optimal ranges

Comprehensive Lab Analysis

Are we seeing the whole picture?


When it comes to your health, a single lab result is like a puzzle piece—important on its own, but lacking meaning without the rest of the picture. Unfortunately, many healthcare practitioners tend to view lab results in isolation, treating each number as a stand-alone entity rather than part of a comprehensive narrative about your well-being. This siloed approach can overlook crucial insights that come from examining all your lab work together alongside your symptoms, health history, family history, and individual goals.

Many people are familiar with the term "normal" ranges on lab tests, but what's often overlooked is the distinction between "normal" and "optimum" levels. (Discussed normal vs. optimal labs here). Normal levels indicate what’s typical for the general population, but optimal levels are tailored to your unique physiology and health objectives. For example, a thyroid level may fall within the normal range, but if you still experience fatigue and weight gain, that number might not be optimal for you. Or, you could have a fasting blood sugar level of 99 and be labeled "normal", but be well on your way to prediabetes. This is where a holistic analysis can reveal underlying issues that a singular result might hide. And this is why I offer a second set of eyes for a comprehensive lab analysis in my work with 1:1 coaching clients.

Consider this: Your cholesterol levels, blood sugar, and inflammatory markers all tell a story about your metabolic health. When examined together, these results can provide insights into potential risks for heart disease or diabetes, guiding you toward proactive measures that might not have been apparent if each test was considered in isolation. Additionally, your personal health history and family background are crucial elements that help inform what those numbers mean for you specifically.



Let's look at a case study, shall we?

Imagine a person with elevated homocysteine levels, insulin resistance, and a cluster of symptoms both past and present: anxiety, depression, ADHD, motion sickness, and severe morning sickness or hyperemesis gravidarum. They may also experience heightened sensitivities to medications and chemicals, seasonal allergies, asthma, or eczema, along with some sensory processing issues. Despite their efforts, they seem to have to work much harder to achieve health and body goals, moving the needle only marginally.

In this case, the combination of symptoms could indicate an underlying issue, such as an MTHFR gene mutation, which affects folate metabolism (and a whole lot more!) and can be present in about 10-15% of the population. This mutation may lead to histamine intolerance and Mast Cell Activation Syndrome (MCAS), resulting in a cascade of health challenges that often go unrecognized.

If homocysteine or insulin levels aren't checked, or if an extensive health history isn’t taken, this critical information may be overlooked. Unfortunately, even when these factors are documented, many healthcare practitioners might still miss the connection between the symptoms and the potential genetic predisposition, leaving patients without the answers they desperately need.


Health is not one-size-fits-all. Individual goals play a significant role in interpreting lab results. Whether you're aiming for weight loss, improved energy levels, or enhanced athletic performance, your optimal lab values will differ from someone else’s. By approaching your lab work holistically, you can develop a more personalized health strategy that aligns with your specific aspirations.


So, the next time you receive lab results, consider bringing them to your healthcare provider as part of a broader discussion about your health journey. Be curious, ask them to look at the complete picture and determine if there are any noticeable connections between results, symptoms, and your personal history. This collaborative approach can unlock insights that empower you to take charge of your health like never before.

Remember, health is a journey, not a destination. By thinking about your lab work as a cohesive whole, you can better navigate your path to optimal wellness.



XO,
Tara



P.S. Are you ready to kickstart your metabolic health journey? If you’re looking to take control of your well-being and transform your life, I’m excited to introduce my brand new mini course, TRANSFORM: Jumpstart! This engaging DIY mini course is perfect for those with fat loss or health optimization goals, as well as anyone waiting for the next round of TRANSFORM: Body + Mind to begin—or for whom the full course just isn’t in the budget at this time. Think of Jumpstart as a prequel to TRANSFORM: Body + Mind with a DIY learning experience that sets the stage for your health journey. Don’t miss this opportunity to get started on feeling incredible—let’s jump in!

Metabolic Health Quiz

I used to be unwell.




Metabollically-speaking, I was a bit of a disaster. I had PCOS, prediabetes, insulin resistance, hypothyroidism. Plenty of symptoms. Did NOT feel incredible or vibrant.



This chat today isn't about my backstory, but if you're curious, I spoke about that most recently here.



I have reversed all of those conditions naturally. No medications, no targeted supplements. I say this to share that it IS possible. MANY of my clients have reversed all kinds of conditions, come off of their medications or at least cut their doses way back with their doctors. I say that to let you know it's more than just possible, it's within reach for many people ... with the right knowledge and help. The unfortunate news there is that nearly all the advice and knowledge out there currently is inaccurate, outdated or downright damaging. Back to the good news! You're here. :-) And that tells me you're committed to a different way.



I can no longer be diagnosed with any chronic or metabolic conditions. But that doesn't mean it can't creep back for me! Because it's a common question I get asked, I'm going to share some metrics I use personally to keep tabs on my metabolic health. Of course everyone is different. Everyone is starting from different places. And this is just for information purposes, NOT medical advice ... please seek out a provider you trust to discuss your medical history.



This is not everything, I use lots of metrics (both objective and subjective), but here are some important ones:



Blood pressure - if elevated, it tells me my blood vessels aren't dilating well enough and my heart is being overworked. I'd suspect it's from insulin resistance or mitochondrial dysfunction in the endothelial cells.

Waist circumference - if elevated, I'm storing too much inflammatory visceral fat inside and around my organs

Triglycerides - if elevated, it is usually a sign of insulin resistance or excess glucose

HDL - if low, it tells me healthy cholesterol transportation and clearance is blunted

Triglyceride-to-HDL ratio (self calculated) - if elevated, it almost always means insulin resistance

ApoB - if high, it is a risk factor for atherosclerosis and heart disease, particularly in combination with a lifestyle that promotes damage to blood vessels

Fasting insulin - if high, it's a sign of insulin resistance

Fasting glucose - if high, it's a late sign of insulin resistance

HgBA1C - if high, it means my average blood sugar over the past 3 months or so has been elevated enough to be causing damage

Liver enzymes - if elevated, this tells me my lifestyle / environment is causing excessive liver cell death and damage

CRP - if elevated, it's a good indicator that there's some inflammation going on somewhere in my body



Important to note: I'm not typically looking to see "normal" values here, rather aiming to get within ranges I believe (based on many factors, not just my opinion HAHA) to be "optimal" ranges. Unfortunately, one could test within normal limits in every area above and still be well on their way to metabolic damage and disease. Optimal can sometimes be considered the same across the board and sometimes shift a bit based on individual factors.



Here are some of those ranges I look for for myself. Again, I only share because I trust that you'll use this for informational purposes only and understand that as an individual, your target ranges might make sense to be different than mine!


Blood pressure: I want systolic less than 120 and diastolic less than 80. I would consider 120/80 to be too high and would make a plan to bring that down.

Waist circumference: As a woman, I want this under 31.5 inches. (If I were a man, I'd want this under 35 inches)

Triglycerides: I'd like these to stay under 80

HDL: I feel comfortable when this is between 50 and 90

Triglyceride-to-HDL ratio: I want this below 1

ApoB - I like this below 80

Fasting insulin - under 6 makes me happy

Fasting glucose - I'd like to keep this about 70 - 85. At 90 or higher, I'd be ready to take action.

HgBA1C - 5.0 - 5.4 is a good sweet spot (no pun intended)

Liver enzymes (AST + ALT) - I want these no higher than 17 or 18 each

CRP - Ideally less than 0.5


I'd consider any of the above being 'off' to mean I have some work to do on my metabolic health. If I had two or more of these 'off' (as I used to and as 93%+ people do), I'd be even more serious about turning it around. 



If you're not where you'd like to be for yourself here, that's ok! You should know that improving the various markers here on this list take some work but are almost always able to be improved. The coolest part is that we tend to FEEL so much better and find we achieve our body composition goals at the same time while we work on these. <3 That's the kind of hard work that's worth it on so many levels. This kind of hard work can also help us reverse disease, prevent all kinds of chronic disease, improve moods, energy levels, hunger / fullness cues, cravings, sleep, libido, rate of aging. If your metabolism is in need of some help, you could consider it a blessing as I have. I'm SO much healthier now than I would've been if I hadn't been sick and hadn't decided to roll up my sleeves and get to work.



It's all the stuff we talk about in my weekly newsletter and over on my instagram page.



It's all the stuff we work on in depth in my 28-day metabolism-boosting course,TRANSFORM: Body + Mindand in my 1-on-1 coaching program and why so many clients tell me they come to me for fat loss but end up also feeling vibrant and improving their lab work as a "side effect". ;-) It's. All. Connected. (And pssst ... it's no accident. We are always working on root causes).



Hope you found this helpful today!



XO,
Tara