The lab tests every woman with HPV should ask for
Dr. Doni Wilson explains which blood tests women with HPV should request beyond standard panels. She recommends advanced markers like ApoB, homocysteine, free T3, ferritin, and vitamin D, with specific targets like vitamin D at 60-80 ng/mL and TSH at 0.5-2, because nutrient deficiencies can keep HPV persistent.
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Just because your labs came back normal doesn't mean that you're absolutely healthy, and just because your blood work is in the reference range doesn't mean that everything's optimal. It could actually help you to identify the reason why you're still testing positive for high-risk HPV virus and or why you might be dealing with other health issues. And in this video, I'm going to explain to you by giving you examples of lab work and exactly what I look for to show optimal levels of functioning versus what might be considered okay on a standard lab test. So let's go into this, starting with a CBC. A CBC is a complete blood count, which is the most common blood test. If you're going to have your blood drawn, that's the first test that's going to be done, and it's to count your red blood cells and white blood cells. Oftentimes, it's going to come back within the normal range, but that doesn't necessarily mean that everything's okay. We need to be looking at details like the MCV, MCH, and MCHC, which is going to show us about the size of your red blood cells, which can give us a lot of information about your nutrient status, whether you might be low in iron or B12 or folate. We can see that in the CBC, even if you have enough red blood cells, for example. And the next test that's commonly done is a complete metabolic panel. This is to show us kidney function, liver function, and electrolyte balance, which is all important and could tell us if you need to go to the emergency room. However, this is very often going to come back within range, and that doesn't necessarily mean that your whole body is healthy. It just happens to be something we can test in bloodwork to identify whether your kidneys or your liver is overwhelmed and stressed, and even then we can take steps to help them to improve their function. The next test that's often done is a lipid panel. Now, a lot of people think that we're running a lipid panel to assess for heart disease risk. However, research shows very clearly that lipids and cholesterol are not the best way to assess for heart disease risk. And so even if your lipids are a little bit high or your LDL cholesterol is a little bit high, I'm still going to encourage you to do more. If we want to know about heart disease risk, we need to do what's called an advanced lipid panel and be able to see more specific, more accurate levels, such as— ApoB. Apolipoprotein B and lipoprotein A, as well as I like to look at inflammatory markers in the blood vessels, such as Lp-PLA2 and myeloperoxidase, to really help us understand inflammation in your blood vessels, which is actually the root cause of heart disease and plaque when cholesterol can stick to the inflammation in the blood vessels. So it's not just about testing cholesterol. That's not the whole story. We need to go further than that if we really really want to assess for heart disease risk, including I would right away want to do a cardio CRP, which is C-reactive protein, that assesses for inflammation in your whole body, but can really help us to identify if there is an issue with inflammation in your blood vessels that we can address by helping to lower inflammation in your whole body and your blood vessels at the same time. We also need to be checking Something called hemoglobin A1C. In the complete metabolic panel, we'll get your glucose, which would be fasting glucose if you were fasting at the time of your blood draw. But that could really only give us a little bit of information, only your single glucose at the time of your blood draw. A hemoglobin A1C gives us your average glucose over 3 months, so it can give us a much better idea if there's times when your blood sugar is too high. Now, the reference range is even up to 5.7, but I recommend for my patients to aim for 5.0 to 5.2 to make sure that your blood sugar levels are optimized. And if possible, I would also like to measure your fasting insulin levels so that we can see how well is your insulin functioning to maintain optimal blood sugar levels. Then we're going to want to check for thyroid function because that is something we can test in the blood. However, most times the only test that's done is a TSH, thyroid-stimulating hormone, which is important. That tells us what your brain thinks of your thyroid function. However, the common reference range goes all the way up to 4 or 4.5, which, in my book, is way too high. When the TSH is higher, it means lower thyroid function, and you really want your TSH between 0.5 and 2. So if it's higher than 2, I would want to be taking action to help improve your thyroid function. But we don't want to just have TSH. We also need to know your free T4 and your free T3. Free means active hormone levels, so free T4 hormone and free T3 hormone levels to really assess for your thyroid function and, if possible, We would also want to get your reverse T3 to know if you're— how well is your body converting to active or inactive thyroid hormone. And if you think you have had Hashimoto's or you might have Hashimoto's, which is an autoimmune thyroid condition, then we would want to test for the thyroid antibodies ATA and TPO.
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Click the button below. Now, when it comes to nutrients, a really common test that's done is for B12 and folate. And this is one of my biggest concerns is that a lot of people get their B12 level and folate level tested and it might show as if it's normal or even too high when actually that's not even the right test to be assessing for your B vitamin levels. So if you see B12 or folate on your test, then I recommend that you not get worried that you're taking too much because Even if you're taking a multivitamin, it could show high on a B12 or folate test because it's only showing how much of the nutrient is floating through your bloodstream. What we really want to know is how well is your body metabolizing the B vitamins? And to get that information, we need to be doing a different test that most practitioners aren't aware of and don't run, which is homocysteine and methylmalonic acid. Homocysteine helps us to assess for methylation, which includes especially B6, B9, and B12 function. It really is looking at all of your B vitamin function. And methylmalonic acid helps us to understand your B12 metabolism. So especially if you're taking B12 or getting B12 injections, you need to be running a methylmalonic acid in order to get the right information on your blood test. And that brings us to vitamin D and ferritin, 2 of the tests that we can— the nutrients we can test for in bloodwork. However, a lot of times what gets missed is it comes back in the reference range when actually it's too low. So vitamin D, in my book, it really should be at least 50 and somewhere between 60 and 80 optimally. And most times on regular blood work, it doesn't show as a concern unless it's less than 30. So we need to be paying attention to not just what's the reference range, but what's the optimal range for vitamin D. And same with ferritin. Ferritin, if it's less than 10, that's really concerning. But to me, if ferritin is less than 50, that's also associated with fatigue and hair loss and higher risk of HPV. So I'm going to want to see your ferritin at least 50. Even better would be for your ferritin to be at about 70 to 100. So we need to be looking at these values to understand if you have a nutrient deficiency that we can address using diet and supplements and very effective ways to restore healthy functioning in your body. Now, I wish that we could test all the nutrients in a standard blood panel, and it's really not possible. There are some others that you can test, like zinc, for example, and magnesium, but you have to have special testing ordered called RBC magnesium and RBC zinc in order to get an accurate test. To me, if I really feel concerned about a patient's nutrient status, instead of trying to get all of that done from a regular lab, I prefer to order what's called a micronutrient panel. And it can run and assess all of the vitamins, minerals, antioxidants, and lipids, including omegas, in a full micronutrient panel. And that's considered a specialty test from a specialty lab, but used— it's done with a blood draw, but it absolutely can be worth it, especially if you're concerned about nutrient deficiencies. So this, I hope, gives you a sense of What really could be behind the scenes going on in your body, but it's not going to necessarily show if you just do a CBC and metabolic panel. So I encourage you to, first of all, when your doctor orders bloodwork, ask for the results and see what they actually ordered for you. And then look at the reference ranges. And if you're not familiar with what should be the optimal reference range, then you're going to want to work with someone like me. I'm a naturopathic doctor. clinical nutritionist, and I've been in practice for over 26 years helping patients to optimize their health, not just get by with falling in the reference range, but I work with people who want to optimize their health to clear up things like high-risk HPV and abnormal Pap smears and prevent things like cancer, heart disease, dementia, and diabetes. So if that's you, if you're wanting to find out what your body's really needing you to know and what your body really needs from you in terms of your diet and your supplements, and you want to actually improve your health and live the longest, healthiest life you can, then this is the kind of information that you're going to want to start getting. And I'm just warning you that it's likely not going to happen in a standard doctor's appointment. And it's likely not going to happen under standard health insurance. There are ways that sometimes you can talk to your doctor and ask them to run some of these tests and, if possible, to get them ordered under your insurance. And there are times when that's possible. For example, when I order some of these tests for my patients, sometimes insurance will be able to cover that for them. So it's a possibility. And, of course, we want to Use your insurance as much as possible, but I also want you to know that sometimes health insurance has its limitations and it might not actually be covering for you to cover tests, to order tests that are for preventive care. When you want to do preventive care, you're really taking it into your own hands and saying, hey, I'm going to get as much information as I can under my insurance, but if I want more information about what my body needs, then I may have to— take it into my own hands and find ways to get the information that I need to improve my health. And that's exactly what I do in the work that I do, both in programs. I have an online community of women who are working to clear high-risk HPV virus and recover from an abnormal Pap smear and prevent HPV-related cancer. And in that online community, I guide those women to get the right tests And then I help them to understand their test results and what they can do about it. And I also offer one-on-one care for women and men and children to be able to get the right testing, whether that's blood testing or other specialty testing through urine, saliva, and stool testing that help us really understand what your body's trying to tell us and what your body needs in order to fully heal From the stress that you've been under, the injuries you've had, the medications you've needed to take, the toxins you've been exposed to. We want to help your body recover from all of that, so we need to understand how your body has been impacted and where you're starting from, so then I can guide you how to recover. And it's absolutely possible using clinical nutrition, herbal medicine, what is referred to as naturopathic medicine, we see patients heal and recover all the time. So if you would like to learn more, then I welcome you to click on a link below to schedule a time within my office to speak to my team and learn more about your situation and how we can help you. I look forward to connecting with you soon, and I'm so glad you found me and connected in. I welcome you to subscribe so you don't miss my next video. I'll talk to you soon.
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