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Bloodwork Cheat Sheet

Read the patterns. Understand the numbers.

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Two ranges. One wider picture.
Conventional rangeFunctional range
TSH
~0.45–4.5 mIU/L1.0–2.0 mIU/L
Fasting glucose
~70–99 mg/dL75–85 mg/dL
Free T3
~2.0–4.4 pg/mL3.4–4.2 pg/mL

Landing outside the functional range doesn’t mean something is wrong. It means it’s worth a closer look.

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How to read this sheet

Your lab's "normal" range tells you you're not sick. The functional range shows where your body tends to run best. Both columns are below for every marker.

Conventional range: what your lab report uses. It's built from the middle 95% of people who got tested, and many of them weren't healthy. Exact numbers vary by lab, so check your own report.

Functional range: the tighter window many functional practitioners aim for. Landing outside it doesn't mean something is wrong. It means it's worth a closer look.

Units: US units (mg/dL, ng/mL). If your lab reports in other units, the numbers will look different.

One number never tells the whole story. Patterns across markers, plus how you actually feel, are what matter.

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Thyroid

TSH alone misses a lot. Ask for the full panel so you can see how much active hormone you're actually making.

MarkerConventional rangeFunctional rangeWhat it tells you
TSH~0.45–4.5 mIU/L1.0–2.0 mIU/LThe brain's signal to the thyroid. Higher means it's pushing harder to get output.
Free T4~0.8–1.8 ng/dL1.3–1.7 ng/dLThe storage form of thyroid hormone.
Free T3~2.0–4.4 pg/mL3.4–4.2 pg/mLThe active form. Drives energy, metabolism and body temperature.
Reverse T3~9–25 ng/dLUnder 12 ng/dLThe "brake" form. Rises with long diets, stress and inflammation.
Free T3 ÷ Reverse T3Not reported0.2 or higherHow well you convert T4 into usable T3.
TPO antibodiesBelow lab cutoff (varies)Under 9 IU/mLImmune activity against the thyroid. Positive = autoimmune flag.
Thyroglobulin antibodiesBelow lab cutoff (varies)Under 4 IU/mLA second autoimmune marker. Can be positive when TPO is not.

Typical pattern: TSH "normal" around 3–4, low-normal free T3, cold hands, low energy, stalled fat loss.

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Blood sugar and insulin

Fasting insulin often climbs years before blood sugar does. Most standard panels don't include it, so ask for it by name.

MarkerConventional rangeFunctional rangeWhat it tells you
Fasting glucose~70–99 mg/dL75–85 mg/dLBlood sugar at the moment of the draw.
Fasting insulin~2.6–24.9 µIU/mL2–6 µIU/mLHow hard your body works to keep sugar in range. An early warning sign.
HbA1cUnder 5.7%4.8–5.3%Your average blood sugar over about 3 months.
HOMA-IRNot reported (over ~2.5 often used as a cutoff)Under 1.5An insulin resistance score. Glucose × insulin ÷ 405.

HOMA-IR is easy to calculate yourself: multiply fasting glucose (mg/dL) by fasting insulin, then divide by 405.

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Inflammation and heart health

These show how much background inflammation you're carrying and how your body handles fats.

MarkerConventional rangeFunctional rangeWhat it tells you
hs-CRPUnder 3.0 mg/L (under 1 = low risk, 1–3 = average, over 3 = high)Under 1.0 mg/L, ideally under 0.5General inflammation. Hard training raises it for a day or two.
HomocysteineUnder ~15 µmol/L (varies by lab)6–8 µmol/LLinked to B vitamin status and blood vessel health.
TriglyceridesUnder 150 mg/dL60–100 mg/dLBlood fats. Often high with too many refined carbs or insulin resistance.
HDL40+ mg/dL (men), 50+ mg/dL (women)Over 60 mg/dL (men), over 70 mg/dL (women)The "cleanup" cholesterol.
Triglyceride ÷ HDL ratioNot reportedUnder 1.5, ideally near 1A simple insulin resistance check. Over 3 is a red flag.
ApoBUnder ~90 mg/dL (varies by lab)Under 80 mg/dLThe count of particles that can build plaque. Often more useful than LDL alone.
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Iron and nutrients

Low-normal iron stores and vitamin levels are some of the most common reasons people feel tired with "normal" labs.

MarkerConventional rangeFunctional rangeWhat it tells you
Ferritin~30–400 ng/mL (men), ~15–150 ng/mL (women)100–150 ng/mL (men), 70–100 ng/mL (women)Iron stores. Also rises with inflammation, so read it next to hs-CRP.
Iron saturation~15–55%25–35%How much iron is actively moving in your blood. Over 45% is worth checking further.
Vitamin D (25-OH)30–100 ng/mL40–50 ng/mLAffects immunity, mood, hormones and bone health.
Vitamin B12~200–1,250 pg/mL600–1,000 pg/mLEnergy, nerves and red blood cells. Recent supplements can make it read high.
Folate (serum)Over ~3–5.4 ng/mL (varies by lab)Over 15 ng/mLWorks with B12. Low folate can raise homocysteine.
RBC magnesium~3.7–7.0 mg/dL (varies by lab)5.5–6.5 mg/dLMagnesium inside your cells. Better than serum magnesium, which stays "normal" until you're very low.
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Hormones

Hormone ranges depend heavily on sex, age, the lab's test method and, for women, the day of your cycle. Use these as a guide and compare against your own report.

MarkerConventional rangeFunctional rangeWhat it tells you
Total testosterone (men)~264–916 ng/dL700–1,100 ng/dLDrives muscle, drive, recovery and mood.
Total testosterone (women)~2–60 ng/dL (varies by age and lab)30–70 ng/dLHigh can point to PCOS or insulin resistance. Low can mean low drive and poor recovery.
Free testosteroneVaries a lot by test methodUpper half of your lab's rangeThe usable portion that isn't bound up.
SHBG (men)~10–56 nmol/L (higher after 50)20–40 nmol/LBinds testosterone. Low often goes with insulin resistance. High can lock up free T.
SHBG (women)~17–125 nmol/L40–70 nmol/LLow is a common insulin resistance and PCOS flag.
Estradiol (men)~8–43 pg/mL10–30 pg/mLMen need some estrogen for joints, libido and mood. Too high or too low both cause problems.
Estradiol (women)Depends on cycle dayRead by cycle dayTest on cycle day 3 for a clean baseline unless your provider says otherwise.
DHEA-SDepends on age and sex400–600 µg/dL (men), 200–300 µg/dL (women)An adrenal hormone. Low can show up with long-term stress.
Morning cortisol (serum)~6–19 µg/dL (varies by lab)13–15 µg/dLYour stress hormone at its daily peak. Draw between 7 and 9 AM.

A single cortisol draw is a snapshot. A 4-point saliva or dried urine test shows your full daily rhythm.

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Liver and kidney (read these if you lift)

Hard training can make healthy lifters look like they have liver or kidney problems on paper. Know the difference before you panic.

MarkerConventional rangeFunctional rangeWhat it tells you
ALT~7–56 U/L (varies by lab)15–25 U/LLiver enzyme. Muscle also releases it, so it rises after heavy training.
AST~10–40 U/L15–25 U/LFound in liver and muscle. Often jumps more than ALT after a big lift day.
GGT~0–60 U/L (varies by lab and sex)10–25 U/LComes mostly from the liver, not muscle. Ask for it when ALT and AST are high.
Creatinine~0.7–1.3 mg/dL (men), ~0.6–1.1 mg/dL (women)Read alongside muscle massMore muscle and creatine supplements both raise it, even with healthy kidneys.

Lifter rules of thumb:

High ALT/AST with normal GGT usually points to muscle, not liver. Retest after 3–5 days off lifting.

If creatinine looks high, ask about cystatin C. It checks kidney function without being skewed by muscle mass.

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Before your draw

How you prepare can change your numbers as much as your health does.

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Important

This sheet is for education only. It isn't medical advice and doesn't diagnose or treat anything. Always review your results with your physician, and don't change medications based on these ranges.

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Want help reading your results?

Numbers only matter when someone connects them to how you feel and what you're doing. That's what the R3 System is built on: Regulate, Repair, Rebuild.

If your labs came back "normal" but you don't feel normal, book a quick call to see if coaching is the right fit.

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Sources

Conventional ranges were checked against Labcorp reference intervals: reverse T3, free T3, insulin, testosterone, SHBG, estradiol, ferritin, homocysteine, RBC magnesium, vitamin B12, folate, ApoB and AM cortisol. GGT: UW Medicine. Biotin timing: SiPhox Health. Functional ranges reflect common functional-medicine practice and are not lab standards.

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