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Important Answers to Your Energy, Digestion, and More

Blood Sugar, Digestive Health, and More: What Routine Lab Tests Can Tell You

Introduction

You might not know this because not much emphasis is placed on the value of your labs, but when it comes to understanding your overall health, routine blood tests like the Comprehensive Metabolic Panel (CMP-14) and Complete Blood Count (CBC) are essential tools. These tests are commonly used in medical practice to provide a snapshot of your body’s internal workings, but they are truly undervalued for the “root cause” information they offer, because information is being overlooked. They might seem like just another part of your yearly check-up, but these tests offer valuable insights into various organ systems and can help detect potential health issues early when interpreted nutritionally.


Brief Overview of CMP-14 and CBC Tests

CMP-14: Comprehensive Metabolic Panel

The CMP-14 is a blood test that measures 14 different substances in your blood, giving a broad overview of your metabolic health. It includes the markers glucose, electrolytes (sodium, potassium, chloride), and kidney and liver function indicators. This panel helps to assess your body’s chemical balance and metabolism.


CBC: Complete Blood Count

The CBC test measures different components of your blood, including red blood cells, white blood cells, and platelets. It provides crucial information about your blood's ability to carry oxygen, fight infections, and clot properly. Key markers include hemoglobin, hematocrit, and various white blood cell types.


How These Tests Provide Insights into Various Organ Systems and Health Conditions

Energy Levels

If you’ve been feeling fatigued, these tests can offer clues. For instance, the glucose level in the CMP-14 helps detect blood sugar imbalances, which can cause fatigue. The CBC’s hemoglobin and hematocrit levels can indicate anemia, another common cause of persistent tiredness.

Digestive Health

Are you experiencing frequent digestive issues like bloating, gas, or constipation? These tests can help identify underlying problems, especially of the upper digestive system. Liver enzymes (AST, ALT) in the CMP-14 can point to liver or gallbladder issues, while the CBC can detect signs of inflammation or infection that can affect your digestive system’s ability to break down food and then absorb it.

Liver and Gallbladder Health

Embarrassing gas and bloating, unexplained weight gain, digestive discomfort, or frequent use of antacids can sometimes be linked to upper digestion, and liver or gallbladder health. Elevated liver enzymes in the CMP-14 can signal liver stress or damage, while bilirubin and alkaline phosphatase levels can provide insights into bile duct and gallbladder function.

Let me give you an insight. Gallbladder disease, inflammation, sludge and gallstones is a progressive disease. It develops over time. Why is anyone having their gallbladder removed, especially as an emergency, when we can look at lab preventively and catch the liver enzymes increasing over time? Our health system must do better.

Malabsorption Syndrome

Struggling with nutrient deficiencies despite a balanced diet? This could be due to malabsorption syndrome, where your body fails to absorb nutrients properly. The CMP-14’s albumin and total protein levels can indicate protein malabsorption, while the CBC can show red blood cell abnormalities that suggest nutrient deficiencies.

Parasitic and Digestive Infections

Persistent digestive issues, despite making dietary changes, could hint at a parasitic or bacterial infection. The CBC can reveal elevated white blood cells, particularly eosinophils, which are often increased in parasitic infections and food sensitivities. The CMP-14 can show electrolyte imbalances due to prolonged infection.

Blood Health

Are you’re dealing with symptoms like dizziness, palpitations, pale skin, or shortness of breath, anemia could be the culprit. The CBC test is particularly useful here, as it measures hemoglobin and red blood cell counts, helping to identify various types of anemia. Elevated white blood cell counts can also indicate infections, including parasitic infections, which might not be immediately obvious.


Symptoms and Conditions Related to Organ Systems

Energy

Maintaining your energy levels is crucial for feeling your best and staying productive throughout the day. If you're experiencing persistent fatigue, it could be more than just a lack of sleep or a busy schedule. The CMP-14 and CBC tests can provide valuable insights into why your energy might be lagging.

Conditions: Blood Sugar, Anemia


CMP-14 Markers:

  • Glucose: One of the primary markers in the CMP-14 is glucose, which measures your blood sugar levels. Both high and low glucose levels can significantly impact your energy. High blood sugar levels can lead to insulin resistance and eventually diabetes, causing fatigue as your body struggles to manage energy properly. Conversely, low blood sugar levels, or hypoglycemia, can result in sudden energy crashes and feelings of weakness.
  • Kidney Function (BUN, Creatinine): Your kidneys play a crucial role in filtering waste products from your blood. Elevated levels of blood urea nitrogen (BUN) and creatinine can indicate poor kidney function, which can lead to a buildup of toxins in your body and result in fatigue.
  • Electrolytes (Sodium, Potassium): Electrolytes are essential for maintaining the body’s fluid balance and proper muscle function. Imbalances in sodium and potassium levels can disrupt these processes and lead to feelings of tiredness and lethargy.

CBC Markers:

  • Hemoglobin and Hematocrit: These markers measure the amount of oxygen-carrying hemoglobin in your blood and the proportion of red blood cells, respectively. Low levels of hemoglobin and hematocrit are indicative of anemia, a condition where your body doesn’t have enough red blood cells to carry adequate oxygen to your tissues, resulting in chronic fatigue.
  • White Blood Cell Count: An elevated white blood cell count can signal an infection or inflammation in your body. When your immune system is actively fighting off an infection, it can drain your energy and make you feel exhausted.


Understanding these markers can help you identify, and address issues related to nutrition and blood sugar earlier. Have Dr. Plank review your tests to reveal abnormalities with blood sugar levels, kidney function, or signs of anemia or infection, it’s essential to address these findings with the help of a healthcare professional or a functional nutritionist.


Digestion

Digestive health is a cornerstone of overall well-being. Issues such as bloating, gas, constipation, and nutrient malabsorption can significantly impact your daily life. By examining specific markers in the CMP-14 and CBC tests, we can gain insights into the health of your digestive system and identify potential underlying issues.

Conditions: Digestive Issues, Antacid Use, Burping, Gas, Bloating, Constipation, Malabsorption Syndrome


CMP-14 Markers:

  • Liver Enzymes (AST, ALT): The liver plays a vital role in digestion, including bile production, which is essential for fat digestion and absorption. Elevated levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) can indicate liver stress or damage, which can affect bile production and lead to digestive issues such as bloating and constipation. High liver enzyme levels can also signal gallbladder problems, contributing to symptoms like gas and burping.
  • Albumin: Albumin is a protein made by the liver, and its levels can provide insight into your overall nutritional status. Low albumin levels can indicate poor protein absorption, which is often a result of digestive disorders. Conditions like malabsorption syndrome can lead to low albumin, resulting in symptoms such as fatigue, muscle weakness, and swelling.
  • Total Protein: Total protein measures the combined amount of albumin and globulin in your blood. Low levels can suggest that your digestive system is not absorbing nutrients effectively. This can be due to various digestive issues, including chronic inflammation, infections, or conditions like celiac disease, which impede nutrient absorption.

CBC Markers:

  • White Blood Cell Count: An elevated white blood cell count can indicate infection or inflammation within the digestive system. For instance, a high count might suggest bacterial or parasitic infections that can cause symptoms such as diarrhea, abdominal pain, and bloating. Chronic digestive inflammation, as seen in conditions like inflammatory bowel disease (IBD), can also elevate white blood cell levels.
  • Red Blood Cell Indices (MCV, MCH, MCHC): These indices measure the size and hemoglobin content of your red blood cells. Abnormal levels can be a sign of nutrient deficiencies often associated with malabsorption syndromes. For example, low mean corpuscular volume (MCV) can indicate iron deficiency anemia, while high MCV can suggest vitamin B12 or folate deficiency, both of which are common in individuals with malabsorption issues.


Understanding these markers can help you identify, and address issues related to nutritional and digestive health earlier. Have Dr. Plank review your tests to reveal abnormalities in liver function, protein levels, or signs of infection and nutrient deficiencies, it's crucial to take steps to address these findings. This may involve dietary changes, supplements, or further diagnostic testing to pinpoint specific conditions.


Liver/Gallbladder Health

Your liver and gallbladder play crucial roles in digestion and metabolism. When these organs are not functioning optimally, you may experience a variety of symptoms such as weight gain, digestive issues, and discomfort after eating. By examining specific markers in the CMP-14 and CBC tests, we can gain insights into the health of these organs and identify potential issues that need to be addressed.

Conditions: Weight Gain, Digestive Issues, Antacid Use, Burping, Gas, Bloating, Constipation


CMP-14 Markers:

  • Liver Enzymes (AST, ALT): Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are enzymes found in your liver. Elevated levels of these enzymes indicate liver stress or damage, which can result from conditions such as fatty liver disease, hepatitis, or excessive alcohol use. Liver dysfunction can lead to digestive issues, including bloating, gas, and constipation, as well as weight gain due to impaired metabolism.
  • Bilirubin: Bilirubin is a yellow pigment formed by the breakdown of red blood cells. High levels of bilirubin can indicate liver or gallbladder dysfunction, such as bile duct obstruction or liver disease. Symptoms of elevated bilirubin include jaundice (yellowing of the skin and eyes), dark urine, and light-colored stools, along with digestive discomfort and bloating.
  • Alkaline Phosphatase (ALP): Alkaline phosphatase is an enzyme related to the bile ducts. Elevated ALP levels can suggest bile duct issues, such as blockages or inflammation, or liver disease. High ALP levels can contribute to symptoms like burping, gas, and discomfort after eating, as well as more serious conditions like gallstones or cholestasis.

CBC Markers:

  • White Blood Cell Count: An elevated white blood cell count can indicate infection or inflammation in the liver or gallbladder. Conditions such as cholecystitis (inflammation of the gallbladder) or liver abscesses can cause an increase in white blood cells. Infections and inflammation in these organs can result in symptoms like fever, chills, abdominal pain, and digestive disturbances.


Understanding these markers can help you identify, and address issues related to nutritional, liver and digestive health earlier. Have Dr. Plank review your tests to reveal abnormalities in elevated liver enzymes, bilirubin, or ALP, or if there is an increase in white blood cells, it’s crucial to investigate further to determine the underlying cause and appropriate treatment.


Parasitic and Digestive Infections

Parasitic and digestive infections can wreak havoc on your overall health, leading to a range of uncomfortable and sometimes debilitating symptoms. By examining specific markers in the CMP-14 and CBC tests, we can gain valuable insights into the presence of infections and their impact on your body. Identifying these issues early on allows for timely intervention and treatment, helping you regain your health and well-being.

Conditions: Parasitic Infection, Digestive Infection

CMP-14 Markers:

  • Electrolytes: Electrolytes such as sodium, potassium, and chloride are vital for maintaining fluid balance, nerve function, and muscle contractions. Prolonged parasitic or digestive infections can lead to electrolyte imbalances, resulting in symptoms like dehydration, muscle cramps, and fatigue. Monitoring electrolyte levels can help detect these imbalances and guide appropriate treatment to restore balance.
  • Liver Enzymes (AST, ALT): Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are enzymes found in the liver. Elevated levels of these enzymes can indicate liver stress or damage due to infection. Parasitic infections, particularly those affecting the liver, such as liver flukes, can cause an increase in AST and ALT levels. This can lead to symptoms like abdominal pain, nausea, and jaundice.

CBC Markers:

  • White Blood Cell Count: An elevated white blood cell count is a key indicator of infection or inflammation in the body. A high count suggests that your immune system is actively fighting an infection, which could be due to a parasitic or bacterial infection in the digestive tract. Symptoms of such infections can include diarrhea, abdominal pain, and fever.
  • Eosinophils: Eosinophils are a type of white blood cell that play a crucial role in combating parasitic infections and allergic reactions. High levels of eosinophils can indicate a parasitic infection, such as those caused by worms or protozoa. Symptoms of parasitic infections can range from gastrointestinal issues like bloating and diarrhea to more systemic symptoms like fatigue and muscle pain.
  • Neutrophils: Neutrophils are another type of white blood cell that are part of your body's first line of defense against bacterial infections. Elevated levels of neutrophils can indicate a bacterial infection in the digestive system. Symptoms of such infections can include severe abdominal pain, cramping, and changes in bowel habits.


Understanding these markers can help you identify, and address issues related to nutritional and digestive health earlier. Have Dr. Plank review your tests to reveal abnormalities in electrolyte levels, liver enzymes, white blood cell count, eosinophils, or neutrophils, it’s essential to take steps to address these findings. This may involve dietary changes, medications, or further diagnostic testing to pinpoint specific infections and determine the appropriate treatment.


Malabsorption Syndrome

Malabsorption syndrome occurs when your digestive system fails to absorb nutrients properly, leading to various health issues such as digestive discomfort, weight gain, and nutrient deficiencies. By examining specific markers in the CMP-14 and CBC tests, we can gain valuable insights into the presence of malabsorption and its impact on your body. Identifying and addressing malabsorption early on can help you restore nutrient balance and improve your overall health.

Conditions: Digestive Issues, Weight Gain, Malabsorption Syndrome

CMP-14 Markers:

  • Albumin: Albumin is a protein made by the liver, and its levels can indicate the body’s protein status. Low levels of albumin can suggest protein malabsorption, which can lead to symptoms such as swelling, muscle weakness, and fatigue. Protein malabsorption can be a result of various digestive conditions, including celiac disease, Crohn's disease, and pancreatic insufficiency.
  • Total Protein: Total protein measures the combined levels of albumin and globulin in the blood. Low levels of total protein can indicate poor nutrient absorption, which can lead to a range of health issues including weakened immunity, slow wound healing, and muscle loss. Malabsorption can result from chronic digestive conditions or surgeries affecting the digestive tract.
  • Electrolytes: Electrolytes, including sodium, potassium, and chloride, are essential for maintaining fluid balance and proper muscle function. Imbalances in electrolytes can result from nutrient malabsorption, leading to symptoms like muscle cramps, weakness, and dehydration. Monitoring electrolyte levels can help detect and manage malabsorption issues effectively.

CBC Markers:

  • Red Blood Cell Indices (MCV, MCH, MCHC): These indices measure the size and hemoglobin content of red blood cells. Abnormal levels of mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) can suggest nutrient deficiencies related to malabsorption, such as iron, folate, or vitamin B12 deficiencies. Symptoms can include fatigue, weakness, and shortness of breath.
  • White Blood Cell Count: An elevated white blood cell count can indicate underlying inflammation or infection impacting nutrient absorption. Chronic inflammation or infections in the digestive tract can impair the absorption of essential nutrients, leading to malabsorption syndrome. Symptoms can include diarrhea, abdominal pain, and unexplained weight loss.


Understanding these markers can help you identify, and address issues related to nutritional and digestive health earlier. Have Dr. Plank review your tests to reveal abnormalities to address malabsorption syndrome and its related health issues. If your tests reveal abnormalities in albumin, total protein, electrolytes, red blood cell indices, or white blood cell count, it’s essential to take steps to address these findings. This may involve dietary changes, supplements, medications, or further diagnostic testing to pinpoint specific conditions and determine the appropriate treatment.


Blood Health

The health of your blood is crucial for delivering oxygen and nutrients to your tissues and fighting off infections. Conditions like anemia and parasitic infections can significantly impact your overall health and well-being. By examining specific markers in the CMP-14 and CBC tests, we can gain valuable insights into the state of your blood health and identify potential issues that need to be addressed.

Conditions: Anemia, Parasitic Infection


CMP-14 Markers:

  • Kidney Function (BUN, Creatinine): Blood urea nitrogen (BUN) and creatinine are markers of kidney function. Poor kidney function can contribute to anemia by reducing the production of erythropoietin, a hormone that stimulates red blood cell production. Elevated BUN and creatinine levels can indicate that your kidneys are not effectively filtering waste from your blood, potentially leading to symptoms like fatigue and weakness.
  • Electrolytes: Electrolytes such as sodium, potassium, and chloride are essential for maintaining fluid balance, nerve function, and muscle contractions. Imbalances in electrolytes can affect overall blood health and contribute to conditions like dehydration, which can exacerbate anemia and other blood-related issues.

CBC Markers:

  • Hemoglobin and Hematocrit: Hemoglobin is the protein in red blood cells that carries oxygen, and hematocrit measures the proportion of red blood cells in your blood. Low levels of hemoglobin and hematocrit are key indicators of anemia, which can result in symptoms such as fatigue, shortness of breath, and pale skin. Anemia can be caused by various factors, including nutritional deficiencies, chronic diseases, and blood loss.
  • Red Blood Cell Count: A low red blood cell count is another marker of anemia. This condition can lead to insufficient oxygen delivery to your tissues, causing symptoms like dizziness, weakness, and cold hands and feet. Identifying the cause of low red blood cell count is essential for determining the appropriate treatment, whether it’s addressing nutritional deficiencies or underlying health conditions.
  • White Blood Cell Count: An elevated white blood cell count can indicate an infection or inflammation in your body. This marker is crucial for identifying parasitic infections, bacterial infections, and other inflammatory conditions. If your white blood cell count is high, it’s important to investigate further to determine the cause and appropriate treatment.
  • Eosinophils: Eosinophils are a type of white blood cell that plays a role in combating parasitic infections and allergic reactions. High levels of eosinophils can suggest a parasitic infection, which can cause symptoms like gastrointestinal distress, fatigue, and muscle pain. Identifying and treating parasitic infections is crucial for improving overall health and preventing long-term complications.

Understanding these markers can help you identify, and address issues related to blood health earlier. Have Dr. Plank review your tests to reveal abnormalities in kidney function, electrolyte levels, hemoglobin, hematocrit, red blood cell count, white blood cell count, or eosinophils, it’s essential to take steps to address these findings. This may involve dietary changes, supplements, medications, or further diagnostic testing to pinpoint specific conditions.


Conclusion

These tests provide a wealth of information that can guide your path to better health. However, they also have limitations and might miss specific nutritional deficiencies. If you are looking for answers for symptoms such as fatigue and digestive issues, understanding what these tests can reveal is the first step towards comprehensive whole-body health care.

You've most likely had these tests completed but you can be missing valuable nutritional information that could guide you to making better supplement, eating and lifestyle decisions.


STOP worrying and wondering about your health. Visit NorwinWellness.com and schedule a Free Best Next Step Consultation Call with Dr. Plank, now!


By Dr Susan Plank December 18, 2024
Focus on Happiness First When was the last time you truly felt happy? Not just "content" or "okay," but genuinely joyful, energized, and confident in your body and life choices? If it feels like it’s been too long, you’re not alone. Many of us put happiness on the back burner, thinking we’ll get to it "someday" after we fix everything else. But here’s the truth: your happiness is not a luxury—it’s your foundation. The path to restoring happiness begins with meeting your body’s needs and taking intentional steps toward better health. When your body isn’t functioning at its best, it’s hard to feel happy. Low energy, bloating, or the constant worry about chronic conditions can weigh on your spirit. But the good news is that with small, focused steps, you can make a big impact. This isn’t about striving for perfection. It’s about progress and reclaiming your self-respect and joy, one step at a time. Let’s dive into how you can create a health-focused plan that restores your happiness and sets you up for success. 4 Steps to Renewed Health in 2025 Step 1: Recognize Your Chronic Health Needs (Start Where You Are) To take control of your health and happiness, you need to understand your starting point. This means recognizing the chronic health conditions or symptoms that may be holding you back. Once you know what your body needs, you can begin to address those needs with targeted actions. Blood Sugar Issues (Pre-diabetes, Diabetes, or Energy Crashes) Blood sugar imbalances can sap your energy, leave you feeling irritable, and even impact your mood. Whether it’s the afternoon energy crash or waking up groggy despite a full night’s sleep, stabilizing blood sugar is essential for long-term happiness. Nutritional Goal: Focus on balancing your meals with protein, fiber, and healthy fats. These nutrients help prevent blood sugar spikes and crashes, keeping your energy and mood steady throughout the day. Actionable Tip: Swap out a high-carb breakfast (like a bagel or cereal) for something balanced, like eggs and avocado or a protein smoothie with spinach and almond butter. Self-Respect Link: By stabilizing your blood sugar, you’ll feel more in control of your energy, making it easier to stay productive and enjoy your day. Digestive Health (Bloating, IBS, Constipation) Your gut health plays a huge role in your happiness. Did you know that your gut produces about 90% of your serotonin, the “happiness hormone”? When your digestion is off, it’s not just uncomfortable—it can affect your mood, sleep, and overall well-being. Nutritional Goal: Add gut-friendly foods like fermented options (sauerkraut, kimchi, or dairy-free yogurt) and high-fiber foods (vegetables, fruits, and whole grains) to your meals. Actionable Tip: Start your day by drinking 8-12 ounces of water to kickstart your digestion, and include a serving of vegetables with lunch and dinner. Self-Respect Link: Feeling lighter, less bloated, and more comfortable in your body boosts confidence and helps you approach life with more positivity. Antacid Use (GERD, Acid Reflux) If you regularly rely on antacids for heartburn or reflux, it’s worth considering the long-term effects. Chronic antacid use can deplete essential nutrients like magnesium, calcium, and B12, which are crucial for energy, mental clarity, and bone health. Nutritional Goal: Replenish depleted nutrients by incorporating magnesium-rich foods (like leafy greens, nuts, and seeds), and focus on meals that are less acidic. Actionable Tip: Swap out one processed snack each day for a handful of raw almonds or baby carrots with hummus. Reduce acidic beverages like coffee or soda by replacing them with herbal tea or water infused with cucumber or mint. Self-Respect Link: Taking control of your nutrient intake helps your body heal and reinforces your worthiness to feel strong and healthy. Step 2: Set Specific, Achievable Goals Based on Your Needs Once you’ve identified the areas you want to address, it’s time to set actionable goals. The key is to make these goals specific and realistic. Trying to overhaul your entire lifestyle overnight can lead to burnout. Instead, focus on small, consistent changes that build momentum. Use the SMART Method for Goal setting: Specific: Be clear about what you want to achieve. Measurable: Choose goals you can track. Achievable: Set goals that are realistic for your current lifestyle. Relevant: Tie your goals to your health and happiness priorities. Time-bound: Give yourself a deadline to stay focused. Examples of SMART Goals: For Blood Sugar: Walk for 10 minutes after dinner each night to improve blood sugar regulation and digestion. For Digestive Health: Add one serving of high-fiber vegetables (like broccoli or spinach) to your lunch every day this week. For Antacid Use: Replace one acidic beverage, like soda or coffee, with herbal tea each afternoon this week. By setting clear and realistic goals, you’re creating a roadmap to success. Each step forward brings you closer to feeling happier, healthier, and more in control of your life. Step 3: Prioritize Nutritional Changes for Your Happiness Your body needs fuel to function, and the quality of that fuel matters. Proper nutrition isn’t just about looking good—it’s about feeling good, both physically and emotionally. Small, intentional changes to your diet can dramatically impact your mood, energy, and overall happiness. Why Nutrition Is Key: Balanced blood sugar = steady energy and fewer mood swings. Healthy digestion = reduced bloating and discomfort. Replenished nutrients = better mental clarity and vitality. Actionable Nutritional Tips for Common Health Concerns: Blood Sugar: Include whole foods and avoid processed sugars. Focus on complex carbs, like quinoa and sweet potatoes, paired with protein to avoid spikes. Nutrient Focus: Chromium-rich foods like broccoli and eggs can help regulate blood sugar levels. Digestive Health: Incorporate probiotics (found in fermented foods like kimchi and miso) and prebiotics (found in foods like onions, garlic, and bananas) to nourish your gut bacteria. Reduce processed foods and artificial sweeteners, which can disrupt gut balance. Antacid Use: Replenish B12 and magnesium with foods like salmon, eggs, and spinach. These nutrients are often depleted with chronic antacid use. Address lifestyle factors, such as reducing large meals late at night, to naturally lower acid reflux symptoms. Step 4: Track Progress and Celebrate Wins It’s easy to overlook the small wins when you’re focused on long-term goals. But celebrating progress—no matter how small—is essential to staying motivated and building self-respect. Track What Matters: Blood Sugar: Keep a simple log of your meals and energy levels to identify patterns. Digestive Health: Journal what you eat and how your gut feels to pinpoint triggers. Antacid Use: Track days when you’ve reduced or eliminated antacid use and note how you feel. Celebrate Small Wins: Ate a high-fiber lunch today? Celebrate! Went for a walk after dinner? High-five yourself. Replaced a sugary drink with water? That’s a win worth acknowledging. Each small success reinforces the message to yourself: I am capable. I am worth the effort. The Big Picture: How Goal Setting Restores Happiness and Self-Respect When you take steps to meet your body’s needs, you’re not just improving your physical health—you’re also fostering a sense of pride and self-respect. By setting and achieving even the smallest goals, you prove to yourself that you’re capable and deserving of care. Connecting Health to Happiness: Balanced blood sugar = more energy and focus. Healthy digestion = less discomfort and more confidence in your body. Replenished nutrients = a brighter mood and better mental clarity. Self-Respect Through Action: Each time you take a step toward better health, you’re sending yourself a powerful message: I am worth the time and effort it takes to feel good. I deserve to feel happy, strong, and confident. Taking control of your health isn’t just about addressing symptoms—it’s about reclaiming your happiness and self-respect. Start today with one small step, and watch how those small changes build into a life filled with more energy, joy, and confidence. You’ve got this.
By Dr Susan Plank December 4, 2024
Enjoy Christmas Cookies Guilt Free
By Dr Susan Plank December 4, 2024
Why Thyroid Health is So Complex The Thyroid’s Big Role Imagine a tiny, butterfly-shaped gland sitting low on your neck, almost hidden, yet working around the clock to keep your body functioning smoothly. That’s your thyroid—a small powerhouse responsible for some of the biggest functions in your body. From how quickly you burn calories to how your heart beats, the thyroid is involved in almost every system. It’s the body’s “thermostat,” helping you maintain a healthy metabolism and providing the energy your cells need to function. The thyroid releases hormones, primarily T4 and T3, which regulate your body’s energy levels, mood, weight, digestion, and even your skin’s texture. When your thyroid is working well, you feel energized, mentally sharp, and balanced. But when it’s off, you might notice big changes: sudden weight gain or loss, fatigue that sleep doesn’t fix, digestive troubles, mood swings, or a constant chill in your bones. Because it’s tied to so many functions, thyroid health can affect how you feel day in and day out. The Problem with “One-Size-Fits-All” Testing When people start feeling “off” in ways they can’t explain, they often visit their doctor, who might order a thyroid test. But here’s where things can get tricky: most traditional doctors only test TSH, the thyroid-stimulating hormone. TSH acts as a “signal” that tells the thyroid to produce more hormones when needed. If TSH is high, the thyroid may be underactive; if it’s low, the thyroid may be overactive. However, this single test barely scratches the surface of what’s going on. TSH alone doesn’t tell us how much actual thyroid hormone (T4 and T3) is available for use by the body, or if the thyroid hormone is being properly converted and utilized by your cells. It’s like trying to assess how a whole factory operates by only looking at one worker on the line. While TSH gives us a hint, it doesn’t account for conversion issues (how T4 is transformed into active T3), autoimmune factors (when your immune system mistakenly attacks the thyroid), or how much T3 is getting into the cells where it’s needed most. Many people who struggle with thyroid-related symptoms are told their TSH is “normal” and left wondering why they still feel unwell. Connecting Symptoms with Testing Thyroid health is nuanced, and our bodies send signals that something’s off in subtle ways. That’s why specific thyroid tests can be game-changers , allowing us to detect underlying issues even when TSH appears normal. If a person is dealing with fatigue, weight gain, or mood shifts, these are more than just “signs of getting older” or “stress.” They can be red flags for underlying thyroid issues, especially if they’re consistent or worsening. By testing beyond TSH—looking at Free T4, Free T3, Reverse T3, and thyroid antibodies—we can get a clearer picture of thyroid function and whether it’s actually supporting optimal health. This is where the magic of personalized testing comes in, giving us insights into the conversion and availability of active thyroid hormone, potential autoimmune issues, and hidden stressors. When we connect these tests with real-life symptoms, we open up the possibility of real solutions, so you can feel like yourself again. Key Thyroid Tests to Know About TSH (Thyroid-Stimulating Hormone) What it Measures: TSH, or Thyroid-Stimulating Hormone, acts as a “messenger” between your brain and thyroid gland. When the brain detects low levels of thyroid hormone, it sends TSH to prompt the thyroid to release more hormone into the bloodstream. Think of TSH as the supervisor in the factory, keeping tabs on production levels and signaling when adjustments are needed. Why It’s Important but Not the Whole Picture: While TSH levels provide a clue about thyroid health, they only tell part of the story. High TSH might mean your thyroid is underactive (hypothyroid) and struggling to produce enough hormones, while low TSH could indicate an overactive thyroid (hyperthyroid). However, TSH doesn’t show us what’s happening inside the thyroid or how well the hormone it produces is being used by your body. In fact, it’s possible for TSH to appear “normal” even if you’re dealing with low energy, unexplained weight gain, or other thyroid-related symptoms. TSH is a starting point, but by itself, it’s not enough to reveal the full picture of thyroid function. Free T4 (Thyroxine) What it Measures: Free T4 is one of the two main hormones produced by the thyroid, and it serves as a “storage” form of thyroid hormone. It’s considered inactive because the body needs to convert T4 into T3 to fully benefit from it. Free T4 gives us a better sense of how much hormone your thyroid is actually producing and releasing. Why T4 Matters: Since T4 is essentially a “reservoir” of thyroid hormone, it’s a good indicator of overall thyroid production. But here’s the catch: having plenty of T4 doesn’t guarantee that it will be converted into the active T3 form that your cells need for energy and metabolism. If T4 levels are high but conversion is poor, you may still feel sluggish, foggy, or struggle to manage your weight. By measuring Free T4, we get insight into whether the thyroid is producing enough hormone and if there may be issues in converting that hormone into its active form. Free T3 (Triiodothyronine) What it Measures: Free T3 is the active form of thyroid hormone. When your body converts T4 into T3, it creates the fuel that powers metabolism, energy, and cell growth. Measuring Free T3 helps us see how much active thyroid hormone is available for use by the body’s cells. Importance of T3: T3 is the real workhorse when it comes to thyroid health—it’s what gets the job done in terms of energy, mood, and metabolism. Even if T4 levels are normal, low T3 levels can leave you feeling tired, sluggish, and unmotivated. Low T3 can slow down your metabolism, making weight gain a struggle and energy feel in short supply. Conversion Issues: Some people’s bodies have difficulty converting T4 into T3 , which is why they may still experience thyroid symptoms despite “normal” levels of T4 or TSH. This conversion issue can be caused by factors like chronic stress, inflammation, nutrient deficiencies, or even specific medications. If you’re struggling with symptoms of thyroid imbalance, low Free T3 might be a sign that the conversion process needs a boost. For those with conversion issues, a comprehensive approach to thyroid health can make all the difference, ensuring that their body gets the active hormone it needs to thrive. The Often Overlooked but Critical Tests Reverse T3 (RT3) What it Measures: Reverse T3 (RT3) is a form of T3 that’s inactive, meaning it can’t be used by the body’s cells to fuel metabolism or produce energy. It’s almost like a decoy hormone—chemically similar to T3, but without the same effects on metabolism and energy. Stress, Illness, and Reverse T3: When the body is under stress or dealing with illness, inflammation, or even prolonged calorie restriction, it may convert more T4 into Reverse T3 rather than the active T3. This shift is actually a protective mechanism. During times of physical stress, the body “slows down” by producing RT3 to conserve energy, which in theory allows you to heal and recover. However, in today’s world, many people experience chronic, ongoing stress from factors like work demands, inadequate sleep, or underlying infections. In these cases, consistently high RT3 can actually keep the body in a low-energy state, making it harder to feel energized or maintain a healthy weight. What High Reverse T3 Indicates: Elevated Reverse T3 is a red flag for underlying issues like chronic stress, inflammation, or nutrient deficiencies that hinder proper thyroid function. High RT3 can be a sign that the body is struggling to convert T4 into usable T3, leaving you with symptoms of low thyroid function, even if other thyroid hormones appear normal. Identifying high RT3 levels can be key to addressing hidden barriers to thyroid health, like nutrient gaps or ongoing stress that may need to be managed differently. Thyroid Antibodies (TPO and TG) TPO Antibodies: Thyroid peroxidase (TPO) antibodies indicate that the immune system is attacking the thyroid. Elevated TPO antibodies are often seen in Hashimoto’s thyroiditis , an autoimmune condition where the immune system mistakenly attacks thyroid cells. Over time, this can reduce thyroid function and lead to hypothyroidism, but it may take years before this shows up as abnormal TSH or T4 levels. Thyroglobulin (TG) Antibodies: Thyroglobulin (TG) antibodies are another type of immune marker that can appear when the body is in attack mode against the thyroid. High TG antibodies can be found in both Hashimoto’s and Graves’ disease (another autoimmune thyroid condition that often causes hyperthyroidism). This test helps to clarify whether autoimmune activity is impacting your thyroid and which type of autoimmune thyroid condition might be present. Why These Tests Matter: Many doctors skip antibody testing, focusing solely on TSH and sometimes Free T4. But failing to test for TPO and TG antibodies can mean missing the early stages of an autoimmune thyroid condition. Early detection can be invaluable, giving you the chance to address potential triggers, such as chronic stress, infections, or dietary factors, before they worsen. Autoimmune thyroid conditions are progressive, so identifying antibodies early can be the difference between addressing a problem head-on or struggling with symptoms for years without understanding why. T3 Uptake and Total T3 What They Measure: Total T3 measures the total amount of T3 (active thyroid hormone) in the bloodstream, but it includes both “bound” and “unbound” T3. Bound T3 is attached to proteins, which makes it inactive and unavailable for immediate use. Unbound (or “free”) T3 is the form that cells can actually use. T3 uptake measures how much T3 is unbound, giving insight into how available active thyroid hormone is to your cells. Context for Understanding Binding Issues: Certain factors can increase the levels of binding proteins in the blood, which means more T3 is bound and less is available for the body to use. High estrogen levels, for instance, increase binding proteins. This can be a particular issue for women who take birth control pills or hormone replacement therapy, as these can raise estrogen levels and reduce the amount of free T3. Similarly, chronic stress and certain medications can elevate binding proteins, effectively trapping T3 in an inactive state and leaving you with low-energy symptoms even if thyroid hormone levels appear “normal.” Testing both T3 uptake and Total T3 provides a more complete picture of how much active thyroid hormone your body actually has at its disposal. By identifying these binding issues, you can better understand whether hormonal imbalances, stress, or medications might be interfering with your thyroid health and take steps to address them. What Your Doctor Might Not Be Telling You The Limitations of Standard Testing Many conventional doctors rely solely on Thyroid-Stimulating Hormone (TSH) testing when evaluating thyroid health. While TSH can be a useful starting point, it only captures a small part of the thyroid puzzle. TSH measures how well the brain and thyroid communicate, but it doesn’t give insight into whether your thyroid hormones are actually being produced, converted, or used effectively by your body. Without looking at other key markers—like Free T4, Free T3, Reverse T3, and thyroid antibodies—traditional testing can miss some critical pieces, especially if you have symptoms despite a “normal” TSH result. For instance, if your body is struggling to convert T4 into active T3 or if you’re experiencing autoimmune thyroid activity, a TSH test alone won’t capture these nuances. This often leads people to hear that “everything is normal” when, in fact, their body is crying out for help in ways that go undetected in standard tests. The limitations of traditional testing can leave you without answers—and without relief. Why Doctors Might Overlook These Tests So why aren’t more comprehensive thyroid tests ordered routinely? There are a few reasons for this: Insurance Limitations: In many cases, insurance providers only cover TSH or basic T4 testing. This can make it challenging for doctors in conventional settings to justify ordering additional tests, as they may be restricted by insurance requirements. Patients who want a deeper dive into thyroid health often find themselves navigating the complexities of out-of-pocket testing. Lack of Training in Functional Medicine: Many doctors are trained to focus on specific lab markers to make quick assessments, rather than investigating deeper, root causes. Functional medicine practitioners are trained to take a more holistic approach, which includes looking at a broad range of thyroid markers to identify underlying issues that contribute to symptoms. Conventional, “Quick Fix” Approaches: In traditional medicine, the primary treatment for thyroid issues is often medication. If a patient’s TSH is high, a doctor may prescribe synthetic thyroid hormone to bring TSH down to a normal range. This quick fix can provide relief for some, but it doesn’t always address the full range of thyroid dysfunctions, particularly if the problem is with hormone conversion or autoimmunity. In these cases, simply balancing TSH doesn’t address the root cause, leaving many patients stuck in a cycle of unresolved symptoms. The Importance of a Holistic Approach A holistic approach to thyroid health goes beyond simply managing symptoms. It considers the complex ways that stress, inflammation, diet, lifestyle, and genetics interact to influence thyroid function. Functional medicine practitioners can work with you to interpret a broader range of thyroid labs, dig deeper into possible causes of your symptoms, and offer a personalized, sustainable plan to support thyroid balance. Whether you’re experiencing fatigue, weight changes, mood swings, or other symptoms, asking for a comprehensive thyroid panel is an empowering step toward better health. A functional approach might also include recommendations for lifestyle adjustments, stress management, dietary support, and addressing potential nutrient deficiencies that affect thyroid health. If your current doctor doesn’t order these tests, you might consider seeking out a functional medicine practitioner or requesting these specific tests directly. Your thyroid is a critical player in your overall health, and a holistic approach can give you the full picture you need to start feeling like yourself again. Interpreting Results – What’s Optimal vs. What’s “Normal” “Normal” vs. “Optimal” Ranges When you get thyroid lab results, you’ll typically see a reference range alongside each marker. These ranges represent what’s considered “normal” for the general population. However, these ranges are often quite broad, meaning you could fall within “normal” limits but still experience symptoms like fatigue, weight gain, or mood changes. For example, one person may feel perfectly energized with a TSH of 2.0, while another person with the same TSH level might feel sluggish and low on energy. Many practitioners in functional medicine use “optimal” ranges that are narrower than traditional lab ranges. The idea behind optimal ranges is to identify early dysfunction, helping to catch thyroid issues before they become more serious. This can be especially helpful for those who already experience symptoms but are repeatedly told that their thyroid is “normal” based on standard lab interpretations. Why Optimal Ranges Matter Using optimal ranges, rather than broad, general ones, can make a world of difference for those struggling with thyroid symptoms. Here’s a quick breakdown of some optimal ranges to consider for key thyroid markers: TSH (Thyroid-Stimulating Hormone): Optimal range is often between 1.0 and 2.5 mIU/L. Although many labs consider up to 4.5 mIU/L as normal, higher values could indicate a struggling thyroid even if you don’t technically fall into the hypothyroid range. Free T4 (Thyroxine): An optimal range for Free T4 is generally around the mid- to upper-third of the lab’s reference range. Free T4 reflects the “storage” form of thyroid hormone, so having enough T4 available is crucial for healthy hormone conversion and function. Free T3 (Triiodothyronine): Ideally, Free T3 should also fall within the mid- to upper-third of the lab’s range. This is the active form of thyroid hormone, which directly influences your energy levels, metabolism, and mood. Even with normal TSH and T4, a low Free T3 could explain why you’re feeling “off.” Reverse T3 (RT3): For Reverse T3, an ideal level is often under 15 ng/dL. High levels may indicate that your body is under stress or dealing with inflammation, leading to slower metabolism and energy conservation. Thyroid Antibodies (TPO and TG): Ideally, these should be as low as possible, as any detectable antibodies can indicate autoimmune activity. Functional practitioners often aim for zero or near-zero levels, especially in those with autoimmune thyroid conditions like Hashimoto’s or Graves’ disease. It’s worth noting that these optimal values may vary depending on your individual needs, symptoms, and health goals. The goal is to identify the range where your body feels its best—not just what’s statistically average. How to Approach Your Doctor with Test Results If you’ve been told your results are “normal” but you still feel unwell, it can be helpful to approach your doctor with a few key strategies: 1. Share Your Symptoms Clearly and Specifically: When discussing results, try to list specific symptoms (like fatigue, hair loss, weight gain, or low mood) rather than general complaints. This makes it easier for your doctor to understand how thyroid health is impacting your life. 2. Ask About Optimal Ranges: Bring up the concept of “optimal” vs. “normal” and ask if your results could be evaluated with a narrower focus. It may be helpful to mention that many functional medicine practitioners use tighter ranges to identify early thyroid dysfunction. 3. Request Additional Testing if Needed: If certain tests (like Free T3, Reverse T3, or thyroid antibodies) weren’t included in your initial panel, politely request them, explaining that you’d like a comprehensive look at your thyroid health. Emphasize that you’re motivated to understand your health and explore all potential contributors to your symptoms. 4. Consider a Second Opinion: If your doctor is resistant to exploring further testing or optimal ranges, it’s okay to seek a second opinion or consider a consultation with a functional medicine practitioner. This can be a valuable step toward understanding your thyroid health in depth. Using your lab results to understand your unique thyroid profile is an empowering way to take charge of your health. By knowing the difference between what’s “normal” and what’s truly optimal for your body, you can advocate for the care you need and feel your best every day. Taking Action for Thyroid Health Supporting your thyroid isn’t just about medication or lab tests—it’s also about creating a lifestyle that nurtures this vital gland and helps it function optimally. While medications can play an important role, especially for those with diagnosed thyroid conditions, simple daily habits and specific nutrients can be powerful allies for thyroid health. Lifestyle and Dietary Tips Your lifestyle choices can make a big difference when it comes to maintaining or restoring thyroid health. Here are some foundational habits to consider: Manage Stress: Chronic stress is one of the biggest disruptors of thyroid health, as it leads to increased cortisol levels, which can interfere with thyroid hormone production and conversion. Incorporating stress-reduction practices, like meditation, deep breathing, yoga, or even a calming walk in nature, can help support thyroid balance. Anti-Inflammatory Diet: Since inflammation is a common trigger for thyroid dysfunction, especially in autoimmune thyroid conditions, an anti-inflammatory diet can be incredibly helpful. This includes focusing on whole, unprocessed foods like fruits, vegetables, lean proteins, healthy fats (like those from fish, nuts, and seeds), and minimizing refined sugars and processed carbs. Consider adding antioxidant-rich foods like berries and leafy greens to further combat inflammation. Regular Exercise: Consistent physical activity helps regulate hormones and improve metabolism, which is directly linked to thyroid function. Aim for moderate, enjoyable activities that reduce stress rather than high-intensity exercise, which can sometimes exacerbate stress in those with thyroid issues. Supplements to Support Thyroid Health There are specific nutrients that your thyroid relies on for optimal performance. However, it’s essential to work with a practitioner when considering supplementation, as balance is key, and too much of certain nutrients can actually hinder thyroid health. Selenium: This mineral plays a crucial role in converting T4 (the inactive form) into T3 (the active form of thyroid hormone). It also helps reduce inflammation, especially in people with autoimmune thyroid conditions. Selenium can be found in foods like Brazil nuts, fish, and eggs, but your practitioner can help determine if you might benefit from a supplement. Iodine: Iodine is a critical component of thyroid hormones, and your thyroid can’t function without it. However, it’s important to note that excess iodine can be just as problematic as a deficiency, potentially triggering or worsening autoimmune thyroid conditions. It’s best to consult with a healthcare provider before adding iodine supplements, especially if you’re already consuming iodized salt or iodine-rich foods. Zinc: Zinc supports thyroid hormone production and helps balance the immune system, which can be especially helpful for those with autoimmune thyroid issues. Zinc is found in foods like shellfish, meat, and pumpkin seeds. If you choose to take a supplement, be mindful of the dose, as too much zinc can interfere with the absorption of other essential minerals. An excellent thyroid support supplement is Thyrostim . These nutrients, when taken thoughtfully and under the guidance of a practitioner, can make a meaningful difference in how your thyroid functions. The Benefit of Regular, Comprehensive Testing Even if you’re feeling well, it’s wise to keep an eye on your thyroid health with regular, comprehensive testing, especially if you have a family history of thyroid issues or if you experience recurring symptoms like fatigue, weight changes, or mood fluctuations. Routine thyroid testing allows you to catch subtle changes early, before they become more challenging symptoms or conditions. Comprehensive thyroid panels, which include TSH, Free T4, Free T3, Reverse T3, and antibody tests, provide a detailed picture of how well your thyroid is functioning. By monitoring these markers, you and your healthcare provider can take action early, adjusting lifestyle, diet, or supplements as needed to maintain balance. Taking a proactive approach with routine testing, healthy lifestyle choices, and the right nutrients empowers you to support your thyroid and enjoy the energy, mood stability, and overall wellness that comes with balanced thyroid health. Remember, when it comes to thyroid care, small, consistent actions can lead to big, positive results. Conclusion: Empowering Yourself with Knowledge and Action Navigating thyroid health can feel overwhelming, especially when standard testing leaves so many questions unanswered. But understanding the full picture of comprehensive thyroid testing gives you a powerful advantage. By uncovering details beyond TSH alone, you’re better equipped to identify underlying issues, connect symptoms to specific thyroid markers, and develop a targeted, effective plan for feeling your best. Remember, your health journey should be as unique as you are. If you’re experiencing symptoms or struggling with unresolved health issues, know that there are options beyond conventional testing and treatments. You deserve a plan that reflects the complexity of thyroid health—one that addresses not just your lab values but also your energy, mood, metabolism, and overall well-being. If you’re ready to take the next step, consider exploring a functional approach to thyroid health. Schedule a consult to learn about customized thyroid testing, or join an upcoming webinar to dive deeper into thyroid wellness. Knowledge is empowering, but it’s the actions you take from that knowledge that truly make a difference. Embrace the process, trust your body’s signals, and remember that true wellness is possible with the right tools and support. You deserve answers, and you deserve a health plan that meets your unique needs.
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