copyright © 2021 all rights including photocopying, email,

Copyright © 2021 All rights reserved.

Neither this document nor any part of it may be reproduced or transmitted in any form or

by any means including photocopying, email, fax, etc. without prior written

permission of the author.

Blood Work Workshop

presented by Josh Gitalis

Blood Work Workshop

What You Will Learn...

• What is blood

• The function of blood

• Slope of health

• Epigenetics

• Average vs Optimal

• Why get tested

• Common blood tests and what they mean

• Recommendations to restore optimal levels

Blood Work Workshop

Blood Work Workshop

What Is Blood?

Blood Work Workshop

Some Facts About Blood

• 5L in the body

• 8% of body weight

• pH of 7.35-7.45

Blood Work Workshop

Blood Functions

• Delivers nutrition

• Removes toxins

Blood Work Workshop

Blood Functions

• Delivers nutrition

• Removes toxins

Blood Work Workshop

The Slope of Health

Medical(effect)

Lifestyle(cause)

Artificial food additives

Enviromental pollution

Digestive problems and internal toxicity

Suppressive medications

Heredity(inherited factors)

Blood tests normal

Copyright © 2015

Physical signs and symptoms of body out of balance—pain, fatigue, headaches, etc.

OTC drugs to suppress symptoms

Diagnosis of a disease/condition

Surgery to remove dysfunctional body part or stronger meds to further suppress symptoms

Cancer, tumors, and growths

More surgery, chemotherapyand/or radiation

Life

EndStage

Poor diet + lifestyle

Vitamin + mineral deficiency and excesses

Pesticides and chemical exposure

Personal Health Assessment> Where am I on The Slope of Health?

> How did I get there?

> How long will it take for me to climb back?

> What do you think it takes to get up the slope back to health? joshgitalis.com

Blood Work Workshop

Bloodwork Is A Snapshot

Blood Work Workshop

Epigenetics

Blood Work Workshop

Normal vs Optimal

• Normal = general population

• Non-pathological

% of population

Blood Work Workshop

Normal vs Optimal

• Optimal = prevention of disease

% of population

Blood Work Workshop

Reasons To Get Tested

• Genetic Variances

• Nutrient Deficiencies

• Different body types

• Underlying disease state

• Drug use

• Infection

• Toxicity

• Assess risk of death and/or disease

Blood Work Workshop

Client Blood Test Guidelines

• Always ask for a copy and/or the actual results

• Keep all copies

• Ask your Doctor questions

• Know what you want and why, before the appointment

• Offer to pay for the test if it is not covered

Blood Work Workshop

Blood Tests - Nutrients

• Vitamin D

• Vitamin B12

• Iron

Blood Work Workshop

Blood Tests - Other

• CVD Tests

• Homocysteine

• Blood Sugar

• Thyroid panel

Blood Work Workshop

Vitamin D• Vitamin D deficiency is a

world-wide epidemic,1 2 3

with recent estimates indicating greater than 50% of the global population is at risk.4

A high prevalence of vitamin D deficiency has been found across all age groups in all populations studied in countries around the globe. 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

1. Prentice, A. Vitamin D deficiency: a global perspective. Nutr Rev. 2008 Oct; 66 (10 Suppl 2): S153-64. 2. Pettifor, J. M. Vitamin D &/or calcium deficiency rickets in infants & children: a global perspective. Indian J Med Res. 2008 Mar; 127 (3): 245-9. 3. Holick, M. F. Chen, T. C. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008 Apr; 87 (4): 1080S-6S. 4. University of California Riverside More Than Half the World’s Population Gets Insufficient Amounts of Vitamin D, Says UC Riverside Biochemist. 15 July 2010; 5. Science Daily Millions Of U.S. Children Low In Vitamin D. 3 Aug 2009; 6. Schwalfenberg, G. K. Genuis, S. J. Hiltz, M. N. Addressing vitamin D deficiency in Canada: a public health innovation whose time has come. Public Health. 2010 Jun; 124 (6): 350-9. 7. Kuriacose, R. Olive, K. E. Prevalence of vitamin D deficiency and insufficiency in northeast Tennessee. South Med J. 2008 Sep; 101 (9): 906-9. 8. Bandeira, F. Griz, L. Dreyer, P. Eufrazino, C. Bandeira, C. Freese, E. Vitamin D deficiency: A global perspective. Arq Bras Endocrinol Metabol. 2006 Aug; 50 (4): 640-6. 9. Ardestani, P. M. Salek, M. Keshteli, A. H. Nejadnik, H. Amini, M. Hosseini, S. M. Rafati, H. Kelishadi, R. Hashemipour, M. Vitamin D status of 6- to 7-year-old children living in Isfahan, Iran.

Endokrynol Pol. 2010 Jul-Aug; 61 (4): 377-82. 10. Bener, A. Al-Ali, M. Hoffmann, G. F. Vitamin D deficiency in healthy children in a sunny country: associated factors. Int J Food Sci Nutr. 2009; 60 Suppl 560-70. 11. Teale, G. R. Cunningham, C. E. Vitamin D deficiency is common among pregnant women in rural Victoria. Aust N Z J Obstet Gynaecol. 2010 Jun; 50 (3): 259-61. 12. Harinarayan, C. V. Joshi, S. R. Vitamin D status in India--its implications and remedial measures. J Assoc Physicians India. 2009 Jan; 5740-8. 13. Andersen, R. Molgaard, C. Skovgaard, L. T. Brot, C. Cashman, K. D. Chabros, E. Charzewska, J. Flynn, A. Jakobsen, J. Karkkainen, M. Kiely, M. Lamberg-Allardt, C. Moreiras, O. Natri, A. M.

O'Brien, M. Rogalska-Niedzwiedz, M. Ovesen, L. Teenage girls and elderly women living in northern Europe have low winter vitamin D status. Eur J Clin Nutr. 2005 Apr; 59 (4): 533-41. 14. Rodriguez Sangrador, M. Beltran de Miguel, B. Quintanilla Murillas, L. Cuadrado Vives, C. Moreiras Tuny, O. [The contribution of diet and sun exposure to the nutritional status of vitamin D in

elderly Spanish women: the five countries study (OPTIFORD Project)]. Nutr Hosp. 2008 Nov-Dec; 23 (6): 567-76. 15. Bhattoa, H. P. Bettembuk, P. Ganacharya, S. Balogh, A. Prevalence and seasonal variation of hypovitaminosis D and its relationship to bone metabolism in community dwelling postmenopausal

Hungarian women. Osteoporos Int. 2004 Jun; 15 (6): 447-51. 16. Allali, F. El Aichaoui, S. Khazani, H. Benyahia, B. Saoud, B. El Kabbaj, S. Bahiri, R. Abouqal, R. Hajjaj-Hassouni, N. High prevalence of hypovitaminosis D in Morocco: relationship to lifestyle,

physical performance, bone markers, and bone mineral density. Semin Arthritis Rheum. 2009 Jun; 38 (6): 444-51. 17. Du, X. Greenfield, H. Fraser, D. R. Ge, K. Trube, A. Wang, Y. Vitamin D deficiency and associated factors in adolescent girls in Beijing. Am J Clin Nutr. 2001 Oct; 74 (4): 494-500. 18. Peters, B. S. dos Santos, L. C. Fisberg, M. Wood, R. J. Martini, L. A. Prevalence of vitamin D insufficiency in Brazilian adolescents. Ann Nutr Metab. 2009; 54 (1): 15-21. 19. Judkins, A. Eagleton, C. Vitamin D deficiency in pregnant New Zealand women. N Z Med J. 2006; 119 (1241): U2144.

Blood Work Workshop

Vitamin D

• More like a hormone

• Regulates calcium metabolism

• Linked to all cancers

• Associated with most conditions

Blood Work Workshop

Vitamin D - Metabolism

Blood Work Workshop

White Skin vs Dark Skin

Blood Work Workshop

Vitamin D - Blood Test

• Tests 25-hydroxycholecalciferol (“25 Hydoxyvitamin D”)

• Check every 3-6 months until levels are stable

• Free for people with (Canada):

• Osteoporosis and osteopenia

• Rickets

• Malabsorption syndromes

• Renal disease

• Patients on drugs that affect vitamin D

Blood Work Workshop

Vitamin D - Why Not Free?• Cost Health Canada

millions2004 - 29K 2009 - 700K

Blood Work Workshop

Vitamin D• Medical: 75-200 nmol/L

• Optimal: 125-200 nmol/L

Bonus Class

Normal

Bonus Class

Normal

Bonus Class

Optimal

Blood Work Workshop

Vitamin D Class Study 2014-2020

0

50

100

150

200

250

1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 101 105 109 113

Vitamin D nmol/L

Individual Subjects

Blood Work Workshop

Vitamin B12 - Deficiency Risk

• Vegans

• Digestive issues

• Elderly

• Malnutrition

Blood Work Workshop

Vitamin B12 - Deficiency Risk

Blood Work Workshop

Vitamin B12 - Functions

• Needed for blood formation

• Pernicious anemia

• Nerve damage

Blood Work Workshop

Vitamin B12

• Deficient: < 156 pmol/L

• Normal: 198-615 pmol/L

• Optimal: 442.8-738 pmol/L

Blood Work Workshop

Iron - Deficiency Risk

• Bleeding

• Menstruating women

• Poor digestion

• Malnutrition

Blood Work Workshop

Iron - Deficiency Risk

Blood Work Workshop

Iron -Functions

• Part of hemoglobin - carries oxygen around the body

Blood Work Workshop

Iron

• “Serum Ferritin”

• Indicates iron stores in tissues

• Above 50 ng/mL

Blood Work Workshop

Iron - Restoring Levels

• Blood Ferritin 12-20ng/mL

• 45mg elemental Fe

• 1-3x/day

• Reduce to 1x/day once above 20ng/mL

Blood Work Workshop

Cardiovascular Disease Screening

• Blood Pressure

• Resting Pulse

• Diabetes

• Smoking

• Total Cholesterol

• LDL

• HDL

• TG:HDL Ratio

• C-Reactive Protein

• Homocysteine

• HbA1C

Blood Work Workshop

Homocysteine

• Normal metabolite

• CVD

• Affects brain function

• Bone health

Blood Work Workshop

Homocysteine

• Ideal: Below 6.3 umol/L

• Supportive Nutrients:

• Vitamins B2,B12,B6

• Folic Acid

• Zinc

• Trimethylglycine

Blood Work Workshop

Blood Glucose

• Feeds cells, esp. brain

• Under 5 mmol/L (90 mg/dL)

Blood Work Workshop

Shrinkage of Memory Center Compared to Blood Sugar

Neurology 2012;79:1019-1026

Fasting Blood Sugar

Brain Shrinkage

Blood Work Workshop

Annual Brain Shrinkage

Neurology 64; 1704-11 May 24, 2005

Blood Work Workshop

Insulin Resistance

• TG:HDL

• < 3 = normal

• > 3 = suggestive of insulin resistance

Marotta et al. Triglyceride-to-HDL-cholesterol Ratio and Metabolic Syndrome as Contributors to Cardiovascular Risk in Overweight Patients Obesity (2010) 18 8, 1608–1613

Blood Work Workshop

Blood Glucose

• Low GI diet

• Chromium

• Vanadium

• B-vitamins

XX

Blood Work Workshop

Thyroid

• Depression

• Low resistance to recovery

• Difficulty losing weight

• Fatigue

• Feeling cold

• Cloudy thinking

• Dry, flaky skin

• Constipation

• Menorrhagia (not corrected with hormones)

Blood Work Workshop

Thyroid Panel

• TSH: 1.0-2.0 mU/L

• Free T4: 1.2-1.4 ng/dL

• Free T3: 2.9-3.2 pg/mL

• Anti-TPO: no antibodies

• Anti-TG: no antibodies

Blood Work Workshop

Complete Blood Count (CBC)

• Preoperative: O2 carrying capacity, homeostasis

• Infection

• Anemia

• Chronic illness: cancer, bleeding

• Monitor treatment of anemia and other

• Monitor effects of chemo/radiation

Blood Work Workshop

Case Studies: Key Points

• Lab variance

• Missed diagnosis

• Functional health

• Nutrient deficiency markers

• “Subclinical” concerns

• Preventative treatment

• Monitor progress

Blood Work Workshop

Blood Work Workshop

Lab Variance

Blood Work Workshop

Hyperthyroid

Jan. 2014

Nov. 2014

Blood Work Workshop

Hyperthyroid

March 2015

Blood Work Workshop

Missed Diagnoses

Blood Work Workshop

Vitamin D and Homocysteine

Bonus Class

Normal

Bonus Class

Optimal

Blood Work Workshop

Hx Depression, Overweight

March 2013

Blood Work Workshop

Hx Depression, Overweight

Sept. 2013 9.629

154

3.18

9

29

Blood Work Workshop

Celiac

Blood Work Workshop

Parkinson’s Disease, 63Patient: GITALIS, ZELIK

Age: 63 years Sex: MDate of Birth: Jun 09 1951PHN: 9038436196 BCPatient's Phone: (604)733-3759

Lab No: 14-175336015Patient ID:

Collected on: Dec 02 2014 09:45

Reported on: Dec 03 2014 14:00

Reported by: LifeLabs

Telephone: 604-431-7206Toll Free: 1-800-431-7206Fax: 604-412-4445

Printed on: 2014-12-09 15:59Page1 of 1

Ordered by: MANES Dr. ARTUROReported to: MANES Dr. ARTURO

Test Flag Result Reference Range - UnitsGeneral CommentsHours After Meal

hours pc: 16

LipidsCholesterol A 5.81 2.00-5.19 mmol/LLDL Cholesterol A 3.95 1.50-3.39 mmol/L

The optimal LDL cholesterol level forintermediate and high risk individualsis <= 2.00 mmol/L. If triglycerides are=> 1.50 mmol/L, consider monitoring ofalternate lipid targets non HDL-cholest-erol or apoB. For low risk individualswith LDL cholesterol => 5.00 mmol/L,target reduction of LDL cholesterol=> 50 percent. See Can J Cardiol 2013vol 29 pgs 151 to 167.

HDL Cholesterol 1.58 >0.90 mmol/LChol/HDL (Risk Ratio) 3.68 <4.9Non HDL Cholesterol 4.23 mmol/L

Non HDL-cholesterol is calculated fromtotal cholesterol and HDL-C and is notaffected by the fasting status of thepatient. The optimal non HDL-cholesterollevel for intermediate and high riskindividuals is <= 2.60 mmol/L. See Can JCardiol 2013 vol 29 pgs 151 to 167.

Triglycerides 0.61 0.45-2.29 mmol/L

Bone Markers25-Hydroxyvitamin D 85 75-150 nmol/L

This is the test of choice to assessVitamin D status when indicated. Testingasymptomatic patients at low risk ofdeficiency is not usually required inview of the safety and low cost ofsupplementation.<25: deficient25-74: insufficient>200: toxicTotal 25-OH Vitamin D represents the sum of25-Hydroxylated Vitamin D2 and Vitamin D3species.

FINAL RESULTSThis report contains confidential information intended for view by authorized person(s) only, and should be shredded before discarding.Note to physicians: This report has been printed by the patient - the contents should be confirmed by accessing Excelleris or source laboratory reports.Note to patients: Please contact your physician if you have any questions regarding the results on this report.

Patient: GITALIS, ZELIK



Collected on: Oct 28 2014 11:09

Reported on: Oct 31 2014 06:02





Test Flag Result Reference Range - UnitsHematology

WBC 4.4 4.0-10.0 giga/LRBC 4.84 4.20-5.40 tera/LHemoglobin 139 133-165 g/LHematocrit 0.42 0.38-0.50MCV 87 82-98 flMCH 28.7 27.5-33.5 pgMCHC 332 305-365 g/LRDW A 15.0 11.5-14.5 %Platelet Count 284 150-400 giga/L

DifferentialNeutrophils 2.7 2.0-7.5 giga/LLymphocytes 1.2 1.0-4.0 giga/LMonocytes 0.4 0.1-0.8 giga/LEosinophils 0.1 0.0-0.7 giga/LBasophils 0.0 0.0-0.2 giga/LGranulocytes Immature 0.0 <0.2 giga/L

Biochemical Investigation of Anemias and Iron OverloadVitamin B12 A 94 150-650 pmol/LFerritin 27 15-300 ug/L

Adults: <15: diagnostic of Iron Deficiency15-50: Probable Iron Deficiency51-100: Possible Iron Deficiency>100: Iron Deficiency unlikelypersistently >1000: Test for Iron overload

Children: <12: diagnosis of Iron Deficiencyhttp:/www.bcguidelines.ca/guideline_iron_deficiency.html

General ChemistryHemoglobin A1C

Hemoglobin A1C 5.8 4.5-6.0 %The CDA recommends measuring HemoglobinA1C every three months in all diabetics.Age TargetAdults >18 years <7 %< 6 years <8.5 %6 - 12 years <8 %13 - 18 years <= 7 %

Homocysteine A 28.9 <=13 umol/LReference values apply to fastingspecimens only.


Blood Work Workshop

LDL and Parkinson’s

Movement Disorders Vol. 23, No. 7, 2008, pp. 1013–1018

People with the lowest LDL cholesterol were at increased risk for Parkinson’s disease by

approximately 350%.

Blood Work Workshop

Parkinson’sPatient: GITALIS, ZELIK










hours pc: 16




























Blood Work Workshop

HbA1c and Brain Shrinkage

Annual Brain Shrinkage Shrinkage of the Memory Centre Compared to Blood Sugar

Blood Work Workshop

Parkinson’sPatient: GITALIS, ZELIK










hours pc: 16




























Blood Work Workshop

Case Studies: Key Points

• Lab variance

• Missed diagnosis

• Functional health

• Nutrient deficiency markers

• “Subclinical” concerns

• Preventative treatment

• Monitor progress

Blood Work Workshop

Advice to Clients

• You are in charge of your own health

• Keep records

• Check for optimal levels

• Ask questions

• Consult a healthcare practitioner

• Get tested!

Blood Work Workshop

“Knowledge is not power, until it’s applied.”

copyright © 2021 all rights including photocopying, email,

Documents