Update after some time

(Drew) #1

Been a long while since I provided an update.
Still about 300lbs - started working out again in the last few weeks and got a pretty good trainer for 2x/week that made a good schedule to do workouts on my own the other 3 days.

However, thought I’d provide some recent blood updates.

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Unfortunately, they did not provide TRT results but it’s at 568 and I was doing their TRT gel but I had not since about Oct 2024 so I went off of it myself for 6 months just to see if I could keep the TRT levels and well I can successfully say I’m good.

As a Dr would, concerns on some levels but overall, no medications, doing vit d3 +k2 (3k-5k) fish oil (5k) on my own, and iodine, feel nice and healthy.

Eating 3x/day, majority meat, having eggs and raw milk (making protein smoothies with protein powder that has good stuff, can share images if any interested) but I know, it technically doesn’t make me “carnivore” more ish at prob 95% but oh well.
There are carbs/sugars in my diet but it’s from the milk and not store bought milk.

Aiming at about 300g protein/day right now with around 200-250g of fat, cannot complain,

My A1c was 5.8 6months ago and came down .1, overall can’t complain, it was steady.

(Bob M) #2

Looks good. Hopefully, the HDL will come up over time. Other than that, seems reasonable.

HbA1c is not a great marker. Do you take blood sugar? Did you get fasting insulin? I thought this was interesting:

(Drew) #3

Morning - I don’t take anything for the a1c, they want me too but i’ve declined doing so.

(Bob M) #4

You mean something like metformin or jardiance or…? Is that what they want you to take?

In that article, he recommends taking c-peptide. I have found that marker, like insulin and other markers, to be variable:

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A fasting insulin of just over 10 uIU/ml is where I normally am, but I can get much higher, as high as 33.0. Not sure why. And I find a lot of these to be highly variable:

Insulin from 3.8 to 33
HOMA-IR (a measure of “insulin resistance”) from 0.86 to 7.82.
C-peptide from 2.5 to 6.

And they don’t necessarily track together: insulin of 19.8 (high) with c-peptide of 2.5 (normal); insulin of 11.8 (not that bad, some want lower) but c-peptide of 4.6 (high).

Some people are adamant that you have to have a fasting insulin of 4 (or around there) or lower, but I only got that twice: once almost 10 years ago; and once after fasting 4.5 days. Otherwise, I’m generally around 10. And I’m on my 12th year of keto.

So, a lot of these recommendations have to be looked at in light of the person being examined.

I do think that HbA1c isn’t a great marker for some people, though.

(Drew) #5

Interesting, yeah i don’t know anything about the fasting insulin, very unlikely the Dr will do any testing for anything else other then the default stuff from pictures i provided and yes they wanted metformin, was on it before but not on it at this time and don’t plan to be.

(Barbara M) #6

Did you have any conversation around the 0.00 TSH? Your thyroid seems to need more evaluation, IMHO.

And the always last, slow moving HDL sheesh… One of the last to start moving up ( I’ve heard walking can help nudge it up).

Great news on all of your liver enzymes too. All other labs look great. Keep at it.

(Drew) #7

Yes, a few about TSH (mostly medication or removal and then stuck on medication forever) and maybe once did I end up getting it out of 0.00 in the 1.0s in the last 6 years. My T3 has come down to a steady level, nearly in the “normal” range, I’m on iodine but not medication from Dr and well I can say although I have graves disease (hyperthyroidism) it has not dropped my weight drastically as it had before but my t3 then was like 16.x ish area and was severely over producing. All good now, steady weight even at/around 285-300, it’ll change as I do more progress in the work out journey.

#8

Proudly average about 0.03! You see his T3? Nothing wrong with a good fast-ish metabolic rate! As long as it doesn’t get stupid fast, that’s a win.

(Drew) #9

Interested in the math that you came to for .03.

However, here is my TSH since 2019 and T3 since 2019. Figure I’d add T4 same range if needed

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#10

No math, that’s (my) average. Point being there’s nothing wrong with a TSH on the floor, as long as FT3 is in the upper end of the range but not off the charts, that’s optimal.

(Drew) #11

Ohh gotcha! Yeah they didn’t add anything below 0.0 for my TSH but my T3 is decently low and no weight spikes when my T3 was up in double digits.

#12

3.9 is really good man, usually the range only goes to 4.4 or so. Takes me 75mcg of T3 to keep mind around 4.

(Drew) #13

Thanks, I had my T3 in the 16s before, when I first started tracking in 2019.

(You've tried everything else; why not try bacon?) #14

Sorry, can’t comment, since white text on black background does not work for these old eyes.

#15

I hope you took advantage of that and ate 5 pizzas :rofl::rofl::rofl:

(Drew) #16

Actually, i was getting 2 costco pizzas, about 16 slices each and that was my weekend prob twice a month, never broke 310lbs, that i know of. that was my “i made it through the week of dieting & working out” reward, ruined the week in one day with all those pizzas. live and learn.