Table 2.

Lab Results and Interventions

Test Result	Value	Suggested Intervention	Length of Intervention	Why Supplements or Interventions Were Chosen
Low Vitamin D, 25-OH	20mg/ml	Vitamin D3/K2 (5000 IU), 10-30 minutes of sunlight 2-3 times per week, increase consumption of foods high in Vitamin D	Recheck levels in 3 months	25(OH)D is inversely associated with BMI, waist circumference, & body fat; positively associated with age, lean body mass, & vitamin D intake.7 Research: Vitamin D associated with a reduction in levels of IL-6.9
Elevated Cholesterol	247 mg/dL	Limit processed fats, processed foods, include essential fatty acids	Long-term	A cardioprotective diet includes whole grains, vegetables, fruit, and legumes and is limited in meat products and refined and processed foods. A heart-healthy diet is high in dietary fiber, complex carbohydrates, vitamins, minerals, polyunsaturated fatty acids, and phytochemicals.10 Weekly exercise durations of <2.5 and ≥2.5 hours are positively associated with HDL.11
Low HDL	43 mg/dL	Increase exercise & consumption of healthy fats	Long-term
Elevated LDL	180 mg/dL	Decrease consumption of refined and saturated fats and sugar	Long-term
Elevated triglycerides	116 mg/dL	Decrease consumption of refined and saturated fats and sugars	Long-term
Elevated glucose	111 mg/dL	Reduce foods high in refined carbohydrates & sugar, increase fiber and lean protein intake	Long-term	Research: diets containing whole grains, fruits, vegetables, legumes, nuts, moderate in alcohol consumption, and lower in refined grains, red/processed meats, and sugar-sweetened beverages may help reduce risk of diabetes and improve glycemic control and blood lipid levels.12
Elevated insulin	25 uIU/ml	Reduce foods high in refined carbohydrates & sugar, include more fiber & healthy fats	Long-term
Elevated serum homocysteine	10.6 umol/L	Multivitamin: Nutrient 950 with NAC, increase consumption of folate-rich foods & foods high in Vitamins B6 and B12	Recheck levels in 3 months	B vitamins and N-acetylcysteine (NAC), a thiol-containing antioxidant, can lower levels of homocysteine.13
Elevated hs-CRP	7.1 mg/l	Fish oil (TID)- 1-2 g with meals (1.5:1 EPA: DHA), Vitamin C: equivalent to 1,000 mg per day	Recheck levels in 3 months	Omega-3 fatty acids may lower inflammation. Omega-3 decrease serum levels of TNF-α, a pro-inflammatory cytokine.14 Vitamin C is related to lower levels of hs-CRP which may protect against inflammation.15
Elevated uric acid	8.9 mg/dL	Refer to the physician to check for gout, atherosclerosis, circulation disorders, diabetes, etc.	-	Further testing may be needed to understand the root cause of the elevated uric acid.