KETO: What tests should I ask my Doctor for?

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 glucose

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. 

Fructosamine

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:

  • Triglycerides
  • Total Cholesterol
  • HDL-C
  • LDL-C
  • Non-HDL
  • Cholesterol
  • Apolipoprotein B

This test should break your  LDL levels down by Size:  VLDL, IDL, and LDL. 

Creatinine

 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

  • Sodium
  • Potassium
  • Vitamin D
  • Vitamin B12
  • Folate

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.

INFLAMMATION PANEL

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  MyeloperoxidaseADMA, and  SDMA also defined in this panel.

NMR lipoprofile

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.

TSH

A thyroid-stimulating hormone test checks for underactive or overactive Thyroid. 

Uric acid

This  test helps assess  your  metabolic syndrome spectrum.

CIMT

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.

DXA SCAN

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.

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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!

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