Inflammatory Panel - BLOOD TEST
CBC, CMP= This will give us an overview of what is going on in the blood including some key electrolytes some insights on liver and viscosity or thickness of blood.
Testosterone= this shows where our test is today
Estrogen= this can cause bloating, water retention, and cancers monitoring these levels is important
Thyroid= taking a snap shot of where the thyroid is now can help us long term at managing all hormones.
ESR (Erythrocyte Sedimentation Rate)= this can help show how well the blood is moving and gives us an idea of the amount of overall inflammation.
High sensitivity CRP= CRP is made in the liver due to inflammation so this will show longer term inflammation
Heme A1C= This helps see how your body has processed sugars and dealt with insulin over time.
Fasting glucose levels= This will give us a snapshot of how your body is dealing with sugars right now. If your glucose is too high when you have not eaten we can assume not only inflammation but longer term issues like diabetes.
RDW (Red Cell Distribution Width)= This test shows the difference in red blood cells. It can give us insight into how well your body will carry oxygen and how it is dealing with inflammation
Serum Ferritin=This shows iron in the blood. This goes to energy and oxygenation of tissue. Since oxygen is critical to reducing inflammation we need to see this.
D-Dimer= This test helps us look at the stickiness or how the clotting of the blood is. This can be altered for a number of reasons and helps us look into the future at things like DVT and embolism.
B-Type Natriuretic Peptide=this will show damage to or around the heart. The higher this lab is the more we have to worry about heart damage.
Lppla2= This is the test that shows the most of the inflammation that is sticky and creating an environment to create plaque.
Homocysteine= This lab helps show levels of the amino acid Homocysteine. This AA can create damage to the blood vessels and that damage results in plaque. Knowing and removing these chemicals is critical to long term health.
CBC - Complete Blood Count
What is included in a CBC?
A standard CBC includes:
Red blood cell (RBC) tests:
- Red blood cell (RBC) count is the total number of red blood cells in your blood.
- Hemoglobin measures the amount of the oxygen-carrying protein in the blood, which gives a good idea of the number of red blood cells in the blood.
- Hematocrit measures the percentage of your total blood volume that consists of red blood cells.
Hemoglobin and Hematocrit are what is referred to as H&H. This is what is looked at for testosterone therapy. When these numbers go up the blood becomes thicker. As the blood becomes thicker it puts more pressure on the blood vessels. This is an important marker to look at. If it gets high it is important to donate blood to decrease the pressure on the blood vessels.Red blood cell indices provide information on the physical features of the RBCs:
- Mean corpuscular volume (MCV) is a measurement of how big the RBC is.
- Mean corpuscular hemoglobin (MCH) is the measurement of the average amount of hemoglobin inside the RBC.
- Mean corpuscular hemoglobin concentration (MCHC) is a measurement of the average concentration of hemoglobin in the RBC.
- Red cell distribution width (RDW) is the variation in the size of the RBC.
- The CBC may also include reticulocyte count, which shows the count/percentage of newly released young red blood cells in your blood sample.
White blood cell (WBC) tests:
- White blood cell (WBC) count is a count of the total number of white blood cells.
- White blood cell differential The WBC differential identifies the individual categories of WBC (neutrophils, lymphocytes, monocytes, eosinophils, and basophils). This can be listed as a total number or a fraction of the total WBC.
- The platelet count is the number of platelets in the blood.
- Mean platelet volume (MPV) is a measurement of the size of platelets.
- Platelet distribution width (PDW) It reflects how uniform platelets are in size.
All blood tests give us clues as to the health of a person or a bodily system. If there are any numbers that are out of normal ranges or you have any questions ALWAYS consult your primary care physician. All systems in the body are interconnected so one test result often triggers the need for other tests your primary healthcare provider will know of additional places to look.
What Other Tests Should I look For With This Test?
A CMP is almost always ordered with a CBC, these two tests a CBC, CMP are a standard baseline in blood testing.
CMP – Comprehensive Metabolic Panel
The comprehensive metabolic panel (CMP) is a panel of 14 different tests that all help look at your metabolism. Including: Glucose, electrolytes, liver, and kidney health.
The CMP tests for:
- Glucose - the primary fuel source for the body used primarily by the muscles, heart and brain. Without proper levels energy starts to decrease and mental function can deteriorate into complete collapse. This helps show hypoglycemia and can indicate diabetes.
- Calcium – A critical element in the body used for heart, nerves, muscles, bones and the formation of blood clots.
- Albumin - a protein made in the liver; it accounts for about 60% of the protein in the blood.
- Total Protein - measures albumin as well as all other proteins in blood; proteins are important building blocks for all cells in the body.
Electrolytes—these are minerals that are in the tissues and blood in the form of dissolved salts. Electrolytes help move nutrients into the cells and help remove wastes out of the cells. They help maintain a healthy water balance and help stabilize the body's acid-base (pH) level. The 4 tests for electrolytes are:
- Sodium - critical for normal nerve and muscle function
- Potassium - critical for cell metabolism and muscle function, helping to transmit messages between nerves and muscles
- Bicarbonate (Total CO2) - helps to maintain the body's acid-base balance (pH)
- Chloride - helps to regulate the amount of fluid in the body and maintain the acid-base balance
- Blood urea nitrogen (BUN) - waste product filtered out of the blood by the kidneys; as kidney function decreases, the BUN level rises. This can also help determine hydration needs.
- Creatinine - waste product produced in the muscles; it is filtered out of the blood by the kidneys so blood levels are a good indication of how well the kidneys are working. This test can be higher in athletes as supplementation and muscle break down from exercise can increase these levels.
- Alkaline phosphatase (ALP) - enzyme found in bone, liver, and other tissues; higher levels of ALP in the blood are most commonly caused by liver disease or bone disorders.
- Alanine amino transferase (ALT, SGPT) - enzyme found mostly in the cells of the liver and kidney; a test for commonly used for detecting liver damage. These levels may be higher in athletes, especially in those that are training harder or in a new way.
- Aspartate amino transferase (AST, SGOT) - enzyme found especially in cells in the heart and liver; also a useful test for detecting liver damage
Bilirubin - Bilirubin is a normal waste product after breaking down hemoglobin from blood. Since it is normally filtered out by the liver it can show liver function levels. If Bilirubin levels get too high it will often cause Jaundice which can lead to further damage and yellowing of the skin and eyes.