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Therapeutic Management:

Functional Blood Tests

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Functional Blood Chemistry Analysis

Functional Blood Chemistry Analysis can be defined as the process by which complex and comprehensive blood biomarkers are organized, analyzed and interpreted to provide a comprehensive assessment of the state and trends of the main body systems, the supporting body accessory systems, along with the status of nutrients and trends towards and away from clinical dysfunction.


WHY BLOOD TESTING?

Blood has a lot to tell us about our state of health and the blood chemistry and CBC / hematology test is the most commonly ordered medical lab test worldwide. These blood tests are an integral part of Western clinical medicine and are used to aid in the diagnostic decision-making process. Patients understand and are educated that blood testing is the norm for health assessment.


However, many, many people start to feel unwell long before a traditional blood test becomes diagnostic and more often than not, our patients are told by their physician that "everything on your blood test looks normal."


"NORMAL" IS NOT OPTIMAL

Most patients who feel "unwell" will come out "normal" on a blood test. Clinical experience suggests that these people are by no means "normal" and are a far cry from being functionally optimal. They may not yet have progressed to a known disease state but they are what we call dysfunctional, i.e. their physiological systems are no longer functioning properly and they are starting to feel un-well.


The issue is not that the blood test is a poor diagnostic tool, far from it. The issue is that the ranges used on a traditional lab test are based on statistics and not on whether a certain value represents good health or optimal physiological function. The problem is that "normal" reference ranges usually represent "average" populations rather that the optimal level required to maintain good health. Most "normal" ranges are too broad to adequately detect health problems before they become pathology and are not useful for detecting the emergence of dysfunction.


THE FUNCTIONAL APPROACH

The functional approach to chem screen and CBC analysis is oriented around changes in physiology and not pathology. We use ranges that are based on optimal physiology and not the "normal" population. This results in a tighter "Functional Physiological Range", which allows us to evaluate the area within the "Normal" range that indicates that something is not quite right in the physiological systems associated with this biomarker. This gives us the ability to detect patients with changes in physiological "function". We can identify the factors that obstruct the patient from achieving optimal physiological, biochemical, and metabolic functioning in their body.


Another thing that separates the Functional Blood Chemistry Analysis from the Traditional approach is we are not simply looking at one individual biomarker at a time in a linear report of the data. Rather, we use trend analysis between the individual biomarkers to establish a client's otherwise hidden trend towards or away from a functional health optimal.


THE FUNCTIONAL HEALTH REPORT

The Functional Health Report is the result of a detailed algorithmic analysis of your blood test results. Our analytical and interpretive software analyzes the blood test data for its hidden meaning and reveals the subtle, web-like patterns hidden within the numbers that signal the first stages of functional change in the body.


SUMMARY

In closing, Blood testing is no longer simply a part of disease or injury management. It’s a vital component of a comprehensive Functional Medicine work up and plays a vital role in uncovering hidden health trends, comprehensive health promotion and disease prevention.


THE FUNCTIONAL HEALTH REPORT

The Functional Health Report uniquely organises and creates an interpretation providing a comprehensive insight and assessment into the state of previously hidden health trends of the main body systems, its supporting body accessory systems, along with reporting on the status of key nutrients and trends to and from clinical dysfunction.


The analytical and interpretive software analyzes the blood test data for its hidden meaning and reveals the subtle, web-like patterns hidden within the numbers that signal the first stages of functional change in the body.


ASSESSMENT

The Assessment section is at the very heart of the Functional Health Report. It is here that the findings of the algorithmic trend analysis are presented. The Body Systems and Accessory Reports show the level of dysfunction that exists in the various physiological and supporting accessory systems in the body. The Nutrient Systems report gives you an indication of your client’s general nutritional status as well as the degree of deficiency for individual nutrients.

All the information on the Assessment section of the report is summarized in the Health Improvement Plan, which focuses on the top areas of need as presented in this report.

The Assessment section also includes the Practitioner Only “Clinical Dysfunctions Report’, which lists the individual dysfunctions and conditions themselves that may be causing the changes seen in the Body and Accessory Systems reports.

Based on the results of the analysis of this blood test, there may be a “Recommended Further Testing” report, which indicates areas that may require further investigation.


ANALYSIS

The Analysis section shows you the actual results of the blood test itself. The Blood Test Results Report lists the results of the patient’s blood test results and shows you if an individual biomarker is outside of the optimal range and/or outside of the clinical lab range.

The Blood Test Results Comparative Report compares results of the patient’s latest and previous Chemistry Screen and Hematology test and gives you a sense of whether or not there has been an improvement on the individual biomarker level.

The Blood Test History report allows you to compare results over time and see where improvement has been made and allows you to track progress in the individual biomarkers.

A Deviation from Optimal report is made showing which markers exhibit the largest shifts away from an optimal norm either higher or lower.


APPENDIX

The appendices contain highly detailed descriptions and interpretation explanations of the results presented in each of the reports in the assessment and analysis sections.

Here you will be able to read in depth what each biomarker means, see the patterns used in the algorithmic analysis and see what factors have gone into the creation of the health trend assessment levels reported.

This section is both informative and highly educational.


FUNCTIONAL COMPLETE BLOOD CHEMISTY BIOMARKERS by BODY SYSTEM PROFILES


Blood Glucose Profile:

    • Glucose (mmol/L)
    • Haemoglobin A1C (%)
    • C-Peptide (nmol/L)
    • Insulin - Fasting (pmol/L)

Renal Profile

    • Urea (mmol/L)
      • Also for assessment of:
        • Digestive status
        • Pancreatic Insufficiency
        • Heavy metals
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Creatinine (umol/L)
      • Also for assessment of:
        • digestive status
    • eGFR (mL/min)
    • BUN/Creatinine Ratio (Ratio)

Prostate Profile

    • PSA _(ng/ml)

Electrolytes Profile

    • Sodium (mmol/L)
      • Also for assessment of:
        • Adrenal function
    • Potassium (mmol/L)
      • Also for assessment of:
        • Adrenal function
    • Sodium/Potassium Ratio (ratio)
      • Also for assessment of:
        • Adrenal function
    • Chloride (mmol/L)
      • Also for assessment of:
        • Digestive function
        • Adrenal function
    • CO2 (mmol/L)
      • Also for assessment of:
        • Digestive function

Metabolic Profile

    • Uric Acid (umol/L)
      • Also for assessment of:
        • Digestive function
        • Heavy metals
        • Toxic Body Burden
    • Anion gap (mmol/L)
      • Also for assessment of:
        • Digestive function

Proteins Profile (this is also for digestive assessment)

    • Protein, total (g/L)
      • Also for assessment of:
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Albumin (g/L)
      • Also for assessment of:
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Globulin, total (g/L)
      • Also for assessment of:
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
        • Toxic Body Burden
    • Albumin/Globulin Ratio (ratio)

Minerals Profile

    • Calcium (mmol/L)
      • Also for assessment of:
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Phosphorus (mmol/L)
      • Also for assessment of:
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Calcium/Phosphorous Ratio (ratio)
    • Calcium/Albumin Ratio (ratio)
    • Magnesium (mmol/L)

Liver and Gallbladder Profile

    • Alk Phos (U/L)
      • Also for assessment of:
        • Digestive function
        • Gallbladder function
        • Zinc status
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • AST (SGOT) (IU/L)
      • Also for assessment of:
        • Vitamin B6 status
    • ALT (SGPT) (U/L)
      • Also for assessment of:
        • Also for assessment of:
        • Gallbladder function
        • Vitamin B6 status
    • GGT (U/L)
      • Also for assessment of:
        • Digestive status
        • Pancreatic Insufficiency
        • Also for assessment of:
        • Gallbladder function
        • Vitamin B6 status
    • Bilirubin - Total (µmol/L)
      • Also for assessment of:
        • Heavy metals
        • Thymus abnormality (Immunity)
    • Bilirubin - Direct (Umol/L)
    • Bilirubin - Indirect (Umol/L)
    • LDH (U/L)
      • Also for assessment of:
        • Gallbladder function
        • Viral infection

Iron Markers Profile

    • Iron - Serum (µmol/L)
      • Also for assessment of:
        • Digestive status
        • Low stomach acid (Hypochlorhydria)
        • Pancreatic enzyme dysfunction
    • Ferritin (ng/ml)
    • TIBC (umol/L)
    • % Transferrin saturation (%)

Lipids Profile

    • Cholesterol - Total (mmol/L)
      • Also for assessment of:
        • Adrenal glands function
        • Gallbladder function
        • Toxic Body Burden
    • Triglycerides (mmol/L)
      • Also for assessment of:
        • Gallbladder function
        • Adrenal glands function
    • HDL Cholesterol (mmol/L)
      • Also for assessment of:
        • Toxic Body Burden
    • LDL Cholesterol (mmol/L)
    • VLDL Cholesterol (mmol/L)
    • Cholesterol/HDL Ratio (Ratio)
    • Triglyceride/HDL Ratio (ratio)

Thyroid Profile

    • TSH (mIU/L)
    • Free T3 (pmol/L)
    • Free T4 (pmol/L)
    • Total T3 (nmol/L)
    • Total T4 (nmol/L)
    • T3 Uptake (%)
    • Thyroid Peroxidase (TPO) Abs (iU/L)
    • Thyroglobulin Abs (iIU/L)
    • Reverse T3 (ng/ml)
    • Free Thyroxine Index (T7) (Index)

Inflammation/Oxidation Profile

    • C-Reactive Protein (nmol/L)
    • Hs CRP (nmol/L)
    • Homocysteine (µmol/L)
      • Also for assessment of:
        • Inflammation
        • Poor Immunity
        • Cardiovascular difficulties
        • Stroke/Thrombosis
        • Memory decline (Dementia/alzheimers)
        • Behavioural difficulties
    • ESR (mm/hr)
      • Also for assessment of:
        • Viral infection
    • Fibrinogen (umol/L)
      • Also for assessment of:
        • Inflammation
        • Poor Immunity

Vitamins Profile

    • Vitamin D (25-OH) (nmol/L)
    • Vitamin B12 (pmol/L)
    • Folate (nmol/L)

Hormones Profile

    • Also for assessment of:
      • Adrenal function
        • Progesterone (nmol/L)
        • Estradiol (pmol/L)
        • Testosterone, Total (nmol/L)
        • Sex Hormone Binding Globulin (*nmol/L)
        • DHEA-S ( umol/L)

CBC/Hematology Profile

    • RBC ( x10*12/L)
      • Also for assessment of:
        • Thymus abnormality (Immunity)
        • Heavy metals
    • Haemoglobin (g/L)
      • Also for assessment of:
        • Thymus abnormality (Immunity)
        • Heavy metals
        • Potential anaemia
    • Haematocrit (Prop. of 1.0)
      • Also for assessment of:
        • Thymus abnormality (Immunity)
        • Heavy metals
        • Potential anaemia
    • MCV 87.80 fL)
      • Also for assessment of:
        • potential anaemia,
        • Vitamin B12 status
        • Folate status
        • Vitamin B6 status
    • MCH (pg)
      • Also for assessment of:
        • Vitamin B6 status
        • Heavy metals
        • Toxic Body Burden
    • MCHC (g/L)
      • Also for assessment of:
        • Heavy metals
        • Toxic Body Burden
    • RDW (%)
      • Also for assessment of:
        • Potential anaemia
    • Platelets ( x10*9/l)
      • Also for assessment of:
        • Heavy metals
        • Toxic Body Burden

White Blood Cells Profile

      • Total WBCs ( x10*9/l)
        • Also for assessment of:
          • Digestive status
          • Pancreatic Insufficiency
          • Bacterial infection
          • Viral infection
      • Neutrophils (%)
        • Also for assessment of:
          • Bacterial infection
          • Viral infection
      • Lymphocytes (%)
        • Also for assessment of:
          • Toxic Body Burden
          • Bacterial infection
          • Viral infection
      • Monocytes (% )
        • Also for assessment of:
          • Digestive status
          • Intestinal parasites
          • Bacterial infection
      • Eosinophils (%)
        • Also for assessment of:
          • Digestive status
          • Immune status
          • Intestinal parasites
          • Allergies
      • Basophils (%)
        • Also for assessment of:
          • Digestive status
          • Intestinal parasites
          • Allergies

Pancreatic Enzymes Profile

    • Pancreatic status
    • Protease
    • Amylase
    • Lipase
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