I'm a Lean Mass Hyper-Responder (LMHR) Now - You?

My EF was 69%
55 to 70 is normal/good
Much higher or lower might make a doctor concerned

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Source-
https://www.heart.org/en/health-top...e/ejection-fraction-heart-failure-measurement
 
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Last Friday order & paid 6 blood labs online out of pocket. I used Ownyourlabs.com and chose to have the blood draw done at a LabCorp facility nearby.
Results are:
1) Uric acid ($8.50) = 7.8 mg/dL, still higher than my goal of <6.0 mg/dL, their reference range is 3.8 to 8.4 mg/dL.

2) Vit. D ($44.60) = 109 ng/mL, still higher than my goal of 100 ng/nL, their reference range is 30 to 100 ng/mL I'll stop supplementing. I get a lot of sunlight.

3) Prostate Specific AG (PSA) ($16.80) = 0.5, my PSA in April of 2025 was 0.41, their reference range is 0 to 4.0 .

4) Fasting Insulin ($14.40) = 4.5 uIU/mL, anything below 6.0 I'm happy with, their reference range is 2.6 to 24.9 uIU/mL.

5) y-Glutamyl Transferase (GGT) ($8.50) (liver & bile duct) = 10 IU/L good and low, their reference range is 0 to 65 IU/L.

6) A1C % ($8.80) = 5.6%, kinda what I expected since I'm always fasting which is thought to make blood cells live longer thus increasing the A1C % # some. Their reference range is 4.8 to 5.6 %
 
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I have an appointment finally next Tuesday June 2nd) with my PCP to discuss my CCTA results (I guess?).

Before then I may go get a lipids blood test to see if my TC & LDL cholesterol have come back down since I adding back some carbs this last month (Paleo/Caveman diet). In my case I believe the carbs may bring TC & LDL down to a level that I'm no longer a LMHR, towards my current TC & LDL goals? like I was in 2025 when eating a Paleo/Caveman diet.

Longevity studies have led me have TC & LDL goals of 150 mg/dL & 215 mg/dL.

Then I'll have this data too for discussion with my PCP.
 
Last Friday order & paid 6 blood labs online out of pocket. I used Ownyourlabs.com and chose to have the blood draw done at a LabCorp facility nearby.
Results are:
1) Uric acid ($8.50) = 7.8 mg/dL, still higher than my goal of <6.0 mg/dL, their reference range is 3.8 to 8.4 mg/dL.

2) Vit. D ($44.60) = 109 ng/mL, still higher than my goal of 100 ng/nL, their reference range is 30 to 100 ng/mL I'll stop supplementing. I get a lot of sunlight.
I tried to lower my uric acid from 7.1 mg/dL this time by taking Quercetin & Luteolin supplements for the last month.
I also didn't do any HIIT bike rides for a week prior to testing. No joy :( Didn't work.

Last time my Vit. D was 113 ng/mL. I want it between 50-100. So I reduced my D3 supplement from two 5k IU capsules/wk to 1 capsule/wk. Took it on Sunday, blood draw on Friday.
So my diet, metabolic health, and all my outdoor exercising, gardening/lawnwork seem to be enough these days without supplementing.
 
I tried to lower my uric acid from 7.1 mg/dL this time by taking Quercetin & Luteolin supplements for the last month.
I also didn't do any HIIT bike rides for a week prior to testing. No joy :( Didn't work.
I was going to ask about this.

What about the other uric acid lowering supplements?

Do you take niacin?

Do you get plenty of potassium citrate?
 
I don't know a thing about potassium citrate or niacin.

I'm gonna start supplementing Chlorella.
Potassium citrate lowers uric acid
Niacin raises uric acid

I'm taking chlorella and quercitin now.

By definition foods, protein foods have nitrogen. Does everything raise urea, uric acid? no of course not.

The fructose pathway, is interesting. I am not sold hard science - seemingly man made over abundance raises, fruit doesn't
 
@jetman
Great PSA number, I dont remember your age but I suspect you will never have an issue with prostate cancer. I think you are over 65. Maybe my age 69.
A point of reverence for years I ran from 4.5 to 8 to as high as 21 to back to 15, 9 and ultimately 23. 4th biopsy since 2017 turned up cancer in 2024. Now its the same as your number less than 0.4 after getting blasted with radiation and drugs last year *LOL*
In 2002 I had numbers like yours. I still have that blood workup someplace.

I moved up my annual physical.. I am curious what my new way of eating has done or not done to my Lipids. Yesterday I ordered my own panel with ultalabtests.com whom I use. But then called and canceled because I was able to move my annual physical from Oct to June 2nd. Then scrambled for my doctors office to get the lab order done for a blood draw today - Done. Being I am in advantage plan they are also keeping the Oct appt assuming they dont move it back a month or so as they say under medicare I also get that annual "Wellness Check" Anyway, hope I have my Lipid panel results tonight. Place I went to this morning I THINK maybe the lab is in the same building.

Anyway, I am prepared for the worst, hope for the best but maybe lipids will stay the same. I know different from many others goals. But my high Lipo "a" and large amount of arterial disease I cant afford to experiment. I will get my LDL to 20 somehow and hope its not above 45 but maybe it will because I havent been tested since Nov 1st when I started this fasting thing, tossed out all and every snack food. Late last year I wanted to try by diet alone and had my Dr lower the Rosuvostatin back to my original 5mg. We agreed at the time to go up to 10mg in order to try to get my LDL as close to 20 as possible. So this will determine for me if I go to 10mg

I'll also try to see if he will order the CT Angiogram. I have a strong case. If not I will move up my cardiologist appt to ASAP instead of Nov. Not sure if related and had some pressure feeling in my chest a few days back. Normally I would tell anyone to go to the ER right away. These sensations are not new to me, doctors aware.
 
I'm 69,
have my visit w/my PCP June 2nd about my CCTA that I did a few wks ago.

I'm getting lipid labs and 8 other tests tomorrow on my own dime to have as ammo if needed with my PCP next wk.
I got a call back a little while ago, seems my application was going to be approved for the Lipo"a" drug trial after all. (I dont know where I posted about this)
Then after going over everything for at least 15 minutes including all family history, I mean, EVERYTHING except Social Security number which wont be over the phone. The last question. Have you had cancer in the last five years? BAM ! Done! Crap! *LOL*

If yes the highest grade they allow is Grade 1. I was grade 1 and 2 however I told her 3. There is some confusion of "grade" and "stage" The reason I said 3 was I was Stage 3A but the tissue samples were 1 and 2.
SO I called them back, left message with a person there so it can be corrected. Even though it's most likely still no good.

Call me crazy, but my biggest disappointment was being let down that I might have been able to be part of something bigger than myself while on this earth. Pretty big commitment, 1 hour drive each way, after 1st meeting 8 more times the first year, then 5 times each year for the next 4+ years for followups, labs and testing. Being it was Lipo "a" I am sure a few scans too.
I'll see if they call back tomorrow. SO far, they have stayed in touch. I hands down meet everything they want. The most concerning/qualifying when she called me back was my high 477 CAC score.

I'll get over it because now I am questioning myself if I really want to go through it all. But I did offer more information that might sway them, so did all I could
I had a feeling of your age but *LOL* I get confused in here.

NO WAY!!
Me too..annual physical I cant wait for my results to come in, hopefully by tonight... for the Lipids
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Still amazed you got your primary to order that CCTA hope mine will I suspect not maybe because I already have a cardiologist and he happens to be in the same building ... but who knows? we will see.
 
Im not sure where to post this but thought you guys might be interested?
Yesterday's blood draw, on the fence about it. Cardiologist would like to see me get to an LDL close to 20. MY LDL has not changed, maybe I should be relieved? I did fear it going up with my new way of eating.
.
I think maybe I should be glad because my diet is completely different now and some of you had your LDL rise because of a change.
Im on a 5mg statin, last November my dr and I decided to go to a 10mg rosuvastatin. However I backed off and he redid the script for 5mg. I am going to set an appt with him ASAP... appt in every fall but I want the statin thing cleared up and going to a 10 I will do.
THing is my total cholesterol is already very low, need to hear from him if the statin will only effect the LDL. One other thing he told me is once on a statin, when you increase the dose, the effect isnt as great than if you for the first time took the higher dose.

Im just sharing information not looking for advice which we know is not allowed here. Will spare the Metobolic panel unless anyone wants to see it. It's so long and the only number I know is my fasting glucose was 85. Everything else was also "green"
BY far the biggest change in maybe a decade of blood draws was my VLDL Cholesterol Calculation is down 50% normally runs around 19

BTW this blood draw is a perfect representation of my new way of eating which started Nov 2025 right after the Sept 2025 draw.
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Recent history-
Total cholesterol
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Triglycerides
Screenshot 2026-05-29 at 8.37.08 AM.webp


VLDL Calculation
Screenshot 2026-05-29 at 8.37.29 AM.webp


LDL
Screenshot 2026-05-29 at 8.37.45 AM.webp
 
BTW - my post above also creates a problem that I will have to go over with my doctors.
He would like LDL to be closer to 20. If I increase my statin lets say from 5mg to 10mg (still a small dose) It may drop my cholesterol what is technically to a considered point of too low under 100. This is where I need clarity. There is another drug starts with res that maybe just affect LDL... or maybe he won't care if I go below 100.

Im going to get a lot of answers at Tuesday annual physical and hopefully at that time schedule a CT Angiogram OR at least a more urgent appt with my cardiologist so I dont have to wait MANY weeks for it, and is a floor above my primary doctor. Excited to be moving these appts up instead of waiting till the end of the year.
 
BTW - my post above also creates a problem that I will have to go over with my doctors.
He would like LDL to be closer to 20. If I increase my statin lets say from 5mg to 10mg (still a small dose) It may drop my cholesterol what is technically to a considered point of too low under 100. This is where I need clarity. There is another drug starts with res that maybe just affect LDL... or maybe he won't care if I go below 100.

Im going to get a lot of answers at Tuesday annual physical and hopefully at that time schedule a CT Angiogram OR at least a more urgent appt with my cardiologist so I dont have to wait MANY weeks for it, and is a floor above my primary doctor. Excited to be moving these appts up instead of waiting till the end of the year.
i pray all goes well Tuesday for ya
 
i pray all goes well Tuesday for ya
Thank you, much like you I really don’t have much faith in my primary doctor. They are few and far between here on the coast most of them are NPs because of the lack of doctors, but I actually have a doctor.

I pretty much don’t expect too much from him except when I’m going to politely demand CT Angiogram imaging and see where I get with it. I have a strong case but even though he is my doctor when I see him once a year, he has no idea who I am and has no idea of all the years that have passed by and where and why I’m at the point I am. So once again, I will make sure to educate him, my experience is these doctors never take the time to review your files and even most of your test results unless one shows up as out of average.

For example, I know for fact in my CT lung scan last December he has no idea that mentions in that lung scan was the moderate amount of arterial calcification of my arteries the report suggests further investigation. So when he saw the CT lung scan, it showed that my lungs are good and everything’s clear but he didn’t read the rest of the report.

Then I’m going to tell him that I hope he can get me in to see my cardiologist faster than me calling alone and I’ll see where he goes with that.

My hope is he orders the CT angiogram, and then I get the follow up with the cardiologist. It would be a time saver.

I can’t comment on you and @Pablo as you guys are light years ahead of me with your goals and understanding of everything. I’m just fighting for what I think is my life here regarding heart disease, and recovering from last year metabolically.

With that said it’s very impressive how high your HDL is. I know that is very significant even though you’re LDL is very high, HDL significant factor in good health.
But he is my one comment about the link above in post #155.

Actually, more of an observation in making sure we pay close attention to words in videos and in books. I think sometimes in these materials, they point to the fact of LDL doesn’t cause arterial disease. I believe that’s correct. However, if you have arterial disease, it might be dangerous with high LDL levels of the bad particle size which will help plaque accumulate much more rapidly..
In your case, you have arterial disease already so I can’t speak for you, but I have a lot of arterial disease in my doctor wants my LDL like zero. Not because it caused arterial disease, but it’s the particles that build up the plaque.

Hope I’m saying this right and I’m using text to speech and I have run out of time!
I can’t wait to get to my doctors office Tuesday morning and the good news is the appointments at 8:15 so I won’t have to think about it all day.

By the way, my wife who has always had much, much more cholesterol numbers right across the entire Spectrum as I do but also has a healthy HDL level.
She is in her early 60s and her calcium scan results are 0

Genetics definitely plays a part of this
 
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