Sample Blood Work Interpretation - where do I start?

Summary

In diesem Video erklärt der Sprecher, wie er Bluttests analysiert und welche Muster er sucht. Er betont, dass er viele Werte auswendig kennt und seine Methode im Laufe der Zeit entwickelt hat. Er geht durch einen Fallbeispiel, in dem er verschiedene Blutwerte wie Hämoglobin, Erythrozyten, Leukozyten und Natrium/Kalium-Werte betrachtet und mögliche Ursachen für ihre Abweichungen diskutiert. Der Sprecher diskutiert auch die Bedeutung von Leberenzymen und wie sie auf Leberprobleme hinweisen können. Er betont die Notwendigkeit, das gesamte Bild zu betrachten, um eine genaue Diagnose zu stellen, und gibt Tipps für Anfänger, wie sie mit der Analyse von Bluttests beginnen können.

Takeaways

• 🧬 Die Analyse von Blutuntersuchungen hat sich im Laufe der Zeit entwickelt und hängt von der Erfahrung und den Kenntnissen des Analytikers ab.
• 👨‍⚕️ Bei Männern liegen bestimmte Blutwerte wie Hämoglobin und rote Blutkörperchen im Normalbereich, während sie bei Frauen erhöht sein können.
• 🔎 Eine hohe rote Blutkörperchensusual kann auf Dehydration hindeuten, was durch weitere Untersuchung bestätigt werden kann.
• 📉 Ein niedriger Natriumwert und ein hoher Kaliumwert können auf eine Reihe von Problemen hinweisen, einschließlich einer möglichen Dehydration oder einer Störung der Adrenalinsportfunktion.
• 🤔 Eine hohe Monozytenzahl kann auf eine Reihe von Bedingungen hindeuten, einschließlich einer erhöhten Dehydration, und sollte im Kontext anderer Blutwerte betrachtet werden.
• 🍽️ Eine hohe Harnstoffkonzentration kann auf eine geringe Proteinaufnahme oder eine erhöhte Proteinmetabolisierung hindeuten, was auf das Ernährungsverhalten des Patienten schließen lässt.
• 🏋️‍♂️ Leberenzyme wie GGT, AST und ALT können erhöht sein, was auf eine Leberbelastung oder eine Fettlebersyndrom hinweisen kann.
• 📈 Die Analyse von Blutwerten im Vergleich zu früheren Messungen kann auf Veränderungen im Gesundheitszustand des Patienten hindeuten, insbesondere wenn es zu signifikanten Schwankungen kommt.
• 🧪 Es ist wichtig, die Ergebnisse von Blutuntersuchungen im Kontext der Gesamtsymptomatik und des Lebensstils des Patienten zu betrachten, um eine genauere Diagnose zu stellen.
• 🔄 Die Interpretation von Blutuntersuchungen erfordert Erfahrung, um die Bedeutung von Abweichungen von den Normwerten richtig einzuschätzen und nicht übertrieben auf sie zu reagieren.

Q & A

Wie ändert sich die Methode der Blutanalyse im Laufe der Zeit?

Die Methode der Blutanalyse ändert sich, da man mit der Zeit die Werte auswendig kennt und Muster erkennen kann, die man beobachten möchte.

Was sind die ersten Schritte, wenn man mit der Blutanalyse beginnen möchte?

Man sollte zuerst die Werte und Muster, die man beobachten möchte, auswendig lernen und dann die Analyse von Fall zu Fall anpassen.

Warum kann die Hämoglobinkonzentration von Geschlecht zu Geschlecht variieren?

Die Hämoglobinwerte können vom Geschlecht abhängig sein, da sie für Männer normal sein können, während sie für Frauen erhöht erscheinen könnten.

Was zeigt ein erhöhter Monozytenwert in der Blutanalyse?

Ein erhöhter Monozytenwert kann auf eine Entzündung hinweisen, wobei idealerweise der Wert unter 0,5 liegt.

Was kann ein niedriger Natriumwert in der Blutanalyse bedeuten?

Ein niedriger Natriumwert kann auf eine Dehydration hindeuten, aber es kann auch durch eine Vielzahl anderer Faktoren beeinflusst werden.

Warum ist ein erhöhter Kaliumwert in der Blutanalyse signifikant?

Ein erhöhter Kaliumwert kann auf eine Reihe von Problemen hinweisen, einschließlich einer möglichen Dehydration oder einer Störung der Elektrolytbilanz.

Was kann ein erhöhter Harnstoffwert (Bun) anzeigen?

Ein erhöhter Harnstoffwert kann auf eine Proteinmangelernährung, eine erhöhte Eiweinsäureaufnahme oder eine Dehydration hindeuten.

Was zeigt ein erhöhter GGT-Wert in der Blutanalyse an?

Ein sehr hoher GGT-Wert kann auf eine Leberbelastung oder eine Gallenblasenfunktionsstörung hinweisen, kann aber auch durch Fettleber bedingt sein.

Wie interpretiert man einen hohen Triglyceridwert in der Blutanalyse?

Ein hoher Triglyceridwert kann auf eine erhöhte Fettstoffwechselbelastung oder eine ungesunde Ernährung hindeuten und kann auch mit einer Fettleber in Verbindung gebracht werden.

Warum ist es wichtig, die Symptome des Patienten zu berücksichtigen, wenn man eine Blutanalyse interpretiert?

Die Symptome des Patienten können helfen, die Ergebnisse der Blutanalyse im richtigen Kontext zu sehen und eine genauere Diagnose oder Behandlungsempfehlung zu ermöglichen.

Was bedeuten abweichende Werte in der Blutanalyse, wenn sie über einen längeren Zeitraum konstant sind?

Werte, die über einen längeren Zeitraum konstant abweichend sind, können auf eine anhaltende Störung oder eine chronische Bedingung hindeuten, anstatt auf einen zufälligen Laborfehler.

Outlines

00:00

🧐 Blutuntersuchungsanalyse

Der erste Absatz beschreibt, wie man mit der Analyse von Blutuntersuchungen beginnt und wie der Sprecher seine Methode entwickelt hat. Er erklärt, dass er Werte und Muster, die er beobachtet, auswendig kennt und wie er sie analysiert. Er betont, dass die Analyse je nach Geschlecht variieren kann und gibt einige Beispiele für Blutwerte, die er in Betracht zieht, wie Hämoglobin, Erythrozyten, Leukozyten und Thrombozyten. Er diskutiert auch die Bedeutung von Natrium und Kalium und wie sie auf Dehydration hindeuten können. Zudem werden Leberenzyme wie Alkaline Phosphatase, GGT, LDH, AST und ALT besprochen, die auf eine mögliche Leberbelastung oder -erkrankung hindeuten könnten.

05:01

🤔 Erweiterte Analyse von Leberenzymen und Fettleber

In diesem Absatz geht der Sprecher weiter auf die Analyse von Leberenzymen ein, insbesondere auf die erhöhte GGT, die auf eine Fettleber hindeutet. Er vergleicht diese Erhöhung mit anderen Werten wie Triglyceriden und Cholesterin, um ein Bild von der Lebergesundheit zu erhalten. Er erwähnt auch, dass eine Zunahme der Triglyceride auf eine Verschlechterung der Leberzustände hindeuten kann, aber betont, dass Vergleiche zwischen verschiedenen Tests sorgfältig erfolgen müssen, insbesondere wenn sie unter verschiedenen Bedingungen durchgeführt wurden, wie zum Beispiel gefastet oder nicht.

10:01

🔍 Tiefere Einblicke in die Blutuntersuchungsanalyse

Der dritte Absatz konzentriert sich auf die Bedeutung der detaillierten Analyse von Blutuntersuchungen. Der Sprecher erklärt, wie man auf der Grundlage der gefundenen Muster und Werte eine umfassende Diagnose stellen kann. Er betont, dass man bei der Interpretation von Blutwerten sorgfältig sein muss und nicht jedes minimale Anzeichen für eine Erkrankung als relevant betrachten sollte. Er diskutiert auch die Bedeutung von Symptomen und der individuellen Geschichte des Patienten, um eine genauere Diagnose zu treffen.

15:03

💡 Schlüsselpunkte und Empfehlungen für Blutuntersuchungsinterpretation

In diesem letzten Absatz fasst der Sprecher die wichtigsten Punkte seiner Vorgehensweise zur Interpretation von Blutuntersuchungen zusammen. Er betont die Notwendigkeit, sich auf die am stärksten ausgeprägten Muster zu konzentrieren und die gesamte Person und ihre Symptome zu berücksichtigen. Er gibt auch Ratschläge für Anfänger, wie man sich mit der Interpretation von Blutuntersuchungen vertraut macht, und hebt hervor, dass Erfahrung und ein sorgfältiges Herangehen bei der Analyse von Blutwerten unerlässlich sind.

Keywords

💡Blutwerte

Blutwerte beziehen sich auf die verschiedenen Messwerte, die aus einem Bluttest gewonnen werden. Im Video geht es darum, wie man Blutwerte analysiert, um Informationen über den Gesundheitszustand einer Person zu erhalten. Der Sprecher diskutiert verschiedene Blutwerte wie Hamoglobin, Erythrozyten, Leukozyten und Enzyme, um Muster und mögliche Gesundheitsprobleme zu identifizieren.

💡Blutbild

Ein Blutbild ist eine Sammlung von Blutwerten, die normalerweise in einem medizinischen Labor gemessen werden. Im Kontext des Videos wird das Blutbild verwendet, um eine umfassende Analyse des Gesundheitszustands durchzuführen. Der Sprecher geht durch verschiedene Komponenten des Blutbilds und wie sie auf verschiedene Gesundheitsbedingungen hindeuten können.

💡Dehydrierung

Dehydrierung wird im Video als mögliche Erklärung für bestimmte Blutwerte wie niedrige Natrium- und erhöhte Kaliumwerte diskutiert. Der Sprecher erwähnt, dass Dehydrierung zu einer Reihe von Symptomen führen kann, die in den Blutwerten sichtbar sind, und wie man dies bei der Analyse von Bluttests berücksichtigen sollte.

💡Fettleber

Fettleber ist ein Zustand, bei dem das Fett in der Leber gespeichert wird, was zu einer Reihe von gesundheitlichen Problemen führen kann. Im Video wird die Fettleber als mögliche Erklärung für erhöhte GGT- und Triglyceridwerte diskutiert. Der Sprecher verwendet diese Begriffe, um ein Muster zu identifizieren, das auf eine fettleber hinweist.

💡Zinkmangel

Ein Zinkmangel wird im Video als mögliche Erklärung für niedrige Alkaline-Phosphatase-Werte erwähnt. Der Sprecher diskutiert, wie bestimmte Enzyme, die von Zink abhängig sind, wie Alkaline-Phosphatase, bei einem Mangel an diesem Mineral möglicherweise niedrig sind, was auf einen Zinkmangel hindeutet.

💡Leberenzyme

Leberenzyme sind Proteine, die in der Leber produziert werden und bei der Stoffwechselregulation eine Rolle spielen. Im Video werden Leberenzyme wie GGT, AST und ALT verwendet, um Leberfunktionen und mögliche Leberschäden zu beurteilen. Der Sprecher geht auf die Bedeutung dieser Enzyme ein und wie ihre Erhöhung auf Probleme in der Leber hindeuten kann.

💡Lymphozyten

Lymphozyten sind ein wichtiger Bestandteil des Immunsystems und werden im Blutbild gemessen. Im Video erwähnt der Sprecher, dass Lymphozyten normal sind, was darauf hindeutet, dass das Immunsystem möglicherweise gut funktionsfähig ist. Lymphozyten sind ein wichtiger Aspekt bei der Beurteilung des allgemeinen Gesundheitszustands.

💡Monozyten

Monozyten sind eine Art von Leukozyten, die bei der Abwehr von Infektionen eine Rolle spielen. Im Video wird erwähnt, dass Monozyten leicht erhöht sind, was auf eine mögliche Infektion oder Reaktion des Körpers auf Stress hindeutet. Der Sprecher diskutiert, wie Monozyten bei der Analyse von Blutwerten betrachtet werden sollten.

💡Thrombozyten

Thrombozyten sind Blutzellen, die verantwortlich für die Blutgerinnung sind. Im Video erwähnt der Sprecher, dass Thrombozytenwerte gut aussehen, was darauf hindeutet, dass die Blutgerinnung normal funktioniert. Thrombozyten sind ein wichtiger Aspekt des Blutbilds, der bei der Beurteilung von Blutungs- oder Gerinnungsstörungen betrachtet wird.

💡Blutzucker

Blutzuckerwerte sind ein wichtiger Indikator für den Stoffwechselzustand einer Person. Im Video erwähnt der Sprecher, dass Blutzuckerwerte normal sind, aber auch, dass zufällige Blutzuckertests möglicherweise weniger aussagekräftig sind. Blutzucker wird bei der Beurteilung von Diabetes oder anderen Stoffwechselproblemen gemessen.

Highlights

介绍如何分析血液检测结果，分享个人分析方法，并提供初学者如何开始的指导。

强调随着经验的积累，能够更快地识别血液检测结果中的模式和数值。

讨论了性别如何影响血液检测结果的解读，例如血红蛋白水平在男性和女性中的正常范围不同。

指出红细胞计数偏高可能与脱水有关，并探讨了其他可能的迹象。

分析了钠和钾的水平异常可能指示脱水或其他健康问题。

解释了尿素水平对于评估蛋白质摄入和代谢的重要性。

讨论了碱性磷酸酶水平低可能与锌缺乏有关。

分析了肝脏酶水平升高可能指示肝脏负担或脂肪肝。

强调了甘油三酯水平与肝脏健康之间的关联。

指出随机血糖测试的局限性，并建议更全面的血糖评估。

讨论了钠和钾水平异常可能与肾上腺功能不全有关。

提出了实验室错误或血液样本溶血可能导致某些血液检测结果异常。

建议在解读血液检测结果时考虑病人的整体症状和健康状况。

强调了在血液检测解读中考虑过去的检测结果和模式的重要性。

讨论了如何通过血液检测结果识别可能的脱水迹象。

分享了如何通过血液检测结果识别肝脏问题，特别是脂肪肝。

提醒读者在解读血液检测结果时要注意检测条件，如是否空腹。

总结了血液检测解读的步骤，包括识别模式、评估可能性和考虑病人症状。

Transcripts

okay guys so I've had a few people ask

about where to start with analyzing

blogs or how I do it so I'm going to

show you guys how I do it now the way I

do it has changed over time uh and I

guess I'm at a point where I know the

values off the top of my head I know

patterns I'm looking for so it's going

to look a little bit different if you're

starting out so I'm going to go through

show you guys kind of how I do it and

then give you guys some ideas as as to

how you might start off with this if

you're not at this stage yet

um

apology I'm losing my voice so I do

sound a little bit after one day I

decide to make a videos one day I start

losing my voice of course

um so here I've discussed some some

Bloods these are just some random Bloods

um it's not the most comprehensive of

all time there's a few few panels were

missing but it's enough for me to give

you guys a bit of an idea so initially

what I would do is I would just work

through it and I essentially like can't

I speak it out loud as what I see going

on so this is a male that's about all I

know at this point

um and so some of these values are going

to be dependent on on gender so you can

see hemoglobin for a man these are

within normal values if there's a female

this would be elevated so hemoglobin

normal we can see red cell counts

sitting a little bit in the high and

most of these dread style markers are

looking within Optimum values except for

what I just mentioned white blood cells

these are pretty good as well so

neutrophils good lymphocytes good we can

see monocytes sitting a little bit High

ideally you want to see them below 0.5

but that's not too much much it sort of

feels they're looking okay best of

Phil's fine platelets looking pretty

good as well so we're not seeing a whole

lot we can work off here with regarding

white blood cells with the exception of

red cell count being high maybe that's

dehydration we'll see if we get any more

other Clues towards that but hemoglobin

was fine so we're not getting a lot of

info

then we've got sodium now that's

relatively low 136 and we see obviously

this inverted thing going on with

potassium being pretty elevated 5.2 so

that's pretty significant so I want to

see potassium below 4.5

um so it's it's definitely you know

fairly High quadrides fine bicarbonate

sitting a bit in the low end

well 22 is relatively low I want to see

between 25 and 30. uh urea so this is

where we need to look at the person in

front of us so this person is not overly

active this person is not eating an

amazing diet and they are you know not

in the gym and so I like to see urea up

to close to that seven Mark but this is

a reflection of protein of amino acid

metabolism essentially a case of protein

digestion how much someone's eating

this is probably a little bit higher

than I would expect given someone who

isn't eating an amazing diet and not in

a gym and not sort of conscious of that

so even though it's within optimal

values technically I'm looking at this

and thinking 6.7 does that make sense it

might be sitting a little bit higher

than I would expect now urea obviously

that can be a sign of things like

dehydration as well

elevated potassium could be a sign of

dehydration but I wonder if there's

something else going on there so now

we've got urea High we've got dread cell

count high okay it looks like there

could be a bit of dehydration going on

they keep going cut name again 90. I'm

well and truly happy to stay in at 90

but for someone who's not lifting

someone who who doesn't maybe carry a

lot of muscle mass is a potentially

higher than I'd expect probably a little

bit uh and so again it could be

confirming what we suspect is going on

from a hydration standpoint

agfi I think is relatively useless

Market as I've discussed in the past uh

uric acid calcium these are all looking

fine

then we've got liver markers so alkaline

phosphatase ideally I want to see it

above 65 51's relatively low it is a

zinc dependent enzyme so now it looks

like we've got some zinc issues going on

so potentially some some zinc issues

maybe a little bit of dehydration

something funny going on a sodium and

potassium and then we've got this so ggt

I want to see that below about 24 25 I'm

not too worried about but 125 that's

certainly quite High

so ggt very very high

LDH I want to see it below 200 this is

pretty high as well

AST 28 and alt-44 so all our liver

enzymes through the exception of

alkaline phosphatase are elevated

now this gives us a lot of info because

AST and LT

they're a little bit High you know we

want to see these both of these closer

to that 20 lower 20 Mark 25 alt so you

know we're certainly sitting a bit high

but

it's not like it's a hundred points high

like ggt so AC and LT what are these

reflection of well they are mostly found

in the liver it would tell us if there

was you know significant liver burden

liver damage

but in the case of that would we expect

to see

ggt as high as it is probably not

where's ggt found well it is found in a

gallbladder so maybe if there was

gallbladder dysfunction we could see ggt

elevated AST and ALT elevated they're

all found in the biliary tree

so it could be that well maybe but is

alkaline phosphatase found in the

gallbladder as well it is so we would

expect to see Alp higher then as well

and we'd probably expect to see

bilirubin Elevate in that instance as

well

so it doesn't look like it's strictly

liver per se but it also doesn't look

like it's gallbladder because Alp and

bilirubin aren't aren't High

so what else could it be well

another option would be fatty liver with

the ggt is elevated as it as it is and

certainly could be possible

with with fatty liver we would expect to

see AST and LT a little bit elevated but

probably not significantly so certainly

not as high as ggt so that's sort of

fitting the bill so far the LDH it's a

bit of a wild card LDH it's it's not

liver specific it's found in in red

blood cells also the body it could kind

of be a sign of anything I'm going to

come back to LDH but we see ggt really

high we're starting to suspect maybe

there's some fatty liver going on

what can we compare to to see if that

could be an issue well triglycerides is

probably going to be the next best

option to compare to so if we keep going

Alderman look it's pretty good

it's certainly within optimal values

globulin touch higher I'm not too

concerned about that cholesterol well I

would count that within optimal values

4.2 to 6.2 for a younger man that looks

pretty good to me 5.6 I'm not concerned

triglycerides here we go 1.7 look it

certainly could be higher but it's a lot

higher than I would like I want to see

it below that 1.0 Mark so now we're

seeing an elevator triglycerides and a

very elevated ggt

this is starting to make a little bit

more sense of that fatty liver pattern

glucose is normal but this is a random

glucose test it's on a fasting glucose

test I would argue we're going to get

very very little actionable information

for me random glucose tests I wouldn't

base too much off that

so now where are we at well we can see

there's probably a little bit of

dehydration going on

not a whole stack of exciting stuff

going on with white blood cells but we

see something funny with sodium

potassium and we see what looks like I

would say fairly clear fatty liver

pattern

now that has an antidisodium potassium

and LDH question whatever LDH is here

somewhere

so what would cause sodium to be low in

potassium to be high normally they're

both going to be higher both going to be

low together

so if one's low and one's High well a

low sodium we could see that with

something like low aldosterone so

someone had what we would usually in the

past refer to as adrenal fatigue well we

could see that

with that instance hypo General function

we might also expect to see glucose low

well we're not really seeing that but

again random glucose test is not the

best measure of all time

so it would be easy to look at this and

say well I think it's adrenal fatigue

and it could be

but it still doesn't make sense of the

high LDH

now I'll be honest this is tricky I'm

not exactly sure what the answer is here

but I think there's two viable

explanations one is what we are seeing

the sodium low in potassium ISO could be

adrenal issues but the potassium is 5.2

is probably higher than I would expect

the other explanation which I've touched

on in the last few weeks would be there

could be a lab error and if there's lab

area what do you like in in by that I

mean hemolysis so there could be

actually damage of the red blood cells

in the in the process of taking the test

and that instance what we would expect

to see would be potassium elevated

beyond what we would normally expect

and LDH elevated beyond what we would

expect

so that looks like it's a possibility as

well

but it wouldn't explain the sodium being

low

so we've got a couple of options here

and what I would normally do here is is

one or two things I would either say hey

do you have past blood tests we can look

at

and in that instance we would hopefully

see is any patterns here sodium and

potassium being out or LDH being out

because the LDH look it's plausible that

this could be elevated due to whatever

else is going on a fatty liver but I

wouldn't expect it to normally be that

high

so I would hopefully see if we have any

past blood tests if someone was super

eager or Keen they could go and get a

new blood test but most people aren't

overly excited of that notion

or the other option is we then look at

symptoms we try to get an idea

who would this be like which would make

the most sense here and say they were

experiencing things like more

hypoglycemic Tendencies maybe they were

like craving salt a lot

you know there are things that made

sense of adrenal hyper function well

then what I'd say is I wouldn't nail my

colors to the flag and say it's

definitely that but I would give them

some some support in case it is that so

I would give some blood sugar support

and we should do that anyway we see

there's a zinc issue going on with the

Alp

some zit like zinc is quite beneficial

from a blood sugar standpoint we see

obviously this liver congestion pattern

going on supporting blood sugar from

that standpoint will be beneficial so

that way we can look at and say well

what are some multi-faceted

interventions we can do which if it was

hyper General output would be beneficial

anyway

so that's what I would normally do is

take an approach which would kind of be

beneficial regardless of if it is that

issue or it's not just in case if

there's a couple of obvious things

coming up

um we do have another panel here I know

this we've got cholesterol triglycerides

here anyway so it doesn't necessarily

add a whole lot to the picture but I

thought this was quite interesting

because

if you look closely you can see that

actually these were done about a year

apart each okay and so this is the

newest one this is the oldest one if you

look at this you look at it let's say

triglycerides because that's the one

that's frustrated the most you look at

it and you say well things were 1.4

they're now 1.4

but in the Middle look at that a year

ago they were 2.2 man that got real bad

so we look at that we're like hey this

is this is way better than it was this

guy's doing something good yeah or

alternatively imagine if you were the

practitioner and you started working

with them here

and then six months later they get this

blood test

and you're like oh crap your

triglycerides have almost doubled what's

going on like what we're doing is not

working

looks like fatty liver has gotten worse

you know this is this is not going to

plan

but look how stupid this is non-farsity

samples are now accepted for lipids

so this test was done not faster

and these two tests were done fasted so

how well can we compare triglycerides

which is heavily influenced by when you

ate a fatty meal in a faster state to a

random State well we can't so I would

say this test is nullified we're not

going to use this test and so we need to

be aware of that because again it could

lead us on the Garden Path and make us

think what we're doing is not working in

the same way that if we had a glucose

test that was random it was high or was

low we might think what we think is not

working but it doesn't necessarily mean

that much

and this is a change I've only seen the

last couple of years where doctors are

starting to there's there were some

guidelines put out saying that actually

you don't need a fast or lipid markers

so so now doctors often are doing that

so I just wanted to flag that because

it's something we needed we always need

to look at some of the other notes in

the blood test is it fasted sometimes I

tell you if a molasses has occurred but

unfortunately this lab didn't report

that so you always want to keep a eye

for what other information we get now

that's the way I I do this so I just

work top to bottom I just sort of speak

out what I see and then and then try to

come up with what makes sense of all

these things we're seeing which in here

I think was fairly simple we're seeing

liver congestion we've got some zinc

issues and we've got a little bit of

dehydration most likely

sometimes it's going to be more

complicated ones

um but that's a point for another day

now if you don't know the values of the

top of your head and sort of not you

know confident in doing that well to

regress it all I'd say is go through the

markers one by one and simply write down

what is high and what is low

and you might want to check the actual

values next to it if you want to have

you want to do this and then when you've

done that then and obviously in the in

the in the notion page I've got some

different patterns uploaded there then

you can start to go through these and

you can start to look at patterns right

so you click into red cell count and you

see well what would cause that to be

high and I'll list you know obviously

there's a few things listed that'll

close that to be high and one of those

would be dehydration then you can see

with the other dehydration patterns are

and you can compare what was what was

urea or bun what was creatinine and then

you can start to get an idea of if that

could be going on but you'll see

obviously in this case

It's tricky to pick up because the other

dehydration markers weren't obvious yeah

so sometimes it'll it'll be it'll be a

little bit more difficult than others

um some of these patterns like I said

look a little bit more obvious sodium

potassium

that looks a lot more obvious like a

um adrenal hyper function pattern and

then the ggt high

and triglycerides High obviously that's

going to come up as a fatty liver

pattern that I think I've discussed

we'll often see ACN alt a little bit on

the high end as well

so you can start to compare back to

patterns and be like well what things

match up here and then when you've done

that I'm just going to call this liver

congestion

then when you've assessed you've written

down what you see going on you've

assessed what the patterns are

Etc

then what you would do

is

or what I would do

my size only marginally elevated I'll

choke the hydration here okay they're

the things that seem to be going on

so then what you'll do is you're going

to take this and you're going to go look

at the person okay you're going to look

at the symptoms they've ticked in and I

guess try to ascertain does this make

sense

and you know let's say they're

spit and healthy weight and they don't

drink alcohol and they eat a you know

really good diet

and we're seeing this well does fatty

liver make sense

maybe but what due diligence can we do

well we can firstly make sure they

didn't exercise before the test because

that would cause a is T and LT to be

elevated we can make sure that it was

done faster even though it said it was

we could always double check hey how

long ago did you actually eat your last

meal before the test

and we could also ask like again what

else would cause these markers be

elevated potentially an infection so we

can ask hey how are you feeling in this

point it doesn't look like we're seeing

infection however at the end of a viral

infection we could see monocytes a

little bit high so is a possibility that

you just got an over viral infection

and then we can we can ascertain whether

there could be any com confounding

variables there so

that's what I would do is is look at the

patterns look at the person look at the

symptoms and try to sort of ascertain I

suppose what's most likely based on all

those factors

um

I think I'll pause there that's

hopefully that gives you guys a bit of

an idea as to where I start

so again simply by writing down what you

see that's out looking for what patterns

show up and then and I really think this

there's two points I want to make here

that are very important one is

the patterns there's there's obviously

multiple things that can cause different

patterns so for example I've mentioned

hemolysis and how that could have been a

possibility here with you I didn't I

don't think I wrote earlier oh yeah dude

that could have been a possibility here

with the very high LDH and the Fairly

high potassium

so

we always we don't want to look at

something and say Well it because it fit

that one pattern it's definitely that

there's always possible other patterns

so what we want to do is we want to look

at all the possibilities and then we

want to ask ourselves what's the most

likely explanation based on that person

and I think that's where a lot of people

get it wrong they look at the patterns

they say well here we go it's a general

hyper function

or it's molasses

well yeah maybe

but what makes most sense let's look at

past blood tests if in the past blood

test potassium is high in every single

past blood test

is it likely that it was a lab mistake

well probably not if it's happening over

and over again and I've seen this like

I've honestly I've seen doctors

do blood tests and someone will have the

same marker elevated for five years in

five different tests and the doctor will

point to it and say oh don't worry about

it it was a lab mistake it's like how

the heck is that a loud mistake if it's

happened five times in a row so we want

to ask ourselves what's most likely and

then the other point I want to make here

is you'll notice some of these things I

didn't make much of a deal out of

monocytes though a relatively marginally

elevated like though they weren't

significant right

I even mentioned urea which technically

was an elevator but it was close so

sometimes as markers like you know this

was really elevated

this was really elevated this was really

elevated but some of these things not so

much globulin

that was

marginal you know one point above what

I'd like to see

and an issue that I see a lot of people

fall into when they start doing blood

work interpretation is they do look at

it just like this and they say well this

is high therefore it has to be explained

by a pattern and and they'll come up

with things like you know let's say

monetize as an example being an

inflammatory marker white blood cell you

know I see people do blood work

interpretations in a white blood cell

might be a slightly speed elevated and

they'll come back into a cancer it's

like well hold up like we're not talking

a doubling in lymphocytes so we're not

talking heart like we're talking a

couple of points above or below optimal

so we need a we need to be matching up

like this severity or the the you know

extent to which that Mark is influenced

with the likelihood of those things

causing that that change and that does

that is difficult because some markets

will only change a little bit and some

markets will change a lot you know so

again like a 0.6 0.6 different monocytes

I'm not overly concerned however if we

look at you know a marker like basophils

well a 0.1 difference in battlefields is

pretty significant

so that unfortunately does take time to

develop

um but you know there are some markers

that a little bit doesn't mean a lot

um and somewhere a little bit does

actually mean quite a lot so that's

something that is again it is a bit of

an experiential thing but it is an

important lesson to learn over time as

well

hopefully that gives you guys a little

bit of an idea as to where I started and

where maybe you can start as well

um and if I get a lot of feedback on

this I might do a part two