4 ms·

I think a lot of people are aware of prolactin because a lot of overweight men have manboobs and don't want them. But up to you, at least you're testing liver

I think a lot of people are aware of prolactin because a lot of overweight men have manboobs and don't want them. But up to you, at least you're testing liver and cholesterol -- not everyone can say that. I listed it first because if someone would only agree to test one thing and nothing else, I think it should be prolactin. Well the suggestion wasn't for me personally, it was for people doing keto. My contention is that if any of those numbers are off, they're probably wrong or missing something about keto. Interesting pts on the thyroid stuff, I'll have to think about it

lhl 7y ago
OK, so I haven't done much research on this particular issue, but lets say you have an issue with gynecomastia - this presents itself as a fairly obvious physical symptom. Does prolactin measurement change either your diagnosis or the intervention - eg, does it tell you anything you don't know beforehand or change how you would correct the issue? Personally, if we're talking about single markers, I think fasting insulin is the one I would pick because it does fulfill those criteria - it gives you a 10y+ lens before other markers do on diabetic pathophysiology (which now affects 80%+ of American adults) and also give you guidance on how to treat/how effective your interventions are. The negative is that there is no home test (yet, this is being worked on by some people), so it's not as good as something that can be measured more often/continously. Everyone who gets an annual physical/bloodwork should be getting their liver numbers (at least AST/ALT, although in the US GGT is not standard) with their CMP, although most people (clinicians too) don't really understand what they mean. I like this presentation on liver markers btw: A/Prof. Ken Sikaris - "Fatty Liver & Chemical Pathology." https://www.youtube.com/watch?v=2c_QYbCxC6g https://www.youtube.com/watch?v=2c_QYbCxC6g. It's also important to get these sequentially to see what the actually progression is (the time frames are usually not captured since people tend to get these tests once a year at most). A basic lipid panel is cheap and is somewhat useful for diagnosing gross dyslipidemia but it's worth noting that it's also much more mobile than most clinicians believe: Grant, Azure D., and Gary I. Wolf. “Free-Living Humans Cross Cardiovascular Disease Risk Categories Due to Daily Rhythms in Cholesterol and Triglycerides.” Journal of Circadian Rhythms 17, no. 1 (April 24, 2019): 3. https://doi.org/10.5334/jcr.178 https://doi.org/10.5334/jcr.178.

lhl 7y ago

OK, so I haven't done much research on this particular issue, but lets say you have an issue with gynecomastia - this presents itself as a fairly obvious physical symptom. Does prolactin measurement change either your diagnosis or the intervention - eg, does it tell you anything you don't know beforehand or change how you would correct the issue? Personally, if we're talking about single markers, I think fasting insulin is the one I would pick because it does fulfill those criteria - it gives you a 10y+ lens before other markers do on diabetic pathophysiology (which now affects 80%+ of American adults) and also give you guidance on how to treat/how effective your interventions are. The negative is that there is no home test (yet, this is being worked on by some people), so it's not as good as something that can be measured more often/continously. Everyone who gets an annual physical/bloodwork should be getting their liver numbers (at least AST/ALT, although in the US GGT is not standard) with their CMP, although most people (clinicians too) don't really understand what they mean. I like this presentation on liver markers btw: A/Prof. Ken Sikaris - "Fatty Liver & Chemical Pathology." https://www.youtube.com/watch?v=2c_QYbCxC6g https://www.youtube.com/watch?v=2c_QYbCxC6g. It's also important to get these sequentially to see what the actually progression is (the time frames are usually not captured since people tend to get these tests once a year at most). A basic lipid panel is cheap and is somewhat useful for diagnosing gross dyslipidemia but it's worth noting that it's also much more mobile than most clinicians believe: Grant, Azure D., and Gary I. Wolf. “Free-Living Humans Cross Cardiovascular Disease Risk Categories Due to Daily Rhythms in Cholesterol and Triglycerides.” Journal of Circadian Rhythms 17, no. 1 (April 24, 2019): 3. https://doi.org/10.5334/jcr.178 https://doi.org/10.5334/jcr.178.