This week, Paul breaks down his latest set of bloodwork from March 2023. He not only reviews his own levels and ratios, but gives you an idea of what blood work you may want to order, and how to interpret it.


00:04:20 Why you may consider getting your own blood work done
00:11:00 What Paul eats in a day
00:13:40 Fasting insulin & prolactin
00:19:55 Cortisol to DHEA-S ratio
00:27:42 Sex hormones & phlebotomy
00:37:35 DHT
00:40:35 How to help (or hurt) your testosterone
00:48:45 Uric acid & GGT
00:50:30 Hemoglobin A1c & Comp. Metabolic Panel
00:53:20 Urinalysis 
00:54:50 Amenorrhea profile, Prostate-Specific Ag, IGF-1, Reverse T3, Vitamin D, Lipoprotein (a), C-Reactive Protein
00:58:17 TMAO: is it harmful?
00:59:25 Homocysteine, Magnesium,  and TSH & Free T4
01:00:50 Lipids: do they matter?
01:05:20 CBC
01:06:20 Conclusions about blood work
01:07:45 NAFLD


Paul’s recommendations for what labs you should get:
CBC
Comprehensive Metabolic Panel
Fasting Insulin
PTH
Full thyroid panel, TSH, antibodies, Free T3, Free T4, Testosterone, Free Testosterone, Sex hormone LH, FSH, Prolactin, DHT, Estrogens, Progesterone, Preglinulone, Cortisol, DHEA-S, HSCRP, Liver enzymes, Lipid panel, (Coronary Artery Calcium Scan), PTH.


Sponsors:
Heart & Soil: www.heartandsoil.co
Carnivore MD Merch: www.kaleisbullshit.shop
Make a donation to the Animal Based Nutritional Research Foundation: abnrf.org 
Animal-based 30 Challenge: https://heartandsoil.co/animalbased30/
Earth Runners: www.earthrunners.com, use code PAUL for 10% off your order 
Eight Sleep: $150 off the PodPro cover at www.eightsleep.com/carnivoremd
Zero Acre: www.zeroacre.com/PAUL or use code PAUL for free shipping on your first order
Bon Charge: boncharge.com, use code CARNIVOREMD for 15% off your order

211. The best labs to get and how to interpret them

Throughout my training and practice as a physician I have come to one very disappointing conclusion: Western medicine isn’t helping people lead better lives. Now that I’ve realized this, I’ve become obsessed with understanding what makes us healthy or ill. I want to live the best life I can and I want to be able to share this knowledge with others so that they can do the same. This podcast is the result of my relentless search to understand the roots of chronic disease. I hope you’ll join me on this journey.

Medicine

Science & Medicine

Health & Fitness

This week, Paul shares his most recent set of bloodwork in totality. He shares what he decides to order and why, and what bloodwork you may consider getting yourself. He also unpacks the importance of cortisol to DHEA sulphate radio and his cholesterol results.


00:00:00 Podcast begins
00:01:40 Traditional bloodwork 
00:05:40 MTHFR polymorphism: Does Paul take supplements?
00:10:10 Glucose & creatine
00:14:10 Electrolytes & insulin
00:23:10 Thyroid panel
00:26:18 Cortisol to DHEA sulphate ratio
00:32:20 Cholesterol panel
00:46:10 Hormones & Other results
00:50:20 Iron panel
00:52:40 What bloodwork should you get?




References:
July 2022 Bloodwork: https://www.youtube.com/watch?v=NuD9lWHMup8&t;=669s
August 2022 Bloodwork: https://www.youtube.com/watch?v=1br0cDkYv3Y
December 2022 Bloodwork: https://www.youtube.com/watch?v=LQE3mrwaE8c
March 2023 Bloodwork: https://www.youtube.com/watch?v=vonHW14TTdg




DEXA scan reveals “side effects” of red meat: https://www.youtube.com/shorts/ZgRoz60ugnc


Cortisol, DHEA sulphate, their ratio, and all-cause and cause-specific mortality in the Vietnam Experience Study: https://pubmed.ncbi.nlm.nih.gov/20498139/


Cholesterol, coconuts, and diet on Polynesian atolls: a natural experiment: the Pukapuka and Tokelau island studies: https://pubmed.ncbi.nlm.nih.gov/7270479/


Cardiovascular risk factors in a Melanesian population apparently free from stroke and ischaemic heart disease: the Kitava study: https://pubmed.ncbi.nlm.nih.gov/8077891/


The effect of HMG-CoA reductase inhibitors on cognition in patients with Alzheimer's dementia: a prospective withdrawal and rechallenge pilot study: https://pubmed.ncbi.nlm.nih.gov/22921881/


Lipid profile of term infants on exclusive breastfeeding and mixed feeding: a comparative study: https://pubmed.ncbi.nlm.nih.gov/17327867/


Total cholesterol and all-cause mortality by sex and age: a prospective cohort study among 12.8 million adults: https://www.nature.com/articles/s41598-018-38461-y


Low-Density Lipoprotein Cholesterol Is Predominantly Associated With Atherosclerotic Cardiovascular Disease Events in Patients With Evidence of Coronary Atherosclerosis: The Western Denmark Heart Registry: https://pubmed.ncbi.nlm.nih.gov/36621817/


Get your bloodwork from ultalabs.com

249. Bloodwork Review: April 2024

While the food industry continues to follow its convenience, profit, addiction business model Paul and Anthony explain the ethos behind and process of creating Lineage Provisions, a radically transparent food company determined to play their part in elevating and celebrating food quality. 


Check out Lineage Meat Sticks here: lineageprovisions.com/psmdyt

*Produced by Mountain Valley Media

00:00:00 Podcast begins
00:03:00 The devaluation of food preparation in modern society
00:09:00 how supply chain issues contribute to poor food quality 
00:17:50 Why it’s so hard to raise pork and chicken on their ancestral diet
00:28:47 Ads
00:45:21 Why most “grass-finished” beef isn’t what you think it is
01:05:09 Lineage Ad
01:13:21 Paul’s beef with seafood
01:21:20 Testing for PFAs
01:25:17 What to expect from Lineage Provisions 
01:28:45 Answering FAQs about Lineage Provision’s meat sticks

Buy Lineage Beef Sticks: https://lineageprovisions.com/products/classic-meat-sticks

248. Why I Built a Food Company with Anthony Gustin

Paul has Human Biologist and founder of 10X Health Systems Gary Brecka on the podcast this week. As a previous life insurance adjuster, he talks about longevity through the lens of maintenance, being nutritionally optimal, and biohacking. They touch on adequate water filtration, all things genes & methylation, and food sourcing in the US.


*Produced by ⁠Mountain Valley Media


00:00:00 Podcast begins
00:01:23 What is fluoride and is it harmful?
00:07:30 How to filter your water
00:09:00 Western medicine & longevity
00:27:00 Food sourcing and big food
00:30:50 Cyanocobalamin
00:34:55 Folic acid
00:42:00 Gathering objective & subjective data
00:49:00 The importance of gene testing & methylation

247. Gary Brecka: Tap Water is Lowering Your IQ!

On today’s podcast, Paul shares some new things he’s been experimenting with lately including eating more heart, supplementing with creatine, attempting to incorporate white rice as a carb source, and most excitingly, the launch of his new company: Lineage.


*Produced by ⁠Mountain Valley Media

00:00:00 The importance of heart & riboflavin
00:08:30 Pauls new company: Lineage
00:10:50 Thoughts on creatine
00:19:10 Paul’s experience with white rice & potatoes
00:24:45 Paul experimenting with supplements for methylation

Check out Lineage Meat Sticks: https://lineageprovisions.com/password

References:
Riboflavin lowers homocysteine in individuals homozygous for the MTHFR 677C-T polymorphism: https://pubmed.ncbi.nlm.nih.gov/16380544/

246. Some things I'm experimenting with lately...

This week, Paul talks to Mike Fave, critical care RN, about all things sugar & fructose. They share their thoughts on a recent podcast with Andrew Huberman and Alex Lustig, and why they disagree with certain points made about insulin, fruit juice, and fructose.


*Produced by ⁠Mountain Valley Media

00:00:00 Podcast begins
00:04:00 Mike’s background
00:05:15 Diving into fructose
00:13:00 Thoughts on honey and other carb sources
00:27:30 Robert Lustig rebuttal: is fructose addictive?
00:37:40 Fructose & fiber
00:47:00 How fructose affects the mitochondria
00:51:00 Clarifying hyperglycemia vs. a postprandial hyperglycemia
00:56:17 Is insulin the bad guy?
01:12:20 How insulin relates to diabetes, obesity, and insulin resistance
01:23:30 Balancing protein, fat and carbohydrates
01:30:00 Is fructose making us fat?
01:46:00 Final thoughts


Connect with Mike:
Mikefave.com
https://m.youtube.com/@MikeFaveSimplified


References:
Review article: fructose malabsorption and the bigger picture: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2006.03186.x

A Relationship between Reduced Nucleus Accumbens Shell and Enhanced Lateral Hypothalamic Orexin Neuronal Activation in Long-Term Fructose Bingeing Behavior: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988143/

A High-Fat Meal, or Intraperitoneal Administration of a Fat Emulsion, Increases Extracellular Dopamine in the Nucleus Accumbens: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061790/

A Relationship between Reduced Nucleus Accumbens Shell and Enhanced Lateral Hypothalamic Orexin Neuronal Activation in Long-Term Fructose Bingeing Behavior: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3988143/

The regulation of glucose metabolism: implications and considerations for the assessment of glucose homeostasis in rodents: https://journals.physiology.org/doi/full/10.1152/ajpendo.00165.2014?rfr_dat=cr_pub++0pubmed&url;_ver=Z39.88-2003&rfr;_id=ori%3Arid%3Acrossref.org

Consumption of Raw Orange, 100% Fresh Orange Juice, and Nectar- Sweetened Orange Juice—Effects on Blood Glucose and Insulin Levels on Healthy Subjects: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770506/

The Effects of Soluble Dietary Fibers on Glycemic Response: An Overview and Futures Perspectives: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9736284/#B37-foods-11-03934

The Effects of Soluble Dietary Fibers on Glycemic Response: An Overview and Futures Perspectives: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9736284/#B37-foods-11-03934

Formation of Fructose-Mediated Advanced Glycation End Products and Their Roles in Metabolic and Inflammatory Diseases: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5227984/

Altered glycolytic and oxidative capacities of skeletal muscle contribute to insulin resistance in NIDDM: https://pubmed.ncbi.nlm.nih.gov/9216960/

Glucagon and type 2 diabetes: the return of the alpha cell: https://pubmed.ncbi.nlm.nih.gov/25344790/

Insulin, growth hormone and sport: https://pubmed.ncbi.nlm.nih.gov/11431133/

Effect of Mild Physiologic Hyperglycemia on Insulin Secretion, Insulin Clearance, and Insulin Sensitivity in Healthy Glucose-Tolerant Subjects: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881846/

Fructose metabolism in humans – what isotopic tracer studies tell us: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533803/

Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1433856/

Review article: fructose malabsorption and the bigger picture: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2006.03186.x

Toll-like receptor 4 is involved in the development of fructose-induced hepatic steatosis in mice: https://pubmed.ncbi.nlm.nih.gov/19637282/

Fructose Promotes Leaky Gut, Endotoxemia and Liver Fibrosis through CYP2E1-Mediated Oxidative and Nitrative Stress: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6783321/

211. The best labs to get and how to interpret them

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