Before embarking on a Keto Journey, you should first consult a physician and have a complete physical and Laboratory workup. You cant get to a destination if you do not know where you currently are, so you need to establish your starting point, known as a BASELINE. it is from this baseline that you can measure your progress, and tweak or adjust your program to achieve the best results.
TESTS TO REQUEST:
Alanine aminotransferase (ALT)
ALT is a liver enzyme test measuring liver-cell damage. You can have high levels in metabolic syndrome and obesity, due to non-alcoholic fatty liver disease.
Fasting blood glucose is used to check diabetes, monitor high or low blood sugar, and helps your doctor make diabetes treatment decisions.
Hemoglobin A1c (HbA1c)
A1c testing estimates the average glucose level in the blood over the past 3 months by counting the glucose molecules stuck on red blood cells.
This is very much like the A1c , however is an average glucose measure of about the last 2 weeks.
Complete lipid panel
This one can get sticky.. you want to get SPECIFIC with this request.
The panel should include:
- Total Cholesterol
- Apolipoprotein B
This test should break your LDL levels down by Size: VLDL, IDL, and LDL.
Creatinine, is muscle ‘residue’ from the normal wear and tear of muscles.
Microalbumin/creatinine ratio, urine
This is used used as a marker to detect early diabetic kidney problems. It measures if the kidneys are leaking small amounts of albumin into the urine.
Complete blood count (CBC)
A pretty standard test that measures the red, white and platelet blood cells in the blood.
Electrolytes & Vitamin Levels
- Vitamin D
- Vitamin B12
Fasting insulin, c-peptide or Homa IR
These provide insight into the degree of insulin production, insulin sensitivity or insulin resistance.
In my opinion, HOMA IR is the best test for gauging insulin resistance.
At the Very least: High-sensitivity c-reactive protein (hs-CRP)
hs-CRP is used as a marker for inflammation. Measuring and charting CRP values can help determine disease progress or the effectiveness of diet or treatment.
If you can get them, get Myeloperoxidase, ADMA, and SDMA also defined in this panel.
A nuclear magnetic resonance lipoprofile, aka particle test, is a more detailed test of total cholesterol that can help mark your risk of developing cardiovascular disease.
A thyroid-stimulating hormone test checks for underactive or overactive Thyroid.
This test helps assess your metabolic syndrome spectrum.
Carotid Intima Media Thickness Testing measures the thickness of the wall of the inner two layers of the carotid artery.
This is one of most IMPORTANT markers of Cardiovascular disease.
This test is used to check your bone density, and can be used also to test view your thoracic organs, ( Heart, Liver, Kidneys, Spleen Gall Bladder, Pancreas) for stones, Fattiness ( like fatty liver) and other pathology.
These tests should all be run for a baseline, so that as you progress in your keto lifestyle you can milestone your accomplishments with subsequent tests!