Labstories

Get the Weight Loss 101 Video Course & Starter Plan PDF

Work with me 1:1 to Optimize Your Health & Lose Weight (Men in AL + LA)

In this episode I discuss:

The anatomy of the kidney, BUN, Creatinine, Cystatin C, causes of acute kidney injury and chronic kidney disease, and my timeless top strategies for reversing CKD, improving hypertension (high blood pressure) and optimizing Health!

To reverse CKD, focus on reversing the top 2 causes: type 2 diabetes and high blood pressure. My timeless top 3 tips:

1. Eliminate (minimize) Ultra-processed Foods

2. Eliminate liquid calories

3. Exercise Properly: Resistance train and emphasize cardio zones 1 & 5

For Hypertension specifically, consider NaCl (salt) intake if you are still hypertensive after eliminating ultra-processed foods. Increase potassium and magnesium intake by eating vegetables, nuts, and seeds (whole foods)

Sleep Well & Reduce Stress

Wikipedia Link with Glomerulus Picture

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Get the Weight Loss 101 Video Course & Starter Plan PDF

Work With Me 1:1 to Lose Weight and Optimize Your Health (Men in AL or LA)

Bicarbonate is the body's main buffer system. Just like the 1900's era industrial revolution pollution management...except better!

Acid Base Equilibrium Equation: H2O + CO2 <> H2CO3 <> HCO3- + H+

Anion Gap Equation: Na - (HCO3 + Cl) = Amount of unmeasured anions

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Get The Weight Loss 101 Video Course

Work with Me 1:1 To Lose Weight & Optimize Your Health (Men in AL + LA)

Potassium is exciting! Tune in to this episode to easily understand potassium homeostasis, common causes of it being high or low, why supplementing with magnesium is important if you are potassium deficient, and more!

All using a nuclear reactor analogy...

My Favorite Bedtime Magnesium

Magnesium Glycinate: Good For Magnesium Deficiency

All links are affiliate. If you purchase products using these links I will receive a tiny commission at no extra cost to you.

If you enjoyed this episode, let me know!

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

https://tomschexnaildremd.com

Book an Appointment (Men in AL & AL)

Key points: 

Sodium is the primary determinant of plasma osmolality (saltiness).

The kidneys are very precise when dialing in your plasma sodium.

When Na is abnormal on routine labs, medication lists MUST be investigated, as medications are often the culprit.

Low sodium and high sodium cause fluctuations in intracellular water, which can be dangerous, especially if Na is <120 mmol/L.

What should you drink when you get gastroenteritis? (vomiting & diarrhea)

Water + Salt - this can be obtained in Pedialyte, adding salt to water, eating salty foods with water, or drinking sports drinks (I don't recommend because they have too much sugar and not enough salt). You can also use these: LMNT

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

My Function Health Code: 

Use the above code or RSCHEXNAILDRE10 and I will get a referral bonus (no extra cost to you!)

Like, subscribe, share, and if you are in AL or LA and want me to review your labs: Structure Mens Health

FREE Weight Loss Guide!

CBC, CMP, A1c, Fasting Insulin, Lipid panel, Apo B, Lp(a), Testosterone, Uric Acid, Ferritin, hs-CRP

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Structure Mens Health is my private medical practice where I work 1:1 with men as a doctor to help them optimize their health. 

We use telemedicine, advanced labs, DEXA scans, and VO2 Max testing to get a full picture of health and develop a plan to improve it. That's it!

If you are a man looking to improve your health and live in Alabama or Louisiana (more states coming in the future), go to www.structuremenshealth.com and let's work together!

Whether your goal is losing weight, decreasing medications, improving fitness, or just seeing the doctor, I can help you. I can't wait.

Let's go!

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Free Weight Loss Guide: https://labstories.ck.page/d1a7599ef2

Hormones function EXACTLY like a good military command structure. In this episode I use a D-day analogy to illustrate hormonal concepts and follow that with an overview of testosterone: how it's produced, what it does, what happens when it's deficient, and how YOU can decide if TRT is right for you.

This is NOT medical advice! 
Let's connect on social media.

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

FREE Weight Loss Guide!

Join me as I use a WW2 / D-day story to explain the cholesterol transport system then define all the players (Lipoproteins, apolipoproteins, cholesterol synthesis, the 7 components of the lipid panel) and finish with a discussion on statins, insulin resistance, and health optimization.

Leave me a rating! Find the other socials below. Enjoy!

This podcast and the opinions expressed herein do not constitute medical advice. No doctor patient relationship is formed. Views are my own, not those of anyone else. Never defer seeking medical attention for any reason, including that of this podcast. 

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Glucose Reference: https://labstories.kit.com/d2ec591e5e

Weight Loss Guide: https://labstories.kit.com/d1a7599ef2

Dark Calories (affiliate link): https://amzn.to/4jMWkic

Send me any questions you have!

[email protected]

Let's connect on social media. Thanks for listening!

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.

Magnesium is the most important mineral in the body. In this episode, I don't just repeat everything I've ever asked Grok on X, but give you a more complete chemical understanding of magnesium. Here's to understanding your labs and optimizing your health!

Magnesium repletion plan:

1. High Magnesium Foods - pumpkin seeds, avocados, >70% dark chocolate

2. Supplements - GREAT ones listed below*:
Dr. Berg Magnesium Glycinate
Pure Encapsulations Magnesium Glycinate
Calm Magnesium Powder
Bioptimizers Magnesium. Has 7 Different Forms!

*Affiliate links. Hook me up with that itty bitty commission at no extra cost to you if you want, simply as a way to say thanks to me for sifting through the supplements for you. If not, no worries and I wish you all the best!

What supplement dose? 400mg daily has been shown to improve blood pressure. Start at 200mg and increase from there. If you are getting diarrhea that means you are exceeding your absorption capacity and should decrease.

Take it with meals? Debatable. Take it however will enable you to be consistent. Sometimes I recommend taking Calm powder at night because that is like a bedtime ritual and not just throwing back a pill. My opinion.

3. Check your medication list - Do you take proton pump inhibitors? diuretics?

4. Alcohol use in excess?

5. Optimize your potassium (4700mg RDA) and calcium intake (1000mg)!

Magnesium normal plasma level is about 2mg/dl

You can also test RBC magnesium. Not a meaningful improvement over plasma in my opinion because we're still trying to treat SYMPTOMS of low magnesium, which are:

Fatigue
Anxiety
Restless Legs
Insomnia
Palpitations
Intestinal problems

Think: any excitable tissue (skeletal muscles, smooth muscles, heart, nerves) that is TOO excited. Too excited = not enough magnesium!

Magnesium is responsible for translocation of the GLUT4 glucose transporter to the surface of cells, thus its role in insulin sensitivity.

Magnesium acts as a calcium channel blocker outside of cells, blocking calcium entry and muscle contraction. This is the mechanism in treating high blood pressure and nerve excitement problems.

It is an ATP stabilizer, which is why it in my opinion, is the master mineral. Fatigue could be a sign of Magnesium deficiency because ATP can't work without magnesium. ATP is required for ...every... body process, including all forms of metabolism.

I meant to say tolerable upper limit when I mentioned supplement dose of 350mg daily, not RDA, as I said in the episode.

Summary Paper: Disorders of Magnesium Metabolism. EJIFCC. 1999 Jul 7;11(2):36-44. PMID: 30720256; PMCID: PMC6357249.

This content is not medical advice and is for general informational purposes only. None of the information provided constitutes the practice of medicine, or any professional healthcare services. No doctor patient relation

Let's connect! YouTube | Instagram | LinkedIn |X

This is not medical advice and is for information purposes only. Listeners should not delay in seeking medical advice for any medical concern. No physician patient relationship is formed by listening to this podcast.