Health and Wellness over Age 50 – Blood Lab Test Results – Part 3

On April 17, 2020 I published the second article about health and wellness and understanding lab test results. This post is a follow-up to the first two pieces I wrote. No post would be complete without a legal disclaimer; I am not a doctor nor am I giving medical advice – I am simply sharing thoughts from my journey to creating a stronger body and mind! I hope they help you along your journey.

Please feel free to go back and read the first two discussions on my blog if you have not seen them yet, or reach out to me directly if you have questions you don’t feel comfortable posting!

In the first two articles I gave you an idea of the basic readings to test for, and what some of them mean. Most of us, if you are remotely health conscious, are aware of your lipid panels (cholesterol) and maybe some of the basic vitamin and hormone levels. Unless you are diabetic, most people are not aware of their glucose levels or insulin.

In this final piece (for now!) about blood lab test results, I want to talk several additional endocrinology reproductive hormones, and why they are important. If you are someone who need actual medical attention to address your own health issues, please seek professional help. I cannot stress this enough. If you are someone who just has questions, or wants to learn more, make an appointment and ask your primary care physician to draw these labs, sit down with you, and explain them.

The following readings are part of the regular panels I monitor;

  • Follicle Stimulating Hormone (FSH)
  • Prolactin
  • Luteinizing Hormone
  • Progesterone
  • Estradiol
  • DHEA-5
  • SHBG
  • Testosterone
  • Free Testosterone
  • IGF-1
  • Cortisol

I won’t go over all of these readings here and now but let’s focus on a couple of them and why they’re important! (Please note I am referencing healthline.com for the medical terms)

Follicle Stimulating Hormone (FSH) is an important part of the reproductive system. It’s responsible for the growth of ovarian follicles. Follicles produce estrogen and progesterone in the ovaries and help maintain the menstrual cycles in women. In men, FSH is a part of the development of the gonads as well as sperm production.

High FSH Levels in Women

If you’re a woman with high FSH levels, this may indicate:

  • a loss of ovarian function, or ovarian failure
  • menopause
  • polycystic ovarian syndrome, which is a condition in which a woman’s hormones are out of balance, causing ovarian cysts
  • a chromosomal abnormality, such as Turner’s syndrome that occurs when part or all of one of a woman’s X chromosomes is missing

High FSH Levels in Men

If you’re a man with high FSH values, this may indicate:

  • Klinefelter’s syndrome, which is a rare condition in men caused by an extra X chromosome that can affect male development
  • testicles that are absent or not functioning properly
  • testicles that have been damaged by a disease such as alcohol dependence
  • testicles that have been damaged by treatments such as X-rays or chemotherapy

DHEA or dehydroepiandrosterone, is a hormone that’s produced by your body. Some of it is converted into the major male and female sex hormones testosterone and estrogen. Its effects can be driven by the actions of testosterone and estrogen after this conversion occurs, as well as by the DHEA molecule itself. Understanding your DHEA level could be the key to better understanding things like libido, weight gain or loss, an even depression. Before you consider taking any supplements for this, be sure to consult your doctor.

Cortisol is a stress hormone released by the adrenal glands. It’s important for helping your body deal with stressful situations, as your brain triggers its release in response to many different kinds of stress. However, when cortisol levels are too high for too long, this hormone can hurt you more than it helps. Over time, high levels may cause weight gain and high blood pressure, disrupt sleep, negatively impact mood, reduce your energy levels and contribute to diabetes. Understanding your cortisol levels is an important aspect of your overall health but remember, they are highest in the morning so if you have this checked in your labs, make sure you do it early in the morning!

Last but not least, testosterone. I saved the best for last because this is certainly one of the most discussed/debated and highly talked about of the hormones!

Testosterone is a hormone produced by the human body. It’s mainly produced in men by the testicles. Testosterone affects a man’s appearance and sexual development. It stimulates sperm production as well as a man’s sex drive. It also helps build muscle and bone mass.

Testosterone production typically decreases with age. According to the American Urological Association, about 2 out of 10 men older than 60 years have low testosterone. That increases slightly to 3 out of 10 men in their 70s and 80s.

Men can experience a range of symptoms if testosterone decreases more than it should. Low testosterone, or low T, is diagnosed when levels fall below 300 nanograms per deciliter (ng/dL).

A normal range is typically 300 to 1,000 ng/dL, according to the Food and Drug Administration. A blood test called a serum testosterone test is used to determine your level of circulating testosterone.

A range of symptoms can occur if testosterone production drastically drops below normal. Signs of low T are often subtle. Here are signs of low T in men.

  • Low sex drive or difficulty with erection
  • Fatigue and loss of energy
  • Hair and muscle loss
  • Mood changes
  • Increased body fat

If you’ve enjoyed reading these updates, let me know. Also, please reach out and let me know what you would like to read more about. As I build this blog, my IG account, and my You Tube Channel (eventually), and my businesses, I will start sharing more about my own personal journey to health and wellness. Thank you!

Americans are Just Too Fat! *Five Ways to Make Better Life Choices*

It’s your body and it’s your health, yet why are so many American’s afraid to make healthy choices? In February of this year the Center for Disease Control and Prevention (CDC) released a study indicating the prevalence of obesity rose from 30% to a staggering 42% over the past 18 years. Here are just a few figures to consider;

  • The CDC defines an adult as “obese” if Body Mass Index (BMI) is greater than 30
  • The CDC defines an adult as “overweight” in the BMI is over 25
  • Obese Americans incur an average of $1,429 more in medical expense per year
  • Obesity is proven to lead to diabetes, heart disease, stroke and even cancer
  • More than 70 million Americans are obese and more than 100 overweight

It’s Not Education…

            Twenty years ago it would be easy to blame knowledge for obesity. We just didn’t know was an easy excuse, almost like living under a rock. Today however, health and wellness information is everywhere literally at the touch of our smartphones. There are hundreds of apps to support wellness, workouts, diet and exercise.

It’s Not Convenience…

            Fast food drive-thru, snack foods and soft drinks were always the go to excuse for “I didn’t have time to have a healthy meal.  Much like the knowledge aspects above, technology has helped change all of this for the better. Yesterday afternoon I logged into my Amazon Prime account, placed my order, and left the office. By the time I got home and settled in, the delivery guy was dropping everything off at front door. If anything, the new COVID economy has proven just how easy it can be to access almost anything we need from Uber Eats to local produce delivery.

What’s the Reason?

            We just don’t care. Let that sink in for a minute. We have become an instant gratification society of people who want to feel good NOW, and worry about the consequences later. That’s problem number 1. Better yet, there must be a pill to take or something that can help me drop weight later, or feel better when we decide we do care. That’s problem number 2. It is estimated that over 4.5 billion prescriptions will be filled in 2020 as US spending on prescriptions far exceeds any other country in the world. We the worlds most medicated country.

Five Ways to Make Healthy Food Choices

  • Start Simple A good friend gave me advice years ago and it’s always stuck with me. If it was a food 100 years ago, you can eat it! Fruits and Vegetables? Yup, they were here. Chickens, cows, etc.*(if you are a meat eater!)…yup, they were here too! Nacho chips, soft drinks, and other processed foods…sorry, no go!
  • Pick 1 Thing You can’t change your lifestyle overnight or in one day, so start by choosing one thing. You already know what that one this, as you probably thought of it as you were reading this. Instead, replace that one thing with something healthy that you know you already like. Say it out loud and while looking in the mirror! Today I will stop eating Snicker’s bars, and start eating avocado!
  • Self-Esteem You will feel better when you make healthy choices. It won’t be instant, and it’s counter intuitive if you need a quick fix but I promise, every time you make a healthy decision you will feel a little better about it. Resist the urge to step on a scale a week or two after you make these changes. It takes time, but do think about how you feel. Do you have more energy, are you sleeping better, and do have find it easier to concentrate on things? After a while, this kind of healthy behavior starts to become a way of life, and as your health changes, so will your attitude, and your self-esteem, and your total wellness!
  • 1% Better – Remember the expression Rome was not built in a day? Neither was your body. It takes time to make changes but don’t try to set unrealistic goals. If you can be just 1% better today than you were yesterday, that’s progress! Over time, those 1%’s add up and will have a tremendous impact on your wellness.
  • Surround yourself with people who share the same goals – This is important not only for your physical health, but your overall total wellness. Likeminded people will encourage, support, and help each other to make smart decisions which improve their lives. If someone is not supportive of your personal goals, you really need to rethink why that person is in your life. Negativity has no place when it comes to making healthy choices for you! Good luck and stay the course!