Why Bloodwork is NOT Enough
It is an awkward sight to walk down the street and see someone using a payphone or pager today. This is largely because the mobile phone has made these technologies obsolete. Technological advancements in the healthcare space are no different. We now have ways to measure what part of the brain lights up given a certain stimuli or perform surgery using small incisions and robotic arms.
Given the progression of many technologies in healthcare, bloodwork has remained almost unchanged for decades. We have a few new markers but many of these markers don’t fluctuate until a degenerative or disease-based process has already been under way.
Our most significant health worry centuries ago was infectious disease. Today the leading causes of death are chronic disease based – diabetes, heart disease, Alzheimer’s disease, and cancer top the charts. One fact is becoming more and more evident – you can’t always use the same tools to measure functional health and disease.
Don’t get me wrong, blood testing is still very helpful and I encourage my patients to get regular testing done. However, the definition of “health” is not the absence of symptoms. For this reason, the definition of health can’t possibly be quantified by an absence of “out-of-range” blood markers.
Here is a great case example of someone who had “perfect” blood work despite her current diagnosis. Meet Andrea, a 46 year old female with a diagnosis of progressive multiple sclerosis for approximately 8 years. Her presenting symptoms included an inability to walk without help (presented in wheelchair), poor balance and poor strength, and urinary urgency.
Here is her blood-work below:
If someone had just sent me Andrea’s bloodwork (without any history), I would have never expected her to be in my office. She had very comprehensive bloodwork done – far more detailed than the average patient gets done yearly. Everything is in range and looks near perfect.
After meeting with Andrea, I wanted to get a deeper look into her functional health status. She performed a test called an Organic Acids Test which looks at cellular function, liver function, brain chemistry, and gut overgrowths. What I saw floored me and showed me a missed component of her case and a large area for room for improvement. It also became increasingly evident that bloodwork for many of us is simply not enough.
Here we have Andrea’s mitochondrial function from her Organic Acids Test. Under her carbohydrate metabolism we can see that she is not metabolizing the carbohydrates she is consuming. This is a sign of insulin resistance – a potentially pre-diabetic process that can be detected months to years prior to blood sugar fluctuating on blood work. On her bloodwork, her HbA1C was tested which is a measure of a patient’s blood sugar levels over approximately 8-12 weeks. Andrea had a perfect reading at 5.1 which indicated she was nowhere close to the diabetic range. Yet on her Organic Acid’s test we saw how significant this really was with L-Lactate accumulating to 152.6 (should be less than 8.5).
What we also see under Energy Production is a substantially sluggish mitochondria (our cellular energy power plants). All 8 markers in this section form an assembly line in your cells called the Citric Acid Cycle. The purpose of this assembly line is to make energy. We can see 7 of 8 workers on her assembly line are letting the work pile up on their desk and ultimately, impacting mitochondrial function which is needed for proper muscle function, strength, and overall energy.
Above, we see significant levels of bacterial overgrowth in her intestinal tract. These overgrown organisms can steal nutrition and can help explain all of the deficiencies that were found in the earlier Mitochondrial Function section.
While every case is a unique, we see this pattern in many patients. This test not only allows one to find what amount of therapeutic levels of nutrients are required to influence certain processes but also functions as a preventative screening tool.
If you have been struggling with health challenges and have tried many diet and supplement interventions with little success, functional testing can be a powerful tool to discover your blindspots and achieve great health.
More about the Author: Dr. Ricky Brar
Dr. Brar understands how crippling poor health can be and the physical, mental, emotional, and financial burden of feeling unwell. His passion is to empower and guide as many patients as possible to get back their health and live the life they were meant to live.
Dr. Brar has worked with hundreds of patients, delivered many powerful talks, wrote a best-selling book, and has also mentored hundreds of practitioners in clinical protocols and outcomes.
In his spare time, Dr. Brar enjoys being outdoors in nature, playing hockey, and furthering his (average) guitar playing skills. He also loves to advance his own well-being by spending time researching the latest news in functional medicine, fitness, mindset, and nutrition.
Repeat after me: I cannot control what is happening around me but I can always choose to control how I respond to it. These are indeed some of the most interesting times many of us have lived through and despite what the media tries to feed us, we don’t...read more
There are only two emotions: love and fear. All positive emotions come from love, all negative emotions from fear. From love flows happiness, contentment, peace, and joy. From fear comes anger, hate, anxiety, and guilt. It's true that there are only two...read more
Last week, I was driving my nine-year-old son home from school when he started asking me questions about the coronavirus. There’s been so much hype about it at his school and let’s be honest almost everywhere we look we see another fear-instilling message...read more
I distinctly remember when I met a patient of ours last year “M”: a young woman that was struggling to make it through doctoral school due to her anxiety, her exhaustion, her brain fog and her body’s unpredictable habit of fainting on the spot. All of these issues...read more
About the Author: Dr. Ricky Brar
Dr. Ricky Brar is a Certified Functional Medicine Practitioner, best-selling author, speaker, and clinical mentor. His passion for Functional Medicine began with his own journey at the Living Proof Institute.
After working with over 10 practitioners over his 14 year journey, he arrived at the doorsteps of Living Proof Institute exclusively as a patient. Within a short period of time, his health transformed and the chronic digestive challenges and mental health symptoms that plagued him resolved completely. What surprised Dr. Brar the most was the radical difference in the Living Proof approach – he was looked at like a human being and the goal was to make him healthy in all areas, not just the previously diagnosed ones.
Our Mission at The Living Proof Institute is to address the root cause of your health issues and restore your health and vitality. Through partnering and education, you will receive the tools and direction to live an extraordinary life.
When I first started at the Living Proof Institute, I was very skeptical, having already gone through several different practitioners, from Naturopaths to Holistic and Chinese Medicine, doing all the right things, only to have my worst symptoms continue for a year.. So when I was referred to LPI, I thought, what do I have to lose?
Now I cannot speak highly enough of LPI! LPI helped me enormously in my healing and journey to better health. With their thorough and detailed tests- unlike any I have ever done before, their nutrition plan, and suggested supplements tailored for me, my abdominal pains and other symptoms I suffered for years gradually went away.
Even my doctor was impressed with how much my inflammation markers went down. I’ve learned so much from LPI’s ground-breaking research and their ongoing knowledge of the latest and most effective therapies. What also sets them apart was the way they took the time to listen to me and understand my history of symptoms and my unique needs, helping me think about my lifestyle and mindset and how everything interplays and affects my gut health.
Thank you to the knowledgeable and dynamic LPI team for their tremendous support in helping me heal and getting my life back with a healthier and happier gut! #ForeverGrateful #EssentialsProgram!