https://tomschexnaildremd.com Book an Appointment (Men in AL & AL) Key points: Sodium is the primary determinant of plasma osmolality (saltiness). The kidneys are very precise when dialing in your plasma sodium. When Na is abnormal on routine labs, medication lists MUST be investigated, as medications are often the culprit. Low sodium and high sodium cause fluctuations in intracellular water, which can be dangerous, especially if Na is <120 mmol/L. What should you drink when you ...

My Function Health Code: Use the above code or RSCHEXNAILDRE10 and I will get a referral bonus (no extra cost to you!) Like, subscribe, share, and if you are in AL or LA and want me to review your labs: Structure Mens Health FREE Weight Loss Guide! CBC, CMP, A1c, Fasting Insulin, Lipid panel, Apo B, Lp(a), Testosterone, Uric Acid, Ferritin, hs-CRP Let's connect! YouTube | Instagram | LinkedIn |X

Structure Mens Health is my private medical practice where I work 1:1 with men as a doctor to help them optimize their health. We use telemedicine, advanced labs, DEXA scans, and VO2 Max testing to get a full picture of health and develop a plan to improve it. That's it! If you are a man looking to improve your health and live in Alabama or Louisiana (more states coming in the future), go to www.structuremenshealth.com and let's work together! Whether your goal is losing weight, decreas...

Free Weight Loss Guide: https://labstories.ck.page/d1a7599ef2 Hormones function EXACTLY like a good military command structure. In this episode I use a D-day analogy to illustrate hormonal concepts and follow that with an overview of testosterone: how it's produced, what it does, what happens when it's deficient, and how YOU can decide if TRT is right for you. This is NOT medical advice! Let's connect on social media. Let's connect! YouTube | Instagram | LinkedIn |X

FREE Weight Loss Guide! Join me as I use a WW2 / D-day story to explain the cholesterol transport system then define all the players (Lipoproteins, apolipoproteins, cholesterol synthesis, the 7 components of the lipid panel) and finish with a discussion on statins, insulin resistance, and health optimization. Leave me a rating! Find the other socials below. Enjoy! This podcast and the opinions expressed herein do not constitute medical advice. No doctor patient relationship is formed. Views...

Glucose Reference: https://labstories.kit.com/d2ec591e5e Weight Loss Guide: https://labstories.kit.com/d1a7599ef2 Dark Calories (affiliate link): https://amzn.to/4jMWkic Send me any questions you have! Tomschexnaildremd@gmail.com Let's connect on social media. Thanks for listening! Let's connect! YouTube | Instagram | LinkedIn |X

Magnesium is the most important mineral in the body. In this episode, I don't just repeat everything I've ever asked Grok on X, but give you a more complete chemical understanding of magnesium. Here's to understanding your labs and optimizing your health!Magnesium repletion plan:1. High Magnesium Foods - pumpkin seeds, avocados, >70% dark chocolate2. Supplements - GREAT ones listed below*:Dr. Berg Magnesium GlycinatePure Encapsulations Magnesium GlycinateCalm Magnesium PowderBioptimizers M...

The second most commonly ordered tests in healthcare are metabolic panels. These are either basic (7 tests) or comprehensive (12 tests) and give an overview of electrolytes, kidneys, liver, and glucose. They are smoke signals in disease detection and monitoring.What did you find helpful about this episode? Please leave me a comment!FREE Weight Loss Checklist: https://labstories.kit.com/d1a7599ef2Let's connect! YouTube | Instagram | LinkedIn |X

The hemoglobin A1c (I consider) the MOST IMPORTANT metabolic health test. In this episode of labstories, I'll tell you what it is, what it means, and how to improve yours (AND reverse diabetes, improve blood pressure, lipids, obesity, etc!)FREE Weight Loss and A1c Reversal Checklist https://labstories.ck.page/d1a7599ef2#A1c #hemoglobina1c #weightloss #obesity #healthoptimizationLet's connect! YouTube | Instagram | LinkedIn |X

Folate (Vitamin B9) is a class of water-soluble B vitamins. Folic acid is the inactive, oxidized, supplement form of Folate. Tetrahydrofolates are the active forms. Our bodies must convert Folic Acid to the Tetrahydrofolates to be used. Folates function in 1 carbon metabolism, or methylation. I refer to methyl groups as cash money in the body's economy. They are used in DNA synthesis and many other processes. DNA synthesis is especially important in red blood cell production. Deficiency of fo...

Red Cell Distribution Width!! Learn what RDW is, why it may be abnormal, and what you can do to fix it. RDW has been traditionally used to differentiate the causes of anemia, but a new study has shown it to be PREDICTIVE of death, cardiovascular disease, and strokes INDEPENDENT of anemia! The most common causes of abnormal RDW are anemias, including iron deficiency and nutritional anemias B12 & Folate Deficiency. BUT... elevated RDW independent of anemia reflects more old red blood cells ...

Hematocrit is a red blood cell test. It tells you how much of the blood volume is occupied by red blood cells. Blood has 2 main components: cells and plasma. There are 3 ways to measure hematocrit conceptually, by measuring the height of red blood cells in a centrifuged tube of blood, by multiplying red blood cell count x MCV, and by using the rule of 3's. The most common cause of low hematocrit is anemia. High hematocrit is caused by changes in plasma volume or red blood cells. Sleep apnea i...

What are platelets? What do they do? In this episode of Labstories, I'm going to use a really fun city emergency story to teach you all about platelets! These are audio tracks from the corresponding YouTube video, which you can find linked below. It has graphics, charts, and more text to help you understand all about platelets!Let me know what you think about this format, and let's connect on social media!⚖️Free Weight Loss Checklist: https://labstories.ck.page/d1a7599ef20:00 Intro0:13 Story ...

Red Blood Cells are the most numerous cells in the body, with around 25 trillion floating around at any given time. They carry oxygen. They are measured on the complete blood count in 7 ways: Red blood cell count, hemoglobin, hematocrit, MCV, MCH, MCHC, and RDW. Hemoglobin is the most important red blood cell measure, and it determines whether or not you have anemia. You can diagnose different causes of anemia based on the mean corpuscular volume or MCV. If it is low, you likely have iron def...

Hemoglobin! Learn what hemoglobin is, what causes low hemoglobin, what causes anemia, what the symptoms of anemia are, how to fix anemia, as well as some good nutrition and supplement recommendations! Hemoglobin has 3 parts: Iron: heme, globins, and iron. It is the most important protein in the body, the main component of red blood cells, and carries oxygen from the lungs to the tissues using iron. Low hemoglobin is anemia. The most common cause of low hemoglobin is bleeding. The symptoms of ...

Mean Corpuscular Volume (MCV) Explained by a Doctor in 4 Minutes! MCV is the average amount of space a red blood cell occupies. Red blood cells are made by the bone marrow using a standard recipe. They aren't clones, but are usually about the same size, between 80-100 femtoliters. When the recipe goes wrong (lack of iron, B12, folate, or other ingredients) the red blood cells come out all different shapes and sizes! Since the main job of red blood cells is to carry oxygen, they need to be wel...

Ferritin is the body's iron storage protein produced by the liver. It is more than just a static iron warehouse, though. It's a dynamic iron buffer that responds to changes in the body. That helps keep you alive, but makes the diagnosis of high ferritin very frustrating! Low ferritin is specific for iron deficiency, but high iron can be many things, including iron overload, infections, inflammation, and cancer! The stepwise evaluation of high ferritin includes transferrin saturation and other...

What are white blood cells? What do they do? What causes them to be high or low? What can you do to fix them? In this episode of Labstories, I'm using a really fun police force analogy to teach you about neutrophils, lymphocytes, monocytes, eosinophils, and basophils! Check out CBC episodes on Youtube:https://youtube.com/@tomschexnaildre?si=Mzttv-T2OyYcgW2UFree Weight Loss Checklist: https://labstories.ck.page/d1a7599ef2Labstories MERCH!: https://labstories-merch.printify.me/products#leukocyt...

B12 and Folate are members of the B vitamin family. They both play roles in methylation, and as a result, overlap in testing and treatment. B12 has a separate role in neurologic function. Understand them once and for all in this episode of Labstories, which focuses on their differences: Folate is present in (almost) ALL foods. B12 is made by bacteria, and thus only in animal foods. Folate is easily absorbed, but B12 has VERY complex active absorption. Folate deficiencies only take months to d...

In this episode I show you how to diagnose and CURE iron deficiency anemia & anemia of chronic disease! They are the biggest causes of anemia worldwide, and I make them easy to understand using neighborhood and mafia stories. I talk about ferritin, transferrin, percent saturation, TIBC, iron studies, mean corpuscular volume, hemoglobin, hematocrit, red cell distribution width / RDW, and much more! *FREE Iron Deficiency Guide! (Top 5 supplements Included)Own the Written Episode (Includes R...