There are a couple of things you should probably know about Bob before evaluating his current health status. First, he’s 66 years old, is 5’9″ tall and weighs 152 pounds for a BMI of 22.5. His body fat percentage is 8.9% and his waist circumference is 32″.
What about pharmaceuticals?
Unfortunately, Bob’s endocrine glands have decided to age right along with the rest of his body. Consequently, he takes a thyroid supplement to keep his levels within the normal physiologic range. He does the same with testosterone and DHEA. This keeps his heart, brain, liver, kidneys, immune system, and just about every other tissue and organ that utilizes these hormones working smoothly and functioning better. Despite hysterical warnings to the contrary, there is no credible scientific evidence to suggest that there is any increased risk for prostate cancer or cardiovascular disease in doing this. Quite to the contrary, the latest reports confirm that male hormone replacement therapy is both safe and beneficial. And that’s it for pharmaceuticals – no statins, no PPIs, no ACE inhibitors, no anti-depressants, and absolutely no regrets!
What about supplements?
If Bob could breathe clean air, wear chemical-free clothes, sit on flame retardant-free furniture, eat food grown in non-depleted soils; then he probably wouldn’t need any supplements. But he can’t; so he does. It’s the price we all pay for living in the 21st Century.
Here’s the biomarker bottom line:
| Measurement/Value | Bob’s Value | Recommended Target Value | Relative Risk |
| Blood pressure | 98/66 mmHg | ≤110/70 mmHg | Low |
| Total Cholesterol | 188 mg/dL | <200 mg/dL | Low |
| LDL Cholesterol | 125 mg/dL | <100 mg/dL | Moderate – maybe not* |
| HDL Cholesterol | 61 mg/dL | >55 mg/dL | Low |
| Apo B: Apo A-1 | 0.55 | <0.61 | Low |
| Triglycerides | 82 mg/dL | <150 mg/dL | Low |
| Ox LDL | 39 mg/dL | <60 U/L | Low |
| Lp(a) | <6 mg/dL | <30 mg/dL | Low |
| sdLDL | 31 mg/dL | ˂36 mg/dL | Low |
| LpPLA2 | 118 ng/mL | <200 ng/mL | Low |
| hsCRP | 0.3 mg/L | ˂1.0 mg/L | Low |
| Glucose | 89 mg/dL | <100 mg/dL | Low |
| Myeloperoxidase | 194 pmol/L | ˂470 pmol/L | Low |
| Hemoglobin A1c | 5.3% | <5.7% | Low |
| TMAO | 2.9 uM | <6.2 uM | Low |
| ADMA | 74 ng/mL | <100 ng/mL | Low |
| F2 Isoprostane: Creatinine | 0.20 ng/mg | <0.86 ng/mg | Low |
*LDL Cholesterol (LDL-C) transports fats from the digestive tract via the liver to all the cells in the body. This is essential to life, and, as such, it’s neither good nor bad. The dangerous LDL-C is either in the oxidized (Ox LDL) or the small, dense LDL (sdLDL) particle forms, both of which are atherogenic. Bob is in the Low Risk range on both of these, so his slightly elevated LDL-C simply indicates that he’s really good at getting healthy LDL-C out to his cells.
So, how’s Bob doing? Overall, not so bad. If you’d like to see your biomarkers look like his, maybe the two of you should talk. Just fill out the form here, and he’ll get right back to you.