{"id":9657,"date":"2022-12-24T18:38:00","date_gmt":"2022-12-24T10:38:00","guid":{"rendered":"https:\/\/nutritional-humility.me\/oxystaging\/?p=9657"},"modified":"2025-12-30T12:09:48","modified_gmt":"2025-12-30T04:09:48","slug":"2022-ckdif-food-for-thoughts-part-2-3","status":"publish","type":"post","link":"https:\/\/nutritional-humility.me\/oxystaging\/2022-ckdif-food-for-thoughts-part-2-3\/","title":{"rendered":"2022 CKD+IF Food for thoughts Part 2\/3"},"content":{"rendered":"<p>Disclaimer Recite.<\/p>\n<ul>\n<li><em>I can only share with some details, albeit restricted in order to not solicit unintended angst or frowns amongst members of public.\u00a0<\/em><\/li>\n<li><em>Nothing that I opinionate, share or disclose ~ may act as health panacea.\u00a0<\/em><\/li>\n<\/ul>\n<div id=\"attachment_9566\" style=\"width: 877px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9566\" class=\"wp-image-9566\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/Prolonged_Fasts_comb_05-setup.jpeg\" alt=\"Screens from work in progress FCPX portion of the multi-section feature. (30 mins out of 1hr+ total duration)\" width=\"867\" height=\"542\" \/><p id=\"caption-attachment-9566\" class=\"wp-caption-text\">Screens from work in progress FCPX portion of the multi-section feature. (30 mins out of 1hr+ total duration)<\/p><\/div>\n<h3>My nutrigenomics consult<\/h3>\n<p>Total Cost = $900. Time required (initial onboarding + initial questionnaire + waiting for report writing + debriefing) ~ 6 weeks total.<\/p>\n<p>Result? Thought-provoking, revealing and somewhat counter intuitive. Among the most surprising are my Vitamin D status. Extra methylation supports (specific B vitamins - 3,6,12 and 5-MTHF). To the least surprising ~ COMT \/ worrier side of mental psychology traits. Then among the usual \"camp\" of the disadvantages \u00a0~ <strong>MTHFR mutations, and suggestive dairy intolerances<\/strong>. Obviously, summarising 100+ pages is impossible here in this feature writeup. Hence a separate feature writing, alongside the final cut presentations split into multiple parts - will soon follow.<\/p>\n<div id=\"attachment_9561\" style=\"width: 823px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9561\" class=\"wp-image-9561\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/Nutrigenomics_06.jpeg\" alt=\"A snippet summary of the pathology external requests. \" width=\"813\" height=\"508\" \/><p id=\"caption-attachment-9561\" class=\"wp-caption-text\">A snippet summary of the pathology external requests.<\/p><\/div>\n<p>Let's cover the first basic recommendations ~ B6, B12, B3 niacin \/ niacinamide, <strong>Gingko Biloba, and heavy doses of Krill Oils<\/strong>. Niacinamide has been intriguing both good and bad, that it is ambivalent. Gingko, as <a href=\"https:\/\/nutritional-humility.me\/my-early-experiences-with-no-tropics\/\">I previously wrote as a possible Notropic\u00a0<\/a> may help in the <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18001735\/\">testosterone \/ sexual health per se,<\/a> but as I may recall from writing in 2017 ~ \u00a0mega dosing might be a little bit uncomfortable due to its facial flushing. I have also been mixed in my opinion surrounding Fish Oils - as I have neither experienced anything significant between mega and underdosing*.<\/p>\n<h6>*I have daringly spent luxurious $20+ for the <strong>fattiest offcut<\/strong> salmon on occasional basis. And these ~ did not seem to improve training recoverability, nor mood profiling. Somewhat the opposite - at times I felt met mild but noticeable mental irritation correlating within days where I ate the most salmon. SARDINES however on the other hand, \u00a0at least I don't think - ellicit the same response interestingly.<\/h6>\n<p>There are certainly other things far too nuanced for me to disclose. I doubt however, readers would be interested at reading beyond this threshold. If they do however, colour me impressed.<\/p>\n<h3>The prolonged IF trials.<\/h3>\n<p><strong>My two (2) prolonged fasting trial attempts were very surprising for me to reveal what ketosis truly feels like<\/strong>. Tired, but relentless. Alert, focused, yet confusingly exhausted.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9510\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/Prolonged_Fasts_comb_02.jpeg\" alt=\"\" width=\"1280\" height=\"800\" \/><\/p>\n<blockquote><p><strong>Ketones at 5.3 MMOL on first trial. Then 4.0 MMOL on second trial attempt\u00a0 two weeks apart<\/strong>.<\/p><\/blockquote>\n<p>For the very first time in my life, I have never ever witnessed such a high ketone reading given that ketone testing have been under my circumstnace for a number of years \u00ac a luxury discretion. However, is witnessing such high numbers a a moral badge of honour? No, I do not think so. Despite only two prolonged trials, I came to conclude that ketones or glucose -both are obligate energy sources. Obligated that is, to be utilised one way or another.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-9511\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/Prolonged_Fasts_comb_03.jpeg\" alt=\"\" width=\"1041\" height=\"665\" \/><\/p>\n<h1 class=\"p1\">This Year's Downsides<\/h1>\n<p class=\"p3\">The most overarching of all concerns is the most expected. I am experiencing an overall higher stress levels; impacting my sleep, recoverability (though manageable) between exercise training episodes. But thankfully ~ low episodes of malaise inbetween fasting windows. I get so entrenched, or \"ruminating\", if one may call it - during my line of work. I have been grateful for that I have obtained <em>work.<\/em> But the stakes have never been higher, considering the <strong>five or six<\/strong> prior years of stigma<a href=\"https:\/\/nutritional-humility.me\/5-years-of-frugality\/\">\u00a0applying jobs in multiple fold of hundreds<\/a>.<\/p>\n<blockquote>\n<p class=\"p3\">Consequently, let's talk about the elephant in the room ~ potential <strong>metabolic stress. <\/strong><\/p>\n<\/blockquote>\n<p class=\"p3\">On top of experimenting the new supplementations, one at a time, particularly Nicotinamide at the same time also, I decidedly reduce my compulsive reliance on insulin partitioning supports during refeed days. <strong>Such includes chromium, and vanadium.<\/strong><\/p>\n<p class=\"p1\">I am sharing my glucose levels yet once again for this year. Download the entire PDF exports:<\/p>\n<ol>\n<li><a href=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/2022-GLucose-Lifesmart.pdf\">Glucose tests (Lifesmart)<\/a><\/li>\n<li><a href=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/2022-Ketone-lifesmart.pdf\">Ketone tests (Lifesmart)<\/a><\/li>\n<li><a href=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/Abbotts-2022.pdf\">Glucose+Ketone tests (Abbots Optimum Neo)<\/a><\/li>\n<\/ol>\n<p class=\"p1\"><em><strong>Footnotes!<\/strong> Lifesmart has these mandatory labelling \"before\/afters - breakfast, lunch, dinners\". I am purely tracking (95% of the time) fasting tests, hence just as an FYI. For those not have been <a href=\"https:\/\/nutritional-humility.me\/2021-annual-food-for-thoughts-cyclical-ketoif-1-3\/\">aware since 2021<\/a> I have been using the <strong>Lifesmart<\/strong> as a primary glucose tester for its additional HCT \/ hematocrit tes on top Abbotts freestyle opimum neo. But I am keeping my Freestyle mainly for their more tolerable pricing on ketone test strips ($14.00 for Lifesmart versus $10.00); considering that each ketone box only gives you ten (10) strips, every cent counts.<\/em><\/p>\n<p class=\"p3\">As interesting trivia lower-than-reference range hematocrits levels has been widely implicated <strong>for erroneously high glucose<\/strong> readings <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3692232\/\">(Ramljak, S et al. 2013)<\/a>. My HCT has been consistently hovering<span class=\"Apple-converted-space\">\u00a0 <\/span>in-between 40%, all the way to even at times below 25%. Quite perplexing because I don't think I'm lacking in red meat intakes at all.<\/p>\n<h2>Supplementations (highlights only).<\/h2>\n<h4>B Vitamins<\/h4>\n<p>Those who skipped part one ~ here is a little context. For a good decade (if not more), I have never bothered to supplement on <strong>specific<\/strong> B vitamins. I never <strong>feel<\/strong> compelled idea. Than just eating, well ~ <strong>actual meats that contains good amounts of it<\/strong>. However until now, my nutrigenomics specified me the B's as recommended - B6, B3, B12 ~ throughout my brief experiences on\/off on <em><strong>each<\/strong><\/em> of them, in isolation have been a somewhat mixed blessing. Albeit this is still early opinion despite months after the nutrigenomics consult as I'm trying to understand <strong>each<\/strong> vitamin's effect on me both fasting and non-fasting episodes.<\/p>\n<p><strong>As a result? Ambivalent results. But \u00a0B3 \/ nicotinamide is interesting.<\/strong> This is the most perplexing of the three. \u00a0Note I only have the cheap NR \/ nicotinamide ribosome, not the other one (Niacinamide). \u00a0TLDR I would say my observations and experiences on these might be too premature.<\/p>\n<p>Difficult to explain, but <strong>correlating on days of supplementing NR<\/strong> whenever I listen to my usual end-of-long-work day, music no longer make feeling any \"impact\" or \"feeling\" from listening. My brief reading on B3's effects on mental health is meanwhile, <a href=\"https:\/\/www.psychologytoday.com\/au\/articles\/200407\/vitamins-busy-bs\">seems generally supportive<\/a>. Nonetheless another concern worth pointing out is its impact on metabolic health, <a href=\"https:\/\/examine.com\/supplements\/vitamin-b3\/\">as per Examine.com's excellent analysis on B3<\/a>. \u00a0On the flip side? Possible training ergogenic. Yes I do feel a \"kick\" , despite <a href=\"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0300-9831\/a000736#:~:text=Therefore%2C%20we%20hypothesized%20that%20the,it%20as%20a%20standalone%20supplement.\">research saying otherwise.<\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9621\" src=\"http:\/\/nutritional-humility.me\/wp-content\/uploads\/2022\/12\/gluten.jpeg\" alt=\"\" width=\"1280\" height=\"800\" \/><\/p>\n<h3>Am I dairy or wheat intolerant?<\/h3>\n<p>I always suspect, having excluded and reincluded many suspecting foods as part of intermittent fasting, six years ~ to have <strong>some trouble with gluten<\/strong>. However, what came back to me during the nutrigenomics debrief was the completely opposite. But dairy wise, seem to be adversely impacted. <strong>Though interestingly the casein part of dairy was more advisable.<\/strong><\/p>\n<h3>Vitamin D Status<\/h3>\n<p>And, the most perplexing and surprising of all is Vitamin D. My gene mutations, despite copious amount of supplementations, with K2 and other supporting co factors you name it ~ from potassium, calcium, boron (only dietary source mostly), and magnesium ~ <strong>were in the red<\/strong>.<\/p>\n<p>In other words, I am in many regards suspected as not only in low in VIT D status, but severely compromised in utilisation, conversions (presumably from sun exposure &gt; hepatic &gt; renal &gt; VDR receptors) then all the way to storage. For those not up to speed, <a href=\"https:\/\/nutritional-humility.me\/2021-annual-food-for-thoughts-cyclical-ketoif-1-3\/\">all my prior years amidst CKD+IF<\/a>; I supplement at least in the regions of 5K daily though in summers whenever I am exposed to sunlight at least for good 20-30 minutes at a time, I'd forego supplement altogether. Though on winters I intentionally increase to 10k to 15k iu though sporadically.<\/p>\n<p>What is strange is that all my prior blood panel tests on Vitamin D have had always been above reference ranges. So, I suspect either my entire Vitamin D nutrigenomics was somehow a false, (very) expensive mistake, or I may just happen to be naturally fluctuating on these metrics minute-to-minute.<\/p>\n<p>I decided to save up\u00a0 for <strong>specific <\/strong>Vitamin D pathology test, <a href=\"https:\/\/nutritional-humility.me\/addendum-blood-tests-without-referrals-what-are-my-options\/\">privately of course<\/a> ~ <strong>the proper 1,25OHD calcitriol status, then semi active version 25(OHD) calcidiol, <\/strong>PTH, and mineral studies. Result: the 1,25 OHD came <strong>back exactly<\/strong> <strong>as<\/strong> I envisioned it - high side ~ <strong>145 pmol\/L <\/strong>(note: PICO mol ~ reference range = 60-200)<strong>. The 25(OHD) ~ 141 nmol\/L. <\/strong>Parathyroid ~ middle of reference range of 4.4 pmol\/L (reference range 2.0-8.5).<\/p>\n<p>All minerals, including calcium were right in the middle of reference.<\/p>\n<p>For more close up look on this I have written (almost an entire mini book length) <a href=\"https:\/\/nutritional-humility.me\/self-meta-vitamin-d-supplementation-for-and-against-part-1-of-2\/\">a four-part article encompassing altogether as my very first \"Self'-Meta\".<\/a> I appreciate your patience.<\/p>\n<h1>Conclusion<\/h1>\n<p>I am unfortunately not endowed with time detailing the rest that I would have desired.<\/p>\n<p>Hence, wrapping up I would say nutrigenomics is the single most influential decision I have made this year. Despite not their ambivalences even months afterwards - I am still just <em>reading<\/em> the surface.<\/p>\n<hr \/>\n<p>That concludes the second part. <a href=\"https:\/\/nutritional-humility.me\/2022-ckdif-food-for-thoughts-part-3-3\/\">Click here for the third and ending part.<\/a><\/p>\n<p>Live-It-Forward,<\/p>\n<p>AW.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Let's talk about 2022's highlights - the ups and downs. Stress, for the lack of a better word - was \"good\". In some capacity, time and threshold.<\/p>\n","protected":false},"author":1,"featured_media":9756,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[8,3,10,4],"tags":[],"class_list":["post-9657","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-announcements","category-insights","category-methods","category-thoughts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>2022 CKD+IF Food for thoughts Part 2\/3 - fair-enough.me<\/title>\n<meta name=\"description\" content=\"Let&#039;s talk about 2022&#039;s highlights - the ups and downs. Stress, for the lack of a better word - was &quot;good&quot;. 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