Paul Saladino MD Podcast

211. The best labs to get and how to interpret them

Paul Saladino MD Podcast with Paul Saladino 2023-04-17

Summary

Paul Saladino breaks down his March 2023 bloodwork, reviewing his levels and ratios while explaining which tests listeners should consider ordering and how to interpret results. He covers fasting insulin, prolactin, cortisol to DHEA-S ratio, sex hormones, and what he eats in a day on his animal-based diet.

Key Points

  • Which blood tests to order and why
  • Fasting insulin and prolactin as key markers
  • Cortisol to DHEA-S ratio interpretation
  • Sex hormone panel analysis
  • How animal-based diet affects bloodwork markers

Key Moments

Ketogenic diets raise cortisol and harm hormones

Saladino presents evidence that ketogenic diets raise cortisol, shift hormone precursors away from sex hormone production, and can elevate SHBG, reducing free testosterone levels.

"We know that ketogenic diets raise cortisol. So the question should really be: how many of the people in the ketogenic community who are all very intelligent."
Electrolytes

Blood work interpretation for electrolyte status

Saladino walks through comprehensive metabolic panel results showing electrolyte levels and explains how fasting blood work reveals tightly regulated serum sodium, potassium, and other electrolyte values.

"It'll show you your electrolytes at the level of your blood. These are all tightly regulated."

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