Labstories exists to help you understand your labs and optimize your health. Because of the direct-to-consumer lab movement, there are now thousands of health conscious people who have their results, but don't what they mean or how to make them better! If that's you, welcome to Labstories, where we help you understand your labs and optimize your health. This podcast will tell stories about the CBC, CMP, A1c, testosterone, estrogen, cortisol, urinalysis, adrenal hormones, and much more! In each episode we bring a lab to life with a story, clarify the most common abnormalities, teach you what matters, what doesn't, and show you how to move from the red to the black. I'm your host Dr. Tom Schexnaildre. Let's go!
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In this episode I discuss:
The anatomy of the kidney, BUN, Creatinine, Cystatin C, causes of acute kidney injury and chronic kidney disease, and my timeless top strategies for reversing CKD, improving hypertension (high blood pressure) and optimizing Health!
To reverse CKD, focus on reversing the top 2...
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Bicarbonate is the body's main buffer system. Just like the 1900's era industrial revolution pollution management...except better!
Acid Base Equilibrium Equation: H2O + CO2 <> H2CO3 <> HCO3- + H+
Anion Gap Equation: Na - (HCO3 + Cl) = Amount of unmeasured anions
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Potassium is exciting! Tune in to this episode to easily understand potassium homeostasis, common causes of it being high or low, why supplementing with magnesium is important if you are potassium deficient, and more!
All using a nuclear reactor analogy...
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Key points:
Sodium is the primary determinant of plasma osmolality (saltiness).
The kidneys are very precise when dialing in your plasma sodium.
When Na is abnormal on routine labs, medication lists MUST be investigated, as medications are often the culprit.
Low sodium and high sodium cause fluctuations in intracellular water, which can be dangerous, especially if Na...
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CBC, CMP, A1c, Fasting Insulin, Lipid panel, Apo B, Lp(a), Testosterone, Uric Acid, Ferritin, hs-CRP
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This is not medical advice an...
Structure Mens Health is my private medical practice where I work 1:1 with men as a doctor to help them optimize their health.
We use telemedicine, advanced labs, DEXA scans, and VO2 Max testing to get a full picture of health and develop a plan to improve it. That's it!
If you are a man looking to improve your health and live in Alabama or Louisiana (more states coming in the future), go to www.structuremenshealth.com and let&...
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Hormones function EXACTLY like a good military command structure. In this episode I use a D-day analogy to illustrate hormonal concepts and follow that with an overview of testosterone: how it's produced, what it does, what happens when it's deficient, and how YOU can decide if TRT is right for you.
This is NOT medical advice!
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Join me as I use a WW2 / D-day story to explain the cholesterol transport system then define all the players (Lipoproteins, apolipoproteins, cholesterol synthesis, the 7 components of the lipid panel) and finish with a discussion on statins, insulin resistance, and health optimization.
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This podcast and the opinions expressed herein do not constitute m...
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Send me any questions you have!
Tomschexnaildremd@gmail.com
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This is not medical advice and is for information purposes only. Listeners should not delay i...
Magnesium is the most important mineral in the body. In this episode, I don't just repeat everything I've ever asked Grok on X, but give you a more complete chemical understanding of magnesium. Here's to understanding your labs and optimizing your health!
Magnesium repletion plan:
1. High Magnesium Foods - pumpkin seeds, avocados, >70% dark chocolate
2. Supplements - GREAT ones listed be...
The second most commonly ordered tests in healthcare are metabolic panels. These are either basic (7 tests) or comprehensive (12 tests) and give an overview of electrolytes, kidneys, liver, and glucose.
They are smoke signals in disease detection and monitoring.
What did you find helpful about this episode? Please leave me a comment!
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The hemoglobin A1c (I consider) the MOST IMPORTANT metabolic health test. In this episode of labstories, I'll tell you what it is, what it means, and how to improve yours (AND reverse diabetes, improve blood pressure, lipids, obesity, etc!)
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#A1c #hemoglobina1c #weightloss #obesity #healthoptimization
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What are platelets? What do they do? In this episode of Labstories, I'm going to use a really fun city emergency story to teach you all about platelets! These are audio tracks from the corresponding YouTube video, which you can find linked below. It has graphics, charts, and more text to help you understand all about platelets!
Let me know what you think about this format, and let's connect on social media!
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Ferritin is the body's iron storage protein produced by the liver. It is more than just a static iron warehouse, though. It's a dynamic iron buffer that responds to changes in the body. That helps keep you alive, but makes the diagnosis of high ferritin very frustrating! Low ferritin is specific for iron deficiency, but high iron can be many things, including iron overload, infections, inflammation, and cancer! The stepwi...
Red Cell Distribution Width!! Learn what RDW is, why it may be abnormal, and what you can do to fix it. RDW has been traditionally used to differentiate the causes of anemia, but a new study has shown it to be PREDICTIVE of death, cardiovascular disease, and strokes INDEPENDENT of anemia!
The most common causes of abnormal RDW are anemias, including iron deficiency and nutritional anemias B12 & Folate Deficiency. BUT... el...
Folate (Vitamin B9) is a class of water-soluble B vitamins. Folic acid is the inactive, oxidized, supplement form of Folate. Tetrahydrofolates are the active forms. Our bodies must convert Folic Acid to the Tetrahydrofolates to be used. Folates function in 1 carbon metabolism, or methylation. I refer to methyl groups as cash money in the body's economy. They are used in DNA synthesis and many other processes. DNA synthesis is ...
Hematocrit is a red blood cell test. It tells you how much of the blood volume is occupied by red blood cells. Blood has 2 main components: cells and plasma. There are 3 ways to measure hematocrit conceptually, by measuring the height of red blood cells in a centrifuged tube of blood, by multiplying red blood cell count x MCV, and by using the rule of 3's. The most common cause of low hematocrit is anemia. High hematocrit is c...
Hemoglobin! Learn what hemoglobin is, what causes low hemoglobin, what causes anemia, what the symptoms of anemia are, how to fix anemia, as well as some good nutrition and supplement recommendations! Hemoglobin has 3 parts: Iron: heme, globins, and iron. It is the most important protein in the body, the main component of red blood cells, and carries oxygen from the lungs to the tissues using iron. Low hemoglobin is anemia. The mos...
Red Blood Cells are the most numerous cells in the body, with around 25 trillion floating around at any given time. They carry oxygen. They are measured on the complete blood count in 7 ways: Red blood cell count, hemoglobin, hematocrit, MCV, MCH, MCHC, and RDW. Hemoglobin is the most important red blood cell measure, and it determines whether or not you have anemia. You can diagnose different causes of anemia based on the mean cor...
Mean Corpuscular Volume (MCV) Explained by a Doctor in 4 Minutes!
MCV is the average amount of space a red blood cell occupies. Red blood cells are made by the bone marrow using a standard recipe. They aren't clones, but are usually about the same size, between 80-100 femtoliters. When the recipe goes wrong (lack of iron, B12, folate, or other ingredients) the red blood cells come out all different shapes and sizes! Since...
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