If anyones interested this is the official bloodwork lecture. From John Jewett J3 University course.
LAB WORK
Every 3 months BLOODWORK.
PRE BLAST and POST BLAST.
8 - 10 hour fast.
No exercise 48 hours prior to testing.
Get hydration 40 - 60oz fluid prior to test.
Lab work to Assess
Comprehensive Metabolic Panel (CMP)
(electrolytes, BUN, creatinine, Glucose, albumin, total protein and bilirubin, ALT, AST, ALP, Calcium).
Complete Blood Count (CBC)
(hemoglobin, RBC, Hematocrit, WBC and differential, Platelet Count)
Lipid Profile:
(LDL, HDL, total cholesterol, Triglycerides) Thyroid Panel: TSH, FT4, FT3, Reverse T3
Hormone Panel:
Testosterone total, Estradiol, SHBG Female: DHEA-S, Progesterone
Additional Add on:
Serum 25 OH Vitamin D Fasting Serum Insulin Hemoglobin A1C C-Reactive Protein
GGT
Cystatin-C
Prostate Specific Antigen
Cardiovascular Testing
Cardiac CT Calcium Score
X ray of chest to determine level of calcified plaque in coronary arteries
Calcium score is generated and is prognostic tool for cardiovascular event risk
Benefit: convenient and noninvasive evaluation of heart attack risk Young individuals might still be at risk even with a low calcium score
Echocardiogram
Ultrasound to map shape and function of heart
Can check cardiac size, wall thickness, pumping ability, proper valve function.
Noninvasive
Blood Pressure Self Monitoring
High blood pressure is a silent killer for bodybuilders.
High body weights and increased PED usage drive up blood pressure
Increased risk of Heart attack/stoke, heart failure, kidney failure
Normal Blood Pressure: below 120/80mmHg
Elevated Blood Pressure: systolic 120 to 129mmHg, diastolic <80mmHg
Stage 1 Hypertension: systolic 130-139 mmHg, diastolic 80-89 mmHg Stage 2 Hypertension: systolic >140mmHg, diastolic >90mmHg
Monitor every other week
LifeSource Upper Arm Blood Pressure Monitor with Extra Large Cuff
Blood Glucose Self Monitoring
Natural athletes monitor glucose and A1c on lab work 1-2 per year
Might be useful if suspect of adrenal issues
Enhanced athletes using HGH and insulin need to monitor weekly
Chronically elevated blood glucose can lead to insulin resistance and Diabetes.
Blood glucose trending upward leads to inflammation, poor gut health and nutrient uptake, increased visceral fat gain, poor nutrient partitioning.
Fasting Blood Glucose
Taken first thing AM after 20-30oz water, ensure good sleep prior Normal: 70-99mg/dl
Diabetes: >126mg/dl
Optimal: <90mg/dl
Glucometer and testing strips available at any pharmacy
Resources
Llewellyn W. Anabolics. Jupiter, FL: Molecular Nutrition LLC; 2017.
Mastenbjork M., Meloni S. Lab Values 2nd edition. David Anderson; 2018.