Blood panel - let's see what 3 days of pain did to my body

I thought it would be interesting to do a blood panel a few days after finishing ultraman. I’m sure many of you will also be interested. So, what to test?

  • Blood cell count
  • CK
  • Hormone / Testosterone

what else?

Also, any recommendations for who to use? I have a Quest Diagnostics lab nearby, but is it worth “front ending” that with another service?


EDIT: UPDATE WITH RESULTS

I went with athletebloodtest.com - most markers were normal but a few things stood out

  • Hematocrit was higher than I expected, 47.3 - while Lance may not be happy with that, I would have thought that 3 days after finishing Ultraman I’d have taken a knock
  • Free testosterone is low 7.1 (although after a big 3 days that’s to be expected)
  • LDL is high 124 and Cholesterol too at 204 (same goes, to be expected, will check back in after a new baseline test in the new year)
    -** ALT (452) and AST (362) very high** indicating a high degree of muscle breakdown. Confirmed by the fact that I couldn’t walk down stairs until Saturday!
  • Ferritin high (213)
  • Vitamin D low (31)

You probably would need a pre-race baseline to compare to if this is going to be in any way useful.

I would be curious to see C reactive protein levels.

If this piqued anyone’s interest here is an article that briefly summarizes some of the biochemical responses to prolonged, strenuous exercise-- http://bjsm.bmj.com/content/36/4/301.full. A bit brief, but it references a bunch of more in depth papers if you want to read them.

I thought it would be interesting to do a blood panel a few days after finishing ultraman. I’m sure many of you will also be interested. So, what to test?

  • Blood cell count
  • CK
  • Hormone / Testosterone

what else?

Also, any recommendations for who to use? I have a Quest Diagnostics lab nearby, but is it worth “front ending” that with another service?

I know you probably aren’t going to do it, but I would love to see you get an Echo on your heart and test the EF (Ejection Fraction)

I am also curious about your HDL and LDL cholesterol levels. After Kona 2005, Simon Lessing said his values were through the roof and then things normalized.
Also HCT and Iron levels before and after (if any changes) would be interesting.

Quest is as good as any for these basic studies
get a complete metabolic panel for completeness.
also track done your most recent baseline labs

AST levels in liver?

Hello all, My name is Dr. Garret Rock. I work for Phuel Sports Science, whose new public offering is AthleteBloodTest.com. I have been intimately involved in research on using blood biomarkers in athletes for 8 years. I also personally work with thousands of professional athletes and 4 national governing bodies of sport (Olympic teams), including pro triathletes, runners, cyclists, and hockey teams. I may be able to help you determine which tests are ideal for your analysis.

Blood tests are extremely useful following (and prior to) big race efforts. Through a blood test, and interpretation by an expert trained in working with athletes, we can determine
how your unique physiology tolerates/responds to the stress of the effort you put forthideal recovery methods and recovery time needed based on muscle breakdown markers and hormone response to your race effort, andmicronutrient utilization rates, which will help determine the ideal recovery diet/nutrition strategy for recovery and future race prepmuch more, but for the sake of this conversation

You will need more than a CBC, CK, and Testosterone to accurately determine the above. Following the effort you went through, in order to gain knowledge that can help you in the future, I recommend a more comprehensive panel. As an example of why, testing testosterone will give you a snapshot of where it is at now. However, by also including DHEA-S and Sex Hormone Binding Globulin we can gain a better understanding of the effect your race effort had on testosterone levels. This will help you determine things such as what the ideal taper period is for you, what the ideal training volume is for you (recovering from efforts is nearly as important as the efforts themselves), and what the ideal recovery time following a race is for you. There are many more scenarios behind every test I recommend below. I don’t have time to write them all.

It is also critical to test micronutrients. Micronutrient utilization rates vary for each individual. Not all athletes need iron supplements (should never be taken blindly). Some absolutely do after they exceed a certain training volume per week. The only way to know your unique needs, which will help you construct the ideal nutrition strategy throughout your training and racing season, is to get blood tests.

Below is the panel I recommend:

Complete blood count with differential
Comprehensive Metabolic panel
Reticulocytes
Iron, serum
Ferritin
B12
Folate, serum
Magnesium
Vitamin D, 25-OH
Cortisol
Thyroid Stimulating Hormone
Sex Hormone Binding Globulin
DHEA-S
Testosterone, free
Testosterone, total

Last words of advice. Don’t try to interpret yourself. I have seen tens of thousands of tests on athletes now and analyzed a giant database that we’ve been populating over the last 4 years, as well as read thousands of studies…and I am still learning something new occasionally. To get the most out of your tests, rely on those that have a comprehensive understanding of how to tie all of the information together. It’s much more complex than simply looking at a number and comparing to normal/abnormal range. Ideal ranges and normal ranges vary based on your age, gender, and frequency/duration/intensity of training/racing. These should be factored in to your interpretation.

I surely do not mean to advertise a service I am involved in on this forum, but it does provide a solution for anyone interested in what you are posting about. It also prevents the mistake of doing it yourself or through somebody untrained in athlete biomarkers. I invite you to use our service if you desire. We can be found at www.AthleteBloodTest.com.

We do require a coupon/access code currently as the service is a new public offering and we are largely working through coaches right now as we update the website.

Here is a coupon/access code, which also provides a little discount: 5offabt!

I hope the information I provided is helpful.

Thanks now that I see your name, it rings a bell; I believe Ivan O’ Gorman actually recommended you to me.

Since you’re local maybe I just pay you a visit. I’ll send you an email

A team of Florida State University researchers studied some athletes at the 2015 Ultraman Florida…

http://www.sciencenewsline.com/news/2015111819470019.html

Troponin and Lactic Acid. Might be too late for these though.

I doubt Troponin is elevated (at least I sure hope there’s no MI associated with an ultraman :wink: . How about Myoglobin? However, the draw probably would be more interesting if taken right after the finish.

I doubt Troponin is elevated (at least I sure hope there’s no MI associated with an ultraman :wink: . How about Myoglobin? However, the draw probably would be more interesting if taken right after the finish.

Doesn’t have to be an MI to have an elevated tropnin. Exercise Induced Troponin Elevation is a real thing.

Hey Dr. Rock, looking at your blood tests they resemble what I usually get from Quest, so is it possible that our insurance could pay for them through you guys? Does that happen at all, folks having insurance pay you directly for the actual blood work?

I like what you are doing, something I have done with my doc the past 30+m years. I imagine you guys have a much wider data base and can work more with some of those little markers we tend to ignore in our blood tests. Read through your blog articles and they are intriguing.

cortisone
.

I am also curious about your HDL and LDL cholesterol levels. After Kona 2005, Simon Lessing said his values were through the roof and then things normalized.
Also HCT and Iron levels before and after (if any changes) would be interesting.

Also HbA1c. I understand endurance athletes in heavy training can get “pre-diabetic” readings. Similar “borderline” readings for total cholesterol due to very high HDL levels combined with normal LDL/triglycerides.

Ian

Also HbA1c. I understand endurance athletes in heavy training can get “pre-diabetic” readings. Similar “borderline” readings for total cholesterol due to very high HDL levels combined with normal LDL/triglycerides.

Ian

especially likely with my recent super-high carb load experiments…

Are you actually planning on doing this?

Every day that goes by makes it less and less likely that you’ll see anything interesting.

I’m also skeptical of the conclusions that you could draw without having performed a pre-race baseline.

Are you actually planning on doing this?

I’ve already done it. I agree about the baseline - I just was not able to get it done beforehand - plus my training load was super high so the baseline would also not have been in a “normal healthy” state. So I will get another baseline around Jan/Feb, which will at least give us some healthy values, even though it’s after the fact not before