Sports Performance is all about optimizing your body’s physical capabilities to enhance athletic activities, whether you’re a professional athlete or simply enjoy regular exercise. It encompasses understanding how factors like nutrition, hydration, training techniques, recovery, and mental focus contribute to your overall performance. By monitoring key health metrics and tailoring your regimen, you can improve strength, endurance, flexibility, and speed. Focusing on sports performance not only elevates your athletic achievements but also supports your overall health and well-being.
Creatinine is a waste product made by muscles during everyday activities. The kidneys filter it out of the blood and excrete it in urine. If the kidneys aren’t working well, creatinine levels in the blood increase, indicating potential kidney problems.
The serum creatinine test can provide important information about kidney function. However, normal creatinine levels don’t always mean the kidneys are healthy.
Low Creatinine Levels - Causes
Low creatinine levels in a blood test are less common, often asymptomatic, and usually not critical but can indicate certain health issues:
Low Creatinine Levels - Symptoms
Elevated Creatinine - Causes
Elevated Creatinine - General Symptoms
Elevated Creatinine - Severe Symptoms
AST (Aspartate Aminotransferase) and SGOT (Serum Glutamic Oxaloacetic Transaminase) are terms used interchangeably to describe the same liver enzyme.
AST is widely distributed throughout the tissues with significant amounts in the heart and liver. Lesser amounts are found in skeletal muscles, kidneys, pancreas, spleen, lungs, and brain.
Clinically, AST testing plays a pivotal role in assessing liver and heart health. When these organs are damaged or inflamed, AST is released into the bloodstream, making it a valuable biomarker for detecting conditions such as liver disease, myocardial infarction (heart attack), and muscle injury. It is commonly performed alongside the Alanine Aminotransferase (ALT) test because both enzymes are released into the bloodstream when liver cells are damaged.
Mild elevations in liver enzymes like AST are common in clinical practice. The clinician should evaluate potential causes as they may be early indicators of liver damage. Mild elevations may be caused by:
Hematocrit is a measure of the proportion of blood that is occupied by red blood cells. Expressed as a percentage, it provides information about the volume of red blood cells relative to the total blood volume.
Hematocrit levels are important for assessing blood health and oxygen-carrying capacity. As such, hematocrit levels are useful in evaluating anemia, blood loss, various blood conditions, state of hydration, and monitoring treatment response.
Low Hematocrit Levels - Causes
Low hematocrit levels are generally caused by blood disorders such as anemia. They may also reflect an elevated level of white blood cells, typically due to an illness or infection.
Low Hematocrit - Symptoms
Elevated Hematocrit - Causes
Elevated Hematocrit - Symptoms
Hemoglobin is a crucial protein in red blood cells responsible for carrying oxygen from the lungs to tissues and returning carbon dioxide back to the lungs for exhalation. Think of hemoglobin as tiny transporters in your red blood cells that move oxygen throughout your body, essential for energy production and overall health.
Maintaining normal hemoglobin levels is vital for your body's oxygen supply and overall health. Regular testing and a healthy lifestyle can help manage and prevent related conditions.
Low Hemoglobin Levels - Causes: Indicates your tissues aren't getting enough oxygen, leading to fatigue, weakness, shortness of breath, and other serious health issues. Causes may include:
Low Hemoglobin Levels - Symptoms
High Hemoglobin Levels - Causes: Often caused by chronic low oxygen levels, leading to polycythemia (elevated RBC count). This condition can result from increased RBC production, decreased plasma volume, or the following potential causes.
High Hemoglobin Levels - Symptoms
Creatine Kinase (CK) is an enzyme found in the heart, brain, skeletal muscle, and other tissues. When any of these tissues are damaged, they leak creatine kinase into your bloodstream. This test measures CK levels in the blood to assess muscle damage.
Low CK Levels - Causes
Low CK Levels - Symptoms
Often asymptomatic and not typically associated with specific symptoms, as low CK levels are less clinically concerning than elevated levels. However, some individuals might experience general fatigue, muscle weakness, or difficulty performing physical activities.
Elevated CK Levels - Causes
High CK Levels - Symptoms
Ferritin is a protein that stores iron in cells and releases iron when the body needs it. Measuring ferritin levels in the blood provides information about the body's iron stores.
Elevated Ferritin - Causes:
Elevated Ferritin - Symptoms:
Low Ferritin Causes:
Low Ferritin - Symptoms:
Free hemoglobin refers to hemoglobin that is found outside of red blood cells in the bloodstream. Normally, hemoglobin is contained within red blood cells, where it binds to oxygen and transports it throughout the body. When red blood cells break down (hemolysis), hemoglobin is released into the plasma, becoming "free" hemoglobin.
The Free Hemoglobin test detects and measures the amount of hemoglobin released into the blood plasma due to hemolysis. This test is particularly useful in diagnosing conditions related to hemolysis, which can occur for various reasons, including mechanical damage to red blood cells, autoimmune disorders, specific anemias, blood transfusion reactions, or other medical conditions.
Elevated Free Hemoglobin - Causes
Elevated Free Hemoglobin - Symptoms
Reference: JAMA. 2005;293(13):1653-1662
The Iron Binding Capacity (Total Iron-Binding Capacity or TIBC) blood test measures the body's capacity to bind and transport iron. It provides information about the body's ability to carry and utilize iron for various functions, including the production of hemoglobin in red blood cells. It is used to help diagnose and monitor iron-related disorders such as anemia or iron overload.
Low TIBC can be caused by iron overload conditions (e.g., hemochromatosis), chronic inflammatory diseases, liver disease, or malnutrition.
Low TIBC Symptoms
High TIBC can be caused by iron deficiency anemia, pregnancy, chronic blood loss, or poor iron absorption.
High TIBC Symptoms
Mean Corpuscular Hemoglobin (MCH) measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is the protein that carries oxygen in the blood. So, abnormal MCH levels can indicate issues with oxygen delivery in the body. Too much or too little can be a sign of different health issues.
This test is used to help diagnose different types of anemia and other blood disorders. However, MCH is just one piece of the puzzle, and additional tests and clinical evaluation are usually necessary for a comprehensive diagnosis, understanding the underlying cause of anemia, and guiding appropriate treatment.
Low MCH can indicate hypochromic anemia, where red blood cells contain less hemoglobin than normal. This condition may be due to iron deficiency, thalassemia, various anemias, lead poisoning, or other factors affecting hemoglobin production.
Low MCH - Symptoms
High MCH can indicate macrocytic anemia, where red blood cells are larger and contain more hemoglobin than normal. This can be caused by conditions, such as pernicious anemia (vitamin B12 deficiency), folate deficiency, hypothyroidism, liver disease, alcoholism, or certain medications.
High MCH - Symptoms
The MPV test is part of a complete blood count (CBC) and helps assess platelet function and production.
The Mean Platelet Volume (MPV) test is part of a complete blood count (CBC) and helps assess platelet function and production. It measures the average size of platelets in the blood. Abnormal MPV results can signal various health issues, including bone marrow disorders, inflammation, and cardiovascular diseases.
Elevated MPV (large average platelet size) - Causes
Low MPV (small average platelet size) - Causes
This could suggest deficiency issues or increased platelet destruction and may be a sign of:
Red blood cells carry oxygen from your lungs to the rest of your body and take carbon dioxide back to your lungs to be exhaled. This test measures the number of red blood cells in your blood. The RBC count is a key indicator of your overall blood health and can help diagnose various conditions, including anemia or polycythemia.
Elevated RBCs (erythrocytosis or polycythemia): Increased red blood cell (RBC) mass is reflected in elevated hemoglobin and hematocrit levels. Erythrocytosis is associated with an increased risk of thrombotic events due to blood hyperviscosity and can potentially progress to leukemia.
Causes
A low red blood cell count typically indicates iron deficiency anemia, but may be caused by the following:
Symptoms
Causes
Symptoms
RDW stands for Red Blood Cell Distribution Width, a measure of the variation in size or volume of red blood cells (RBCs). It assesses the uniformity of RBCs in a blood sample. A higher RDW value indicates greater variation in RBC size, which can signal various health conditions.
This test is often used to help determine the cause of anemia, a condition where you don't have enough healthy red blood cells.
High RDW: A high RDW indicates significant variation in red blood cell size, which may suggest:
Low RDW: A low RDW isn't usually a cause for concern. It is not associated with any particular type of anemia.
Sex Hormone Binding Globulin (SHBG) is a glycoprotein produced mainly in the liver that binds to sex hormones, specifically testosterone and estrogen, in the bloodstream. SHBG controls the amount of testosterone and estrogen that is available for the body's tissues to use. When hormones are bound to SHBG, they are inactive and cannot be used by cells. The levels of SHBG can influence the balance of available sex hormones, affecting many bodily processes.
The Sex Hormone Binding Globulin (SHBG) test measures the level of SHBG in your blood. This test is often used to help diagnose conditions related to abnormal levels of sex hormones, such as testosterone and estrogen. It is particularly useful when total hormone levels are normal, but symptoms of hormone imbalance are present.
Low SHBG levels have been associated with an increased risk of developing type 2 diabetes, cardiovascular disease, and metabolic disorders including metabolic syndrome, as well as some cancers and arthritis in both genders.
Low SHBG - Causes
Low SHBG - Symptoms
Often, higher levels of SHBG are associated with positive health outcomes. For example, elevated SHBG levels have been linked to a lower risk of type 2 diabetes and prostate cancer. However, they are also linked to a higher risk of bone loss and fractures, hypogonadism in males, and hepatic cirrhosis. In some cases, it may be caused by hyperthyroidism, as thyroid hormone stimulates the production and release of SHBG.
High SHBG - Causes
High SHBG - Symptoms
Sodium is an important electrolyte that helps keep the right balance of fluids in your body. It also ensures that your muscles and nerves work properly.
A sodium test measures the sodium in your blood, revealing much about your health. It can show whether you drink enough water or your kidneys and heart are functioning well. Measuring sodium levels is important for diagnosing and treating several health conditions.
Low Sodium Levels (Hyponatremia) - Causes
Low Sodium Levels - Symptoms
High Sodium Levels (Hypernatremia) - Causes
High Sodium Levels - Symptoms
The The Testosterone/Cortisol (T/C) ratio is a measure that compares levels of testosterone, an anabolic hormone, to cortisol, a catabolic hormone, in the body. Testosterone promotes muscle growth, recovery, and tissue repair, while cortisol is involved in stress response and can break down tissues if chronically elevated. The balance between these hormones provides insight into an individual's anabolic (building) versus catabolic (breaking down) state. This makes the T/C ratio an important indicator of overall physiological stress and recovery capacity.
Clinical Uses for the Test
Low Testosterone/Cortisol Ratio - Causes
Low Testosterone/Cortisol Ratio - Symptoms
High Testosterone/Cortisol Ratio - Causes
High Testosterone/Cortisol Ratio - Symptoms
/Cortisol (T/C) ratio is a measure that compares levels of testosterone, an anabolic hormone, to cortisol, a catabolic hormone, in the body. Testosterone promotes muscle growth, recovery, and tissue repair, while cortisol is involved in stress response and can break down tissues if chronically elevated. The balance between these hormones provides insight into an individual's anabolic (building) versus catabolic (breaking down) state. This makes the T/C ratio an important indicator of overall physiological stress and recovery capacity.
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- Fatigue or lack of energy
- Reduced muscle mass or strength
- Decreased recovery after exercise
- Low libido or sexual dysfunction
- Poor mood or depression
- Increased body fat, particularly around the abdomen
- Difficulty sleeping or insomnia
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- **Adrenal insufficiency: **Conditions like Addison’s disease can lead to abnormally low cortisol levels.
- Increased aggression or irritability
- Rapid muscle growth (in the case of steroid use)
- Potential long-term suppression of natural cortisol production
- Possible adverse effects on immune function and inflammation control due to low cortisol
- Disrupted metabolism or blood sugar regulation