I support use of this test if you are having issues identifying which foods might affect you. This test will allow you to pay attention more carefully to the foods that come up. A review study found clinical use in this (R).
Fourth Most Important Set of Tests (Generally not important)
I generally don’t ever get these tests, but they can be useful in some ways…
- Tryptase levels, which is a marker for Mast Cell activation. (R)
- Telomere Length – a marker for your biological age…
- BPA, Triclosan, Nonylphenol
- Lyme Coinfections – useful, but expensive, so I don’t recommend it too often.
- Cytokine Analysis: Th1, Th2, Th17 or Less Cytokines for cheaper
- Natural Killer Cells, T Helper, T suppressor,
- Comprehensive Thryoid Test Kit
- Stool Test For Pathogens (Check all add-ons)
- Male Hormone Testing
- Hormone Tests for Females
- Organic Acids Test
- Oxidative Stress
- Mineral and Heavy Metal Blood Test
- IgG, IgM, IgA, IgE, Zinc
- Inflammation – IL-1b, TNF, IL-4, IL-6, IL-10, IL-13
- Cortisol – 4 samples
- Male Hormone Panel
- Oxidative Disease
- Thyroid Function Test – TSH, Total T4, Free T3, Free T4, Anti-TGO, Anti-TPO,
- Gut Infections/IBS Test– Pancreatic Elastase, Calprotectin, Occult Blood, C Diff, Parasitology Microscopic Exam, Cryptosporidium EIA, Giardia Lambia EIA, Entamoeba histolytica EIA, Eosinophil Protein X, H.pylori
- IgG, IgM, IgA, IgE, Zinc