Can anyone help me with my scary / puzzling / crazy blood results?

[BigShoes]

Intro: Male, 32, 6 ft 1, 78kg, lean / fit physique, BMI 22.5

Symptoms: Low energy / extremely lethargic, tired all the time, reduced libido / no morning wood, severe premature ejaculation, hair loss starting (both crown and minorly on front of shins), low quality hair (dry and coarse), puffy eyes (the hypothyroid kind, not the bulging hyPERthyroid kind).

Long suspected thyroid issues / metabolism issues, hence why I am here - TSH was historically 1.37 (1.5 years ago) now 2.7. Lots of very concerning things going on in the bloods.

I was given bare bones testing via NHS around 18 months to 24 months ago. TSH and T4 were normal, so I was gaslighted by the NHS into believing that it was all in my head / just need to sleep more / stress less. But now, symptoms have worsened to the point where I have no interest in work anymore, and just want things to end.

Blood Panel:

I have tried to order this into something somewhat coherent - the lab sent it back to me in alphabetical order... There were some other indicators in the tests but all were normal, and less interesting. I have gone with: Heart / Diabetes indicators, Cholesterol, Sex Hormones, Thyroid Hormones, plus a couple of other notes. I have also tried to put a conversion value in to help people assess for certain tests (e.g. testosterone), and have given my general opinion / concern:

Biomarker	Result	Normal	Unit	Date	My Opinion	Converted Value
HbA1c	32	20 - 42	mmol/mol	2023-01-26 10:38:30	Fine
hs-CRP	0.2	0 - 5	mg/L	2023-01-26 10:38:30	Fine - but is this because of Aspirin use?
LDL	3.63	0 - 3	mmol/L	2023-01-26 10:38:30	HIGH - Thyroid?? Hypothyroid??
HDL	1.33	0.91 <	mmol/L	2023-01-26 10:38:30	Fine
HDL Ratio	4	0 - 6		2023-01-26 10:38:30	Fine
Total Cholesterol	5.3	0 - 5	mmol/L	2023-01-26 10:38:30	HIGH - Thyroid?? Hypothyroid??
Triglycerides	0.77	0.84 - 1.94	mmol/L	2023-01-26 10:38:30	LOW TriGlycerides?? HOW IS THIS POSSIBLE?
Oestradiol (Oestrogen)	123	41 - 159	pmol/L	2023-01-26 10:38:30	Not sure - not great... gut inflammation?	33.5 pg/ml
Prolactin	330	86 - 324	mU/L	2023-01-26 10:38:30	NOT FINE - inflammation? gut? PTH?	15.56 ng/ml
Free Testosterone (calculated)	0.41	0.2 - 0.62	nmol/L	2023-01-26 10:38:30	Not The Best… SHBG??
Sex Hormone-Binding Globulin	44.4	16.5 - 55.9	nmol/L	2023-01-26 10:38:30	A Little High… Is This Why Free Test so Low?
Testosterone (total)	23.1	8.6 - 29	nmol/L	2023-01-26 10:38:30	Okay…would be nice >700. Fix the others, and this should fix itself.	666 ng/dL - Anti-christ? Awful
Luteinising Hormone (LH)	4.3	1.7 - 8.6	iu/L	2023-01-26 10:38:30	Fine
Follicle Stimulating Hormone (FSH)	2	1.5 - 12.4	IU/L	2023-01-26 10:38:30	Too Low… Pituitary Over-work? Low Libido Link? Sperm production reduced...
Cortisol (9am)	359	166 - 507	nmol/L	2023-01-26 10:38:30	Fine??
Thyroid Stimulating Hormone (TSH)	2.7	0.27 - 4.2	mIU/L	2023-01-26 10:38:30	Not Fine by RP Standards - was 1.37 18 months ago
Thyroxine (T4, free direct)	17.7	12 - 22	pmol/L	2023-01-26 10:38:30	??? - How can these be normal range?
Triiodothyronine (T3, free)	4.8	3.1 - 6.8	pmol/L	2023-01-26 10:38:30	??? - How can these be normal range?
Thyroglobulin Antibodies	383	0 - 115	IU/mL	2023-01-26 10:38:30	NOT FINE - 4x the limit
Thyroid Peroxidase Antibodies	400	0 - 34	IU/mL	2023-01-26 10:38:30	NOT FINE - 12x the limit
Vitamin D (25 OH)	67	50 - 200	nmol/L	2023-01-26 10:38:30	Not Fine - treat with Mg and D3 and Summer Sun. Easily explainable, not enough outside time and stopped supplementing. easy to treat (ish).	27 ng / dL
Creatinine	102	59 - 104	umol/L	2023-01-26 10:38:30	A Little High… kidney issue?

My thoughts:
- EXTREMELY high thyroid antibodies. Apparently Ray Peat does not believe in autoimmune thyroid conditions. I found this (apparent) quote from him on the forum: "When TSH is too high for a long time, it causes inflammation in the gland, and the antibodies are in reaction to that." But something is clearly very wrong there.
- How can T3 and T4 be in the normal range?? Is their reference range too liberal??
- High TSH of 2.7 - seems that the pituitary is working hard to kick the thyroid into gear.
- High prolactin, higher than optimal estrogen (gut related?).
- reasonable testosterone total, but relatively low free T - due to higher SHBG?? How to improve?
- Very high LDL cholesterol... but very low triglycerides??? How is this possible? Very concerning. High LDL in itself suggests low thyroid function, but very low triglycerides suggests hyPERthyroidism... would thyroid hormone supps tank this value even further??

Overall, I'm very concerned. I'm also concerned because these were private blood tests. I will now have to go to an endocrinologist to recommend treatment. I expect they will want to put me on levothyroxine (T4 only) at BEST - and more likely say "they are in the required ranges, so just monitor it".

For the record, I have been extremely fatigued for around 2 years... I always chalked it up to too much weightlifting, not going to bed as early as I should, the lockdowns etc.. But as I improved those aspects of my lifestyle, my situation did not improved... in fact, it has gotten worse. I am strongly considering signing myself out of work to figure out how to fix this stuff, or at least, find a path forward. But am quite worried about my job / career falling through.

Any help would be hugely appreciated. Thanks

 

[Momma]

Classic hypothyroidism to me. Meaning a stressed metabolism. Don’t worry yourself. But you do need to figure out the source of your stress and I’m not talking mental stress exclusively. Mental, emotional, metabolic, relational. It’s never just one thing. Quitting your job is another stressor. A different stress, but stressful nonetheless.
Very nice write up by the way; probably Type A too aren’t you?

 

[BigShoes]

Hi @Momma ,

Thank you so much for your response and your kindness. The part that is confusing me very much is the LOW triglycerides with the elevated LDL cholesterol? How might this be possible?

Also, I am unsure what constitutes a "good" value of T3 and T4 - they were reported in the middle of the reference range / slightly low. But not enough to get a prescription...

Yes, very type A.

Sources of stress: my symptoms (desperate to be well), tyrannical government, my work, my own failings - you name it. I don't think stress can ever be eliminated - life is stressful by default (but also very beautiful).

 

[redsun]

Hi @Momma ,

Thank you so much for your response and your kindness. The part that is confusing me very much is the LOW triglycerides with the elevated LDL cholesterol? How might this be possible?

Also, I am unsure what constitutes a "good" value of T3 and T4 - they were reported in the middle of the reference range / slightly low. But not enough to get a prescription...

Yes, very type A.

Sources of stress: my symptoms (desperate to be well), tyrannical government, my work, my own failings - you name it. I don't think stress can ever be eliminated - life is stressful by default (but also very beautiful).

Chronic stress can increase risk of autoimmune disease so you do need to work on that angle. And I don't know what you mean about tyrannical government, but I assume you mean you are chronically stressing yourself out due to conspiracy theories. In that case I suggest you stop that. Paranoia, excessive worry about things you cannot control, and conspiracies in general is bad for your health.

Selenium may reduce thyroid antibodies (this is just one article, there are others):

Selenium Supplementation May Decrease Thyroid Peroxidase Antibody Titer via Reducing Oxidative Stress in Euthyroid Patients with Autoimmune Thyroiditis - PubMed

Our findings support the hypothesis that selenium treatment could decrease TPOAb titer via enforcing the defense against oxidative stress in euthyroid patients with AIT, which may be a potential underlying mechanism.

pubmed.ncbi.nlm.nih.gov

"Results: Totally, 32 patients (group I, n = 18; group II, n = 14) completed the clinical study and were incorporated into the statistics. MDA level was higher and SOD activity and TAC were lower in patients compared to healthy individuals. After 3 months, TPOAb titer significantly decreased within group I (P < 0.001) but did not change within group II (P=0.001). There were also no statistically significant changes in TSH and TgAb titers within the two groups (all P > 0.05). Additionally, decreased MDA level (from 6.8 ± 1.3 nmol/ml to 4.9 ± 0.7 nmol/ml; P < 0.001) and increased TAC (from 10.0 ± 1.9 mmol/l to 12.9 ± 3.1 mmol/l; P=0.003) and SOD activity (from 72.3 ± 10.3 U/ml to 84.3 ± 13.2 U/ml; P=0.007) were simultaneously observed after 3 months' selenium treatment. Moreover, there was a negative correlation between TAC and TgAb/TPOAb and a positive correlation between MDA and TgAb/TPOAb in AIT patients.

Conclusions: Our findings support the hypothesis that selenium treatment could decrease TPOAb titer via enforcing the defense against oxidative stress in euthyroid patients with AIT, which may be a potential underlying mechanism."

 

[Jessie]

The high cholesterol and thyroid antibodies might be suggestive of bacterial overgrowth. Have you tried any antisepctics? Charcoal and insoluble fibers can help. A lot of people give flower of sulphur high praise, I personally have never used it. Tetracycline is also helpful if you need something more potent.

Low triglycerides could mean several things. Most often it means high free fatty acids. When you lower the FFAs, the triglycerides usually go up some. However , in metabolic syndrome they can both be high due to poor liver health.

Free T is on the low end, but I don't think it would be worth crashing your SHBG to raise. I would see about correcting the antibodies and cholesterol first, then reassess where you're at on the sex steroid area.

 

[Risingfire]

Intro: Male, 32, 6 ft 1, 78kg, lean / fit physique, BMI 22.5

Symptoms: Low energy / extremely lethargic, tired all the time, reduced libido / no morning wood, severe premature ejaculation, hair loss starting (both crown and minorly on front of shins), low quality hair (dry and coarse), puffy eyes (the hypothyroid kind, not the bulging hyPERthyroid kind).

Long suspected thyroid issues / metabolism issues, hence why I am here - TSH was historically 1.37 (1.5 years ago) now 2.7. Lots of very concerning things going on in the bloods.

I was given bare bones testing via NHS around 18 months to 24 months ago. TSH and T4 were normal, so I was gaslighted by the NHS into believing that it was all in my head / just need to sleep more / stress less. But now, symptoms have worsened to the point where I have no interest in work anymore, and just want things to end.

Blood Panel:

I have tried to order this into something somewhat coherent - the lab sent it back to me in alphabetical order... There were some other indicators in the tests but all were normal, and less interesting. I have gone with: Heart / Diabetes indicators, Cholesterol, Sex Hormones, Thyroid Hormones, plus a couple of other notes. I have also tried to put a conversion value in to help people assess for certain tests (e.g. testosterone), and have given my general opinion / concern:

Biomarker	Result	Normal	Unit	Date	My Opinion	Converted Value
HbA1c	32	20 - 42	mmol/mol	2023-01-26 10:38:30	Fine
hs-CRP	0.2	0 - 5	mg/L	2023-01-26 10:38:30	Fine - but is this because of Aspirin use?
LDL	3.63	0 - 3	mmol/L	2023-01-26 10:38:30	HIGH - Thyroid?? Hypothyroid??
HDL	1.33	0.91 <	mmol/L	2023-01-26 10:38:30	Fine
HDL Ratio	4	0 - 6		2023-01-26 10:38:30	Fine
Total Cholesterol	5.3	0 - 5	mmol/L	2023-01-26 10:38:30	HIGH - Thyroid?? Hypothyroid??
Triglycerides	0.77	0.84 - 1.94	mmol/L	2023-01-26 10:38:30	LOW TriGlycerides?? HOW IS THIS POSSIBLE?
Oestradiol (Oestrogen)	123	41 - 159	pmol/L	2023-01-26 10:38:30	Not sure - not great... gut inflammation?	33.5 pg/ml
Prolactin	330	86 - 324	mU/L	2023-01-26 10:38:30	NOT FINE - inflammation? gut? PTH?	15.56 ng/ml
Free Testosterone (calculated)	0.41	0.2 - 0.62	nmol/L	2023-01-26 10:38:30	Not The Best… SHBG??
Sex Hormone-Binding Globulin	44.4	16.5 - 55.9	nmol/L	2023-01-26 10:38:30	A Little High… Is This Why Free Test so Low?
Testosterone (total)	23.1	8.6 - 29	nmol/L	2023-01-26 10:38:30	Okay…would be nice >700. Fix the others, and this should fix itself.	666 ng/dL - Anti-christ? Awful
Luteinising Hormone (LH)	4.3	1.7 - 8.6	iu/L	2023-01-26 10:38:30	Fine
Follicle Stimulating Hormone (FSH)	2	1.5 - 12.4	IU/L	2023-01-26 10:38:30	Too Low… Pituitary Over-work? Low Libido Link? Sperm production reduced...
Cortisol (9am)	359	166 - 507	nmol/L	2023-01-26 10:38:30	Fine??
Thyroid Stimulating Hormone (TSH)	2.7	0.27 - 4.2	mIU/L	2023-01-26 10:38:30	Not Fine by RP Standards - was 1.37 18 months ago
Thyroxine (T4, free direct)	17.7	12 - 22	pmol/L	2023-01-26 10:38:30	??? - How can these be normal range?
Triiodothyronine (T3, free)	4.8	3.1 - 6.8	pmol/L	2023-01-26 10:38:30	??? - How can these be normal range?
Thyroglobulin Antibodies	383	0 - 115	IU/mL	2023-01-26 10:38:30	NOT FINE - 4x the limit
Thyroid Peroxidase Antibodies	400	0 - 34	IU/mL	2023-01-26 10:38:30	NOT FINE - 12x the limit
Vitamin D (25 OH)	67	50 - 200	nmol/L	2023-01-26 10:38:30	Not Fine - treat with Mg and D3 and Summer Sun. Easily explainable, not enough outside time and stopped supplementing. easy to treat (ish).	27 ng / dL
Creatinine	102	59 - 104	umol/L	2023-01-26 10:38:30	A Little High… kidney issue?

My thoughts:
- EXTREMELY high thyroid antibodies. Apparently Ray Peat does not believe in autoimmune thyroid conditions. I found this (apparent) quote from him on the forum: "When TSH is too high for a long time, it causes inflammation in the gland, and the antibodies are in reaction to that." But something is clearly very wrong there.
- How can T3 and T4 be in the normal range?? Is their reference range too liberal??
- High TSH of 2.7 - seems that the pituitary is working hard to kick the thyroid into gear.
- High prolactin, higher than optimal estrogen (gut related?).
- reasonable testosterone total, but relatively low free T - due to higher SHBG?? How to improve?
- Very high LDL cholesterol... but very low triglycerides??? How is this possible? Very concerning. High LDL in itself suggests low thyroid function, but very low triglycerides suggests hyPERthyroidism... would thyroid hormone supps tank this value even further??

Overall, I'm very concerned. I'm also concerned because these were private blood tests. I will now have to go to an endocrinologist to recommend treatment. I expect they will want to put me on levothyroxine (T4 only) at BEST - and more likely say "they are in the required ranges, so just monitor it".

For the record, I have been extremely fatigued for around 2 years... I always chalked it up to too much weightlifting, not going to bed as early as I should, the lockdowns etc.. But as I improved those aspects of my lifestyle, my situation did not improved... in fact, it has gotten worse. I am strongly considering signing myself out of work to figure out how to fix this stuff, or at least, find a path forward. But am quite worried about my job / career falling through.

Any help would be hugely appreciated. Thanks

Lethargy and high cholesterol with a higher tsh indicate hypothyroidism. Do you eat low carb or carnivore?

 

[Momma]

Lethargy and high cholesterol with a higher tsh indicate hypothyroidism. Do you eat low carb or carnivore?

Good question because he says he’s lean.

 

[BigShoes]

Thanks all - very different answers to what I was expecting (which is a good thing!). I'm still looking into what they all mean, so will get back to you soon - everyone is coming from a slightly different paradigm.

Important to add - diet stuff (I'm Age 32 now):

- Standard Western Diet to Age 18
- Standard Western Diet plus MORE food to Age 24 (due sports and "bodybuilding" - note, never used steroids)
- Paleo to age 27-28
- Low Carb and Zero carb carnivore experimentation to Age 30, but I stopped this 2.5 years ago.
- Reintroduced carbs and eventually found Ray's work probably two years ago (through D. Roddy)

For the last c. 1-2 years, I have been eating:
- c. 100g+ protein, c. 80g-120g Fat, Up to 400g carbs
- beef muscle, fat, organs, gelatin
- OJ, Fruit, Honeys, Sugars
- Potatoes, Carrots, Sweet Potato

Recently began to include a lot more eggs and some milk. I'd say my PUFA has been well below 10 grams for years, often below 5g. I haven't eaten grains or seed oils, or much plant fat in almost 10 years.

To reiterate why the labs are really puzzling me:
- (1) Why are triglycerides low with a high LDL cholesterol value?
- (2) Why do I have all the symptoms of classic hypothyroidism, with elevated antibodies, but the T3 and T4 look like they are in the normal range?

Other numbers on the test that were all in the normal range: B12, ALT, Albumin, ALP, Ferritin, Gamma GT, Globulin, Haemoglobin, RBC, Total Protein, Urea, Uric Acid, WBC, eGFR

 

[redsun]

Thanks all - very different answers to what I was expecting (which is a good thing!). I'm still looking into what they all mean, so will get back to you soon - everyone is coming from a slightly different paradigm.

Important to add - diet stuff (I'm Age 32 now):

- Standard Western Diet to Age 18
- Standard Western Diet plus MORE food to Age 24 (due sports and "bodybuilding" - note, never used steroids)
- Paleo to age 27-28
- Low Carb and Zero carb carnivore experimentation to Age 30, but I stopped this 2.5 years ago.
- Reintroduced carbs and eventually found Ray's work probably two years ago (through D. Roddy)

For the last c. 1-2 years, I have been eating:
- c. 100g+ protein, c. 80g-120g Fat, Up to 400g carbs
- beef muscle, fat, organs, gelatin
- OJ, Fruit, Honeys, Sugars
- Potatoes, Carrots, Sweet Potato

Recently began to include a lot more eggs and some milk. I'd say my PUFA has been well below 10 grams for years, often below 5g. I haven't eaten grains or seed oils, or much plant fat in almost 10 years.

To reiterate why the labs are really puzzling me:
- (1) Why are triglycerides low with a high LDL cholesterol value?
- (2) Why do I have all the symptoms of classic hypothyroidism, with elevated antibodies, but the T3 and T4 look like they are in the normal range?

Other numbers on the test that were all in the normal range: B12, ALT, Albumin, ALP, Ferritin, Gamma GT, Globulin, Haemoglobin, RBC, Total Protein, Urea, Uric Acid, WBC, eGFR

Low triglycerides is a potential marker of autoimmune disease. Values are often 50-70% lower than normal. Also, Autoimmune thyroid disorder can cause periods of hyper and hypothyroidism.

Low fasting serum triglyceride level as a precocious marker of autoimmune disorders - PubMed

The authors recently reported the occurrence of low fasting serum triglyceride (TG) and high free fatty acid (FFA) levels in idiopathic pulmonary fibrosis. TG estimation in diverse groups of patients with autoimmune disease or hyperactive immune response confirmed the occurrence of a similar...

pubmed.ncbi.nlm.nih.gov

 

[Peatress]

You triglycerides are outside the normal range but this would not be considered clinically significant. You cholesterol is actually not high. You could get away with a total cholesterol of 250, at the moment your total cholesterol is 205. I would focus on getting your D levels up that might help improve your thyroid. Along with selenium as mentioned by redsun.

Vitamin D Deficiency and Its Association with Thyroid Disease

Vitamin D deficiency is a global health problem, its role as an immune modulator has been recently emphasized. The evidence is increasingly pointing towards vitamin D significant role in reducing the incidence of autoimmune diseases. However, at this ...

www.ncbi.nlm.nih.gov

 

[BigShoes]

Low triglycerides is a potential marker of autoimmune disease. Values are often 50-70% lower than normal. Also, Autoimmune thyroid disorder can cause periods of hyper and hypothyroidism.

Low fasting serum triglyceride level as a precocious marker of autoimmune disorders - PubMed

The authors recently reported the occurrence of low fasting serum triglyceride (TG) and high free fatty acid (FFA) levels in idiopathic pulmonary fibrosis. TG estimation in diverse groups of patients with autoimmune disease or hyperactive immune response confirmed the occurrence of a similar...

pubmed.ncbi.nlm.nih.gov

I guess it's important to say that I have vitiligo and have had it for c. 13 years. It's suspected to be autoimmune... but I'm not sure whether "autoimmune" is really a thing.

I don't think Ray Peat is right about everything. But I did find this interesting:

from user @Mittir (who has long since left the forum):

"Hashimoto Diagnosis:

Ray Peat does not believe that "Hashimoto" is really an autoimmune disease.
He mentioned in earlier audio interviews that antibodies used to diagnose Hashimoto
are not an autoimmune reaction. To be sure what he meant by antibody tests i asked him following question.

Q: Do high level of Thyroglobulin Antibodies and Thyroid Peroxidase (TPO) Antibodies show autoimmune thyroditis?

Ray Peat : When TSH is too high for a long time, it causes inflammation in the gland, and the antibodies are in reaction to that

Hi @Peatress - yes, I agree, the vitamin D was much lower than optimal. However, October 2021, it was 44ng/dL ... and honestly, I felt awful then too, and had the same list of symptoms. I thought it would be quite easy to treat the D3 deficiency: start supplementing D3 again (carefully), more sunlight when possible (it's winter in UK) - I eat plenty of animal fat, so shouldn't have trouble retaining it...

 

[redsun]

I guess it's important to say that I have vitiligo and have had it for c. 13 years. It's suspected to be autoimmune... but I'm not sure whether "autoimmune" is really a thing.

I don't think Ray Peat is right about everything. But I did find this interesting:

from user @Mittir (who has long since left the forum):

"Hashimoto Diagnosis:

Ray Peat does not believe that "Hashimoto" is really an autoimmune disease.
He mentioned in earlier audio interviews that antibodies used to diagnose Hashimoto
are not an autoimmune reaction. To be sure what he meant by antibody tests i asked him following question.



Hi @Peatress - yes, I agree, the vitamin D was much lower than optimal. However, October 21, it was 44ng/dL ... and honestly, I felt awful then too, and had the same list of symptoms. I thought it would be quite easy to treat the D3 deficiency: start supplementing D3 again (carefully), more sunlight when possible (it's winter in UK) - I eat plenty of animal fat, so shouldn't have trouble retaining it...

It does not mean you have an autoimmune disease. He doesnt believe in autoimmune diseases in the sense that they are incurable illness that can only be treated. But this is an autoimmune reaction. Just not some incurable disease. Increased inflammation or oxidative stress (or chronic stresses triggering oxidative stress or inflammation) is at the root of autoimmunity. This is why I mentioned earlier about chronic stress needing to be reduced. And selenium increases your capacity to protect the thyroid from oxidative stress as it is the major cofactor for glutathione peroxidase which is the enzyme that metabolizes excess hydrogen peroxide (an oxidant) in the thyroid gland.

 

[Peatress]

Ask you doctor to do a full blood count.

 

[BigShoes]

Ask you doctor to do a full blood count.

From October 2021 (note, did not repeat for the latest test, as I didn't suspect it was too important based on this result below, and it was an extra 25 bucks):

Date	Description	Value	Units	Range
12-Oct-2021	Full blood count - FBC - (NK2362) - Advise normal
	Haemoglobin estimation	151	g/l	135.00 - 170.00g/l
	Total white cell count	5.67	10*9/L	3.50 - 11.0010*9/L
	Platelet count	184	10*9/L	140.00 - 400.0010*9/L
	RBC	5.24	10*12/L	4.30 - 5.6010*12/L
	Red blood cell distribut width	13.5	%	11.00 - 16.00%
	Haematocrit	0.468	L/L	0.34 - 0.50L/L
	Mean corpuscular volume (MCV)	89.3	fL	79.00 - 98.00fL
	Mean corpusc. haemoglobin(MCH)	28.8	pg	27.00 - 33.00pg
	Mean corpusc. Hb. conc. (MCHC)	323	g/l	295.00 - 360.00g/l
	Neutrophil count	3.71	10*9/L	1.70 - 7.5010*9/L
	Lymphocyte count	1.42	10*9/L	1.00 - 4.0010*9/L
	Monocyte count	0.4	10*9/L	0.20 - 1.5010*9/L
	Eosinophil count	0.09	10*9/L	0.00 - 0.5010*9/L
	Basophil count	0.05	10*9/L	0.00 - 0.1010*9/L
	NRBC Percent	0	%
	NRBC Absolute	0	10*9/L

However, my latest test in the OP did have RBC (5.54) and WBC (5.2).

 

[Risingfire]

Good question because he says he’s lean.

Thanks :)

 

[Peatress]

Did you get the covid jabs? I ask because your platelet count is a bit low.

 

[Risingfire]

Thanks all - very different answers to what I was expecting (which is a good thing!). I'm still looking into what they all mean, so will get back to you soon - everyone is coming from a slightly different paradigm.

Important to add - diet stuff (I'm Age 32 now):

- Standard Western Diet to Age 18
- Standard Western Diet plus MORE food to Age 24 (due sports and "bodybuilding" - note, never used steroids)
- Paleo to age 27-28
- Low Carb and Zero carb carnivore experimentation to Age 30, but I stopped this 2.5 years ago.
- Reintroduced carbs and eventually found Ray's work probably two years ago (through D. Roddy)

For the last c. 1-2 years, I have been eating:
- c. 100g+ protein, c. 80g-120g Fat, Up to 400g carbs
- beef muscle, fat, organs, gelatin
- OJ, Fruit, Honeys, Sugars
- Potatoes, Carrots, Sweet Potato

Recently began to include a lot more eggs and some milk. I'd say my PUFA has been well below 10 grams for years, often below 5g. I haven't eaten grains or seed oils, or much plant fat in almost 10 years.

To reiterate why the labs are really puzzling me:
- (1) Why are triglycerides low with a high LDL cholesterol value?
- (2) Why do I have all the symptoms of classic hypothyroidism, with elevated antibodies, but the T3 and T4 look like they are in the normal range?

Other numbers on the test that were all in the normal range: B12, ALT, Albumin, ALP, Ferritin, Gamma GT, Globulin, Haemoglobin, RBC, Total Protein, Urea, Uric Acid, WBC, eGFR

Where do you temp and pulse land?

 

[BigShoes]

Did you get the covid jabs? I ask because your platelet count is a bit low.

No way.

Where do you temp and pulse land?

I haven't measured for a while. but my temps are consistently slightly low when I have measured:

Temps:

Day	16/12/2022	17/12/2022	18/12/2022	19/12/2022	20/12/2022	21/12/2022	22/12/2022	23/12/2022
Waking	97.5	97.9	98.1	98	97.5	97.8	97.3	97.8
Mid Morning	97.9		98	98.2				98.0
Afternoon 1pm	98.5	98.2		97.7	97.5			98.0

Pulse:

Day	16/12/2022	17/12/2022	18/12/2022	19/12/2022	20/12/2022	21/12/2022	22/12/2022	23/12/2022
Waking	68	79	81	87	75	71	70	75
Mid Morning	86		90	90				80
Afternoon 1pm	87	80		81	85			85

Sorry for the gaps. Not always possible to find the time when I'm at work.

General trends - often a slightly low morning temperature. Temperature rarely ever increases to 98.6 - mid-morning rise does not tend to happen.

Pulse is quite high (up to 90) - it's an adrenalin pulse though, not a "healthy metabolism" pulse.

 

[BigShoes]

Did you get the covid jabs? I ask because your platelet count is a bit low.

No way.

Yes, I saw that just now, and thought you might mention that. Now I'm having panic attacks about lupus. Great... although I don't have any of those symptoms, thank goodness.

 

[Peatress]

No way.

Yes, I saw that just now, and thought you might mention that. Now I'm having panic attacks about lupus. Great... although I don't have any of those symptoms, thank goodness.

No need to panic. Most of your blood values are good. Have you tried adding a bit of thiamine/b vitamins? Have you had b12 checked?

Put your daily intake of food in the chronometer and see what’s missing. I wonder if you are low in calcium?

Maybe you need a rest - somewhere sunny. The weather here is not great and when sunny the planes come out to spray.