Health Labs

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Health Labs

Family lab tracker, supplement stacks, action items

Last updated: April 23, 2026
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Nicki Mom Logan Cooper Michael
Nicki

Nicki

Full panel history from April 2025 through January 2026. Peptide protocol active. Mold + metals + hormone picture, MTHFR + COMT genetic.
  • Providers: Julie Barter, ND (The Bridge Medical Center, seen ONCE — not ongoing); D. Gragert (Bluebird Health, lab-order service only, NOT her doctor). No current primary care.
  • Peptides (self-directed): KPV 300mcg, TB-500 500mcg, Retatrutide 250-300mcg 2x/week
  • Known Bali black-mold exposure summer 2025, word-finding issues still present
  • L4/L5 bulged disc and facet arthropathy; TB-500 resolves pain in ~3 weeks
Lab Markers
Marker Last Value Reference Trend Status Action / Note
Metabolic
A1c 5.1 <5.7 → Normal Glycemic control fine.
Insulin (fasting) 3.7 → 10.1 <25 ↑ Watch In range but nearly tripled. Watch on Retatrutide.
Thyroid
TSH 0.425 → 1.070 0.45-4.5 ↑ Normalized Moved back into healthy range.
Thyroid antibodies Normal Negative – Normal No Hashimoto's.
Inflammation and Autoimmune
CRP cardiac (hs-CRP) 5.2 → 5.27 <3.0 → Flagged Hasn't budged. Retest after 12-week KPV run.
ANA Negative Negative – Normal No autoimmune.
RF, Anti-CCP Negative Negative – Normal No rheumatoid.
Cardiovascular
LDL 112 → 118 <100 ideal ↑ Flagged Elevated and creeping up.
Apolipoprotein B 91 <90 → Borderline Just over the line. Particle number matters more than LDL.
HPA Axis and Adrenal
ACTH 3.9 LOW 7.2-63.3 – Flagged New Jan 2026. HPA axis suppression.
Creatine Kinase 242 HIGH 32-182 – Flagged New Jan 2026. Muscle damage marker.
Cortisol CAR 0.79 1.5-4.0 – Blunted DUTCH Plus, April 2025.
Cortisol 60 min 1.81 In range – Drops too fast DUTCH Plus pattern.
Methylation
Homocysteine 9.4 → 7.2 <8 ideal ↓ Ideal Methylfolate + TMG + B Complex working.
Folate RBC >1487 In range ↑ Supplemented Heavy methylfolate dosing.
2-Methoxy / 2-OH ratio 0.41 >0.4 – Low Sluggish COMT. Estrogen clearance stalling.
Vitamins and Minerals
Vitamin D 48 → 67.8 50-100 ↑ Optimal In target range.
B12 631 In range → Normal Good.
MMA 56 In range – Normal B12 is functional, not just serum.
Biotin status (b-Hydroxyisovalerate) 13.0 In range – Deficient DUTCH marker. Not supplementing. ACTION ITEM.
Molybdenum Low — – Low Doctor's Data April 2025.
Hormones (DUTCH Plus, April 2025)
Estradiol 5.32 Luteal 1.3-3.3 – Dominant Above luteal. Estrogen dominant pattern.
Progesterone (b-Pregnanediol) 584 Luteal 600-2000 – Low Below luteal. Oral progesterone candidate.
Testosterone 1.20 In range – Below range Flagged androgen deficiency.
DHEA 169 In range – Normal
HVA (dopamine metabolite) 3.1 Low end – Low Ties to ADHD pattern.
Melatonin 4027 In range – Massively high Not supplementing. Possible mold/MSH disruption.
8-OHdG (DNA damage) 3.0 In range – Normal No oxidative DNA damage.
Mold (Vibrant Wellness, April 2025)
Aflatoxin B1 22.96 <6.93 – 3.3x over Binder: cholestyramine + Ultra Binder Plus.
Aflatoxin G1 16.35 In range – 2.5x over
Aflatoxin M1 15.80 In range – 2.5x over
Ochratoxin A 12.44 In range – 1.8x over
Fumonisins B1 9.97 In range – Over
Satratoxin G 0.18 At limit – At limit Stachybotrys / black mold.
Metals (Doctor's Data, April 2025, PROVOKED with EDTA + DMPS)
Mercury 18 <1.3 – 13.8x over
Lead 8.0 <1.2 – 6.7x over
Bismuth 17 <1 – 17x over
Cobalt 110 <1.7 – 65x over
Iron 542 <50 – 10.8x over
Manganese 64 <0.6 – 107x over
Genetic
MTHFR Mutation (3 variants) — – Monitoring Specific variants TBD (C677T / A1298C / compound).
COMT Mutation — – Monitoring Matches sluggish 2-Methoxy/2-OH ratio and dopamine clearance picture.
Supplements

Current Stack

  • Morning
  • DIM Detox x2
  • Calcium D-Glucarate
  • CodeAge Women's (replaced Ancient Gland)
  • NAC x1
  • Iodine PX
  • Omega 3
  • Astaxanthin
  • Magnesium glycinate x2
  • Vitamin D
  • Adrenal x1
  • TMG
  • B Complex Plus
  • Curcumin
  • Dinner
  • Zinc
  • NAC x3
  • Taurine
  • Curcumin
  • CoQ10
  • Magnesium citrate x2
  • Glycine
  • Binder (2:40 PM)
  • Cholestyramine (prescribed by Julie Barter)
  • Ultra Binder Plus
  • Peptides
  • KPV 300 mcg subQ
  • TB-500 500 mcg subQ
  • Retatrutide 250-300 mcg 2x/week
  • Discontinued
  • Tyrosine
  • Melatonin (stopped ~2 yrs use, before DUTCH)
  • Biotin (stopped historically; should restart per DUTCH)

Recommended Additions

  • Biotin 2500-5000 mcg/day — DUTCH b-Hydroxyisovalerate 13.0 flags deficiency. Highest priority.
  • Collagen peptides 10-15g/day for nail and hair matrix
  • Silica (bamboo extract or horsetail) for nail and hair structure
  • Get consistent on cholestyramine (daily reminders set)
  • Retests and follow-ups
  • Retest CRP cardiac after 12-week KPV run (target <3.0)
  • MTHFR variant test (C677T / A1298C / compound)
  • Redo DUTCH Plus after 12 weeks consistent protocol
  • Follow-up with Julie Barter
Action Items
  • Add biotin 2500-5000 mcg/day (DUTCH deficiency flag)
  • Retest CRP cardiac after 12-week KPV run (target <3.0)
  • Get MTHFR variant result (C677T / A1298C / compound)
  • Redo DUTCH Plus after 12 weeks consistent protocol
  • Tighten cholestyramine consistency (daily 2:40 PM reminder active)
  • Schedule follow-up with Julie Barter
  • Watch insulin trend on Retatrutide (3.7 → 10.1)
Mom

Mom

Labs not yet drawn. Panel designed and priced. Full priority doc at memory/mom_lab_priority.md.
  • Overweight, can't lose weight
  • Lumbar fusion June 2025, roughly 10 months post-op
  • Asthma and lung issues
  • Grade 4 exertional dyspnea (SOB walking across a soccer field), worsening since anesthesia
  • Likely MTHFR plus mold exposure (same profile as Nicki)
  • Starting peptides: KPV, TB-500, BPC-157, plus Russian lung peptides (Bronchogen, Chonluten)
  • No insurance, self-pay, sees naturopaths
Lab Markers (Planned, Tier 1 Panel ~$290)
Marker Last Value Reference Trend Status Action / Note
Safety Rule-Outs (critical)
NT-proBNP Pending — – Pending Cardiac strain screen. If elevated, needs echo.
D-dimer Pending — – Pending Clot rule-out. Positive = ER.
Metabolic
HbA1c Pending <5.7 – Pending
Insulin (fasting) Pending — – Pending Key number for "can't lose weight."
CMP-14 Pending — – Pending Kidneys, liver, electrolytes, calcium, glucose.
Thyroid
TSH Pending 0.45-4.5 – Pending
Free T4 Pending — – Pending Storage hormone.
Free T3 Pending — – Pending Active hormone, metabolism.
Reverse T3 Pending — – Pending Thyroid resistance pattern.
Cardiovascular
Lipid Panel Pending — – Pending
hs-CRP Pending <3.0 – Pending Cardiac inflammation.
Apolipoprotein B Pending <90 – Pending Real cardiovascular risk.
Iron and Anemia (SOB causes)
CBC w/ platelets Pending — – Pending
Iron and TIBC Pending — – Pending
Ferritin Pending — – Pending Low ferritin = fatigue and SOB.
Vitamins and Minerals
Vitamin D (25-OH) Pending 50-100 – Pending
Vitamin A (serum) Pending — – Pending Alveolar / surfactant health.
Magnesium Pending — – Pending Bronchodilator.
Methylation
B12 and Folate (combo) Pending — – Pending
Homocysteine Pending <8 ideal – Pending Functional MTHFR marker.
MMA Pending — – Pending Functional B12 status.
Bone Healing (post-fusion)
Phosphorus Pending — – Pending Not in CMP.
PTH, Intact Pending — – Pending Drives bone turnover.
Mold / CIRS (Tier 2 adds)
Complement C4a Pending — – Pending #1 CIRS inflammation marker.
MMP-9 Pending — – Pending Tissue destruction, crosses BBB.
Supplements

Current Stack

  • Garden of Life Raw K (K1+K2)
  • Full stack incomplete. Confirm with Nicki.
  • Peptides (starting)
  • KPV
  • TB-500
  • BPC-157
  • Bronchogen (Russian lung peptide)
  • Chonluten (Russian lung peptide)

Recommended (after labs)

  • Biotin if b-Hydroxyisovalerate or DUTCH shows deficient
  • Selenium if serum reads low (thyroid + mold support)
  • Copper/Zinc rebalance if Cu/Zn flipped (common in mold)
  • Iron only if CBC + ferritin show need; over-iron is common in mold
  • Magnesium if serum low (bronchodilator)
  • NAC + liposomal glutathione empirically (mold)
  • Beyond labs (critical)
  • Chest X-ray ($50-150)
  • Spirometry / Basic PFT ($75-150)
  • EKG ($50-75)
  • 6-minute walk with pulse ox
  • Home pulse oximeter ($20 one-time)
Action Items
  • Draw Tier 1 labs before starting Russian lung peptides (preserve baseline)
  • Get CXR + PFT + EKG ordered through naturopath. SOB needs structural answer, not just blood.
  • Confirm full current supplement list with Nicki
  • Budget check: Tier 1 alone ~$290; Tier 1 + priority Tier 2 ~$500-550
  • After labs: decide biotin, selenium, Cu/Zn based on results
Logan

Logan

Age 16. Treating severe teen acne, anxiety, SI history. Nicki interprets and builds stack; Gragert is lab-order-only, not Logan's clinical provider. Accutane refused (SI contraindication). All draws fasted per Nicki. Round 3 labs planned April 2026.
  • Lab timeline: May 28 2025 baseline, June 2 2025 short follow-up, Jan 2 2026 recheck, Round 3 April 2026 planned
  • Likely MTHFR variants (Nicki is homozygous C677T + A1298C); HFE gene test pending Round 3
  • Primary acne driver: hormonal (testosterone + DHEA-S elevated, 17-OHP 247 red-flags NCCAH)
  • Iron source identified: Organ+ heme iron. Nicki cut it. Round 3 will confirm iron dropping.
Lab Markers
Marker Last Value Reference Trend Status Action / Note
Hormonal (primary acne driver)
Testosterone Total 843 → 913 Adult male upper <785 ↑ Above range Above adult male upper normal.
DHEA-Sulfate 441 → 485 In range ↑ Flagged HIGH Rising despite clearance support.
17-OH Progesterone 247 Above all Tanner stages – Red flag NCCAH concern. ACTH stim test needed.
SHBG 39 → 52.7 — ↑ Improving Moving right direction.
Iron
Iron 113 → 188 — ↑ HIGH Organ+ source cut. Round 3 confirm.
Transferrin saturation 60-71% 20-50% – HIGH Organ+ related.
Ferritin 50 → 108 — ↑ Elevated Expect drop Round 3.
ALT 25 → 38 — ↑ HIGH Liver marker, tied to iron overload.
Vitamins and Minerals
Vitamin D 33.9 >50 optimal – Low Bump D3 to ~5000 IU/day.
Zinc 78 >90 target – Low
Gamma Tocopherol Low (May) — – Low
Magnesium (serum) 1.8 Bottom of range – Low end RBC Mg more accurate.
Methylation
Homocysteine 8.3 <8 ideal – Compensated Seeking Health multi providing methylated B's.
MTHFR variants TBD Round 3 — – Pending Likely has variants; being tested.
Genetic (Round 3)
HFE gene Pending — – Pending Settles hemochromatosis question for life.
Supplements

Current Stack

  • Breakfast
  • Seeking Health Optimal Multivitamin — 6 caps (check label: no-iron version)
  • BodyBio Balance Oil — 1
  • BodyBio PC — 1
  • D3/K2 — 1 (bump to ~5000 IU/day)
  • Digestive Enzyme — 1
  • Codeage Probiotic — 2
  • Bedtime
  • Calcium D-Glucarate — 1 (androgen clearance)
  • Glycine — 1 g
  • Magnesium — 300-400 mg
  • Ashwagandha — 300 mg (may raise T, swap candidate)
  • Li-Zyme (lithium orotate) — 1 (mood, working)
  • Discontinued
  • Organ+ (iron source, cut)
  • Beta-TCP
  • TUDCA

Recommended / Adjustments

  • Bump Vitamin D3 to ~5000 IU/day (serum still 33.9)
  • Swap Ashwagandha for rhodiola, holy basil, or L-theanine (ashwagandha may raise T)
  • Add zinc-focused supp (current serum 78, want >90)
  • Add gamma tocopherol / mixed tocopherol E
  • Confirm Seeking Health multi is the no-iron SKU
  • Round 3 labs (April 2026)
  • HFE gene test (hemochromatosis rule-out)
  • MTHFR SNP panel
  • Recheck iron markers (Iron, TIBC, Ferritin, Transferrin sat)
  • Thyroid, hormones, methylation refresh
  • Outside integrative scope
  • ACTH stim test for NCCAH (needs pediatric endo or functional MD with injection capacity; not orderable at Gragert)
Action Items
  • Book ACTH stim for NCCAH workup (17-OHP 247 + rising DHEA-S)
  • Run Round 3 panel April 2026 (thyroid + hormones + iron + HFE + MTHFR)
  • Raise D3 dose and re-verify in Round 3
  • Swap ashwagandha for lower-T alternative
  • Confirm no-iron version of Seeking Health multi
Cooper

Cooper

No lab work on file yet.
  • Does he need a baseline metabolic + inflammation panel given family MTHFR and mold exposure history? Nicki to decide.
  • Minimum viable baseline if greenlit: CMP, CBC, hs-CRP, Vitamin D, B12+Folate, Homocysteine, Iron panel, A1c, TSH. Add MTHFR SNP test once.
Lab Markers
Marker Last Value Reference Trend Status Action / Note
No labs on file — — – Not drawn Decide with Nicki whether to run a baseline panel.
Supplements

Current Stack

  • Nothing on file. Nicki to confirm.

Recommended

  • Wait for Nicki's call on whether to run a baseline panel
Action Items
  • Nicki to decide on baseline panel given family MTHFR + mold history
Michael

Michael

Full panel drawn 2026-01-02 via Bluebird Health (lab-ordering service, not his doctor). Fasted draw. Significant cardiovascular red flags needing a real physician review.
  • Age 40 at draw, LabCorp panel self-ordered through Bluebird Health direct-pay lab service
  • Gragert is not Michael's doctor and doesn't provide clinical follow-up. The family has no established primary care currently.
  • LDL 262 and ApoB 220: lab itself flagged for Familial Hypercholesterolemia (FH) evaluation
  • If FH is confirmed genetically, Cooper and Logan each have 50% inheritance risk and should be screened
  • Ferritin 481 + Hematocrit 51.5 combo warrants iron panel to rule out hemochromatosis (also genetic)
  • ALT 68 + lipid profile points to possible NAFLD (fatty liver), worth an abdominal ultrasound
  • Lp(a) low and thyroid normal, so at least two common genetic CV markers are NOT contributing
Lab Markers (2026-01-02)
Marker Last Value Reference Trend Status Action / Note
Cardiovascular (the story)
Cholesterol, Total 349 100-199 – Very High 75% over range. Baseline, no prior to compare.
LDL Cholesterol 262 0-99 – Very High Lab flagged: "Consider evaluating for Familial Hypercholesterolemia (FH)."
Apolipoprotein B 220 <90 – Very High Classified "Very High" (>130). ASCVD very-high-risk target is <80.
Triglycerides 199 0-149 – High Fasted draw confirmed by Nicki. Number stands as-is, not adjusted down.
VLDL Cholesterol 41 5-40 – Borderline Barely above, tracks with TG.
HDL Cholesterol 46 >39 – Normal Above threshold but could be higher; optimal >60.
Lipoprotein (a) <8.4 <75 – Low (good) Excellent. One genetic CV risk marker ruled out.
hs-CRP (cardiac) 3.58 0.00-3.00 – High risk Lab category: "High Risk for future cardiovascular event." Retest in 3 months.
Metabolic
Glucose (fasting) 80 70-99 – Normal Good.
Hemoglobin A1c 5.3 4.8-5.6 – Normal Not prediabetic (prediabetes starts 5.7).
Insulin 12.9 2.6-24.9 – Upper-normal Mid-to-upper range. Worth watching given the lipid picture.
Uric Acid 6.6 3.8-8.4 – Upper Just above gout therapeutic target (<6.0). Monitor.
Liver
ALT (SGPT) 68 0-50 – High Liver enzyme elevated. With the lipid profile, likely NAFLD. Suggest abdominal ultrasound.
AST (SGOT) 38 15-59 – Normal In range.
Alkaline Phosphatase 46 47-123 – Low Just below range. Often non-specific; could reflect zinc need.
Bilirubin, Total 0.5 0.0-1.2 – Normal Fine.
Iron and CBC
Ferritin 481 30-400 – High Elevated iron stores. Order full iron panel with transferrin saturation to rule out hemochromatosis.
Hematocrit 51.5 37.5-51.0 – Borderline high At the upper ceiling. Combined with ferritin, another hemochromatosis clue.
Hemoglobin 17.5 13.0-17.7 – Normal Upper end but in range.
WBC / Differential 4.5 3.4-10.8 – Normal All differential counts in range.
Platelets 263 150-450 – Normal Fine.
Kidney Function
Creatinine 0.80 0.76-1.27 – Normal Kidneys fine.
eGFR 115 >59 – Normal Excellent kidney filtration.
Albumin/Creat Ratio (urine) <8 0-29 – Normal No microalbuminuria. Clean urine.
Thyroid
TSH 2.14 0.45-4.50 – Normal In range. Free T4/T3 not ordered; could add if symptoms.
Hormones
Testosterone, Total 600 264-916 – Normal Mid-range, healthy for age 40.
Free Testosterone (direct) 13.5 6.8-21.5 – Normal Good.
SHBG 47.7 16.5-55.9 – Normal Upper-normal.
Vitamins and Minerals
Vitamin D, 25-OH 42.4 30-100 – Room to grow In range but optimal is 50-80. Add D3 2000-4000 IU.
Vitamin B12 385 232-1245 – Normal Fine.
Folate, Serum 10.8 >3.0 – Normal Adequate.
Magnesium, RBC 6.7 3.7-7.0 – Normal Upper-normal. Good.
Copper 85 69-132 – Normal Balanced.
Zinc 84 44-115 – Normal In range.
Ceruloplasmin 21.3 16.0-31.0 – Normal Normal copper transport.
Urinalysis
Full panel All clean Negative for all – Normal No protein, blood, glucose, ketones, leukocytes, or bacteria. Specific gravity 1.008, pH 6.5.
Supplements

Current Stack

  • Omega 3: 2 AM, 2 PM (good, ~2g EPA/DHA total supports triglycerides)
  • Berberine: 500 mg AM + 500 mg second dose (matches CV protocol range)
  • Fiber: 5-7 g daily (bile acid sequestration for LDL)
  • NAC: 1 daily (glutathione support, liver)
  • Ubiquinol: 100-200 mg (active form of CoQ10, mitochondrial + CV)
  • Vitamin D: 10K-20K IU 3x/week (solid pulse dosing)
  • Astaxanthin: 10 mg (anti-inflammatory, CV protective)
  • Silymarin: 1 daily (milk thistle, liver support, great for his ALT)
  • Curcumin: 500 (anti-inflammatory, hs-CRP helper)
  • TUDCA: 250 mg (bile acid support, great for NAFLD picture)
  • Magnesium: 300-400 mg PM
  • Glycine: 2-3 g PM (liver support, sleep)

Recommended (pending physician review)

  • Bergamot extract 500-1000 mg/day (evidence-backed LDL reduction, not currently in stack)
  • Red yeast rice as natural statin-analog IF physician prefers non-pharma first (not currently in stack)
  • Most of the standard lipid/liver supplement stack is already covered — his protocol is well-designed
  • Supplements alone will NOT get LDL 262 to target. Real physician + likely statin conversation is the actual next step.
Action Items
  • Establish with a real physician for lipid follow-up. Options: primary care in Whitefish/Kalispell, preventive cardiologist direct-pay, or telehealth service like Function Health or Marek Health. Gragert does not do clinical follow-up.
  • Order FH (Familial Hypercholesterolemia) genetic panel. Available through LabCorp, Invitae, or Function Health.
  • Order iron panel with transferrin saturation to rule out hemochromatosis. Ferritin 481 + Hct 51.5 pattern.
  • If FH positive: get Cooper and Logan baseline lipid panels (LDL, ApoB). Each has 50% inheritance risk.
  • If hemochromatosis positive: Cooper and Logan should also screen. Therapeutic phlebotomy is the typical treatment.
  • Abdominal ultrasound to rule in/out NAFLD (ALT 68 + this lipid profile)
  • Repeat hs-CRP in 3 months to track CV inflammation
  • Previous Peru Giardia concern: resolved or still open?
Normal
Watch / Borderline
Flagged
Pending / No Data
Monitoring
↑ Up (good)
↑ Up (bad)
↓ Down (good)
→ Flat
Gap rows in the Recommended column are highlighted with a left border. Yellow = add / follow up. Red = priority gap.
Medical data, password-gated. Source files in memory/facts/health_labs.md, memory/facts/logan_health.md, mom_lab_priority.md.