@the-MOUSE said in my recent subhuman bloodwork for recurring nausea/anxiety:
idk why it wasnt tested again this time, but my ferritin was very low at 34 around a yr back, although other iron markers were fine like tibc
Ferritin at 34 ng/ml isn't low. When you say transferrin saturation was normal, was it between 30 and 40%? If so, your ferritin level is fine.
I'm not sure if I can interpret your serum calcium not knowing if it is ionized calcium or total calcium, and even then not knowing your PTH values and vit D status makes the determination difficult.
About your metabolic acidosis diagnosis, that isn't a main cause as much as it is the result of various factors.
You mention your intake of electrolytes being lacking, but I doubt if you can drink plenty of electrolytes to make your body stores of it. It's better to get your mineral that replenish your body with electrolytes on a regular basis, as these minerals are constantly being used and excreted. When you sweat and urinate and defecate, these minerals are excreted. You get a lot of calcium from milk, cheese, and well-cooked green leaf vegetables (as well as vitamin K and magnesium from Leaves). Potassium from meat and from fruits and vegetables (but little calcium and magnesium). And salt from adding salt liberally to taste. Are you eating enough of these in your nutrition lifestyle? If you're not, you end up having to rely on supplements and there is the matter of whether they are absorbed well in the body. On this aspect, eating whole foods offers this advantage. I'm not even sure I could run into deficiencies if I eat a diversity of foods with enough quantity that fills me up enough as that is what people have been doing at earlier periods in places where there is a variety of food sources to choose from.
And if I ate without having to resorts to fads like carnivore or ketogenic diets and just ate like I never attended universities and took coaching lessons such as the Mediterranean diet or Atkins diet, of which there is dizzying array of in the US, and get good air and sunlight, and not even have to walk 10,000 steps a day or workout, but just attend to manual chores (just being active), I would naturally be living a Peaty lifestyle already without knowing who Ray Peat is. Ray Peat is like a prophet telling us to go back to where we started, as the world teems with false prophets of every stripe.
I simply test my health daily with simple methods that work very well. I would add my own markers to Ray Peat's body temperature with simple tests such as breath rate, which is a proxy for serum pH (instead of an arterial blood gas- expensive and painful), and a urine and saliva pH test using test strips I buy from Amazon (Hydrion pH 5.5-8). With these I know my acid-balance status, which when optimal, and used together with a very reliable blood glucose test I do at home, I get a very good indication of my oxidative metabolic health and overall health. These give me red flags way ahead of time, and I can nip at the bud something bad from developing into worse conditions. I have other tools as well but I don't want to overwhelm you. Those can come later at a more advanced level.
One reason being able to just know how to achieve acid-base balance is it is very reassuring to know that it reflects a general state of balance that keeps me confident that I won't develop stones in the kidneys and that my organs won't develop soft calcification. As with a body in this kind of balance, the electrolytes are doing their job to keep my organs young and healthy. An example is that with the body in this state, potassium in our cells and tissues can very well regulate the entry of calcium into our cells and tissues to where calcium is used to enable our muscles and to contract and relax optimally (eg our heart beats better, we don't experience cramps) without risking too much calcium gets in our tissues and stay there. The balance is naturally expressed as intracellular potassium to being in a 30:1 ratio with extracellular potassium, and extracellular calcium at a 15000:1 ratio with intracellular ratio.
This relationship becomes disturbed when our body becomes very acidic and this is when our blood potassium becomes very high in potassium, which is our body's attempt to move potassium from its cells to its extracellular fluids, as reflected in plasma. Then the doctor will see that and tell us we have "too much potassium." And now we know that is nonsensical because we know better now. But in fairness to the doctor, he will just be exasperated explaining this to the average person.
Anyway, moving on to more diagnosis:
With your high blood glucose (at => 100 mg/dL or 5.555 mmol/L:, and anion gap being high and CO2 or bicarbonate being low, you may have a thiamine deficiency, and with that your metabolism may be stuck at glycolysis which produces plenty of lactic acid, and this could explain why you have metabolic acidosis.
I am not sure is there is such as thing as not being hypothyroid but having low metabolism, but if there is such a thing, then you are a good example because your ECG QTc value of 396 msec puts you at either slightly hypothyroid or euthyroid, and not hypothyroid. So, if I were to hazard a guess, making you sufficient in B1, if that is the only limitting factor in your getting to mitochondrial sugar metabolism and improving your acidic condition.
Maybe just like me just last week discovering I am thiamine insufficient, supplementing with thiiamine, or more thiamine if what you're currently taking is too (which was the case with me) would be a good and simple way to start you on your way to better health.
@mostlylurking I would appreciate if you have adding to add.
Add: I don't trust the QTc on its own. If I can view the ECG graph as well, I may get a more confident reading of the ECG results as to whether or not hypothyroid.