Hey Adam — Health Dashboard

Snapshot for PT · generated

✓Liver ALT lowest ever — 88 → 24 since 2025

✓LDL in range — 2.8 → 2.5

✓Inflammation very low — hs-CRP 0.44

▲Blood sugar: HbA1c 35 → 43, just over the pre-diabetes line, and HOMA-IR 5.5 suggests insulin resistance.

▲Triglycerides still high on a fasted panel — 3.1 → 3.5. HDL down to 0.93.

▲Slipped back: Ferritin 39 → 21, Vitamin D 39 → 27. Testosterone low-normal (8.7).

Age

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DoB 08 Aug 1981

Height

6'5"196 cm

Weight

19st 2121.6 kg

▼ 2st 6lb in 12 mo

BMI

—

Trending down

Overview

Latest across every stream — tap a card to dive in.

Activity & vitals (Fitbit Air)

From Google Health · ·

Daily steps

Resting heart rate

Sleep — duration & stages

Stacked by stage. Deep + REM are the restorative ones.

Heart rate range (daily min / avg / max)

Heart rate variability (overnight)

Blood oxygen — SpO2 (overnight)

Dashed line: 95%, the bottom of the normal range.

Breathing rate (overnight)

Shaded band: 12–20 breaths/min, the typical adult resting range.

Skin temperature vs baseline

Change from your 30-day median. Bars past ±1 °C are highlighted.

Recent workouts

Where we are — headline

Body composition (Tanita MC-780MA-N · monthly)

Latest reading: ·

Segmental muscle mass (kg)

Trunk dominates by design. Arm/leg balance L vs R tells you about symmetry.

Segmental body fat (%)

Trunk fat% is the number tied to visceral/metabolic risk — watch this one over time.

Left / right symmetry

Flags differences >5% between limbs. Small bias is normal (handedness / kicking leg). Large gaps suggest movement compensation worth addressing in training.

Visceral fat rating — Tanita scale

Monthly trend

Continuous Glucose Monitor (Lingo, last 12 days)

Time in Range

Healthy range for non-diabetic: 3.9–7.8 mmol/L

Ambulatory glucose profile (24h pattern)

Median line (p50) with 25–75% band and 5–95% outer band

Daily averages

Min / avg / max per day

Full 12-day glucose trace

Blood marker trends (2023–2026)

HbA1c — 3-month blood sugar

Cholesterol panel

Triglycerides

Ferritin (iron stores)

Vitamin D

Vitamin B12

Liver — ALT (inflammation marker)

Total cholesterol : HDL ratio

Latest blood panel (22 Sep 2026 · Do Health)

Marker	Value	Healthy range	Status	vs prev

Nutrition strategy

Current eating pattern

First meal

12:00noon

16:8 intermittent fast · genuinely not hungry before

Pre-noon glucose TIR

93.4%

avg 6.38 mmol/L · fasting is working

Post-noon glucose TIR

87.2%

avg 6.87 · meals drive most variability

Flexibility

Wide variety

Happy to prep and batch cook

Verdict: skipping breakfast fits your physiology. Fasted morning glucose is rock-steady (6.38 mmol/L, low variance), and morning readings over 7.8 are just 6.6% — almost entirely dawn phenomenon, not hunger signals. Listening to your body here is the right call. Protecting the fasting window helps insulin sensitivity, which links directly to the LDL and triglyceride wins you've already banked.

Emphasise — targets 3 deficiencies + lowers LDL

Oily fish 3×/wk	salmon, mackerel, sardines, anchovies — Vit D, omega-3 (current 6:3 ratio 25:1, target <4:1)
Red meat 2×/wk	lean beef, lamb, liver — ferritin (26, needs 30+) and B12 (199, needs 258+)
Eggs daily	B12, Vit D, protein — 2-3 whole eggs is fine, no impact on your cholesterol panel
Dark leafy greens	spinach, kale, chard — non-haem iron. Pair with Vit C (peppers, citrus) for absorption
Legumes + lentils	soluble fibre lowers LDL directly; slow-release carb (better glucose response than bread/rice)
Nuts + seeds	walnuts (ALA omega-3), almonds, chia/flax — polyunsaturated fats to displace saturated
Olive oil	primary cooking fat — monounsaturated, strong LDL evidence
Fermented dairy	live yoghurt, kefir — protein + B12 + gut microbiome (helps B12 absorption)

Moderate — pushing LDL and post-meal glucose up

Saturated fat	butter, cream, fatty cuts, cheese beyond a small portion — main LDL driver
Processed meat	bacon, sausage, ham — ideally <1×/wk (saturated fat + sodium)
Crisps	Known favourite — quick win. Refined carb + seed oil + salt combo hits LDL and omega-6 at once. Swap for olive-oil popcorn, roasted chickpeas, or nuts.
Bread	Known favourite — quick win. White / sandwich bread = biggest glucose spikes in your CGM. Switch to sourdough, rye, or seeded wholegrain (similar enjoyment, much flatter curve).
Seed / vegetable oils	sunflower, corn — worsen the omega 6:3 ratio. Use olive, rapeseed, or avocado oil instead.
Processed snacks	biscuits, pastries — refined carb + saturated fat stack

Supplements to discuss with GP (based on your bloods)

Vitamin D3	High-dose loading (Dr. Manning's recommendation — 17 nmol/L is deficient). Likely 3-month loading then maintenance.
Iron	Don't self-treat — Dr. Manning specifically flagged this. GP may want to investigate the cause of the 140→71→46→26 decline before supplementing.
B12	Sublingual methylcobalamin if diet changes don't move it. Active B12 is borderline — worth discussing.
Omega-3 (EPA/DHA)	2-3g/day from algae or fish oil if you can't hit 3× oily fish weekly. Omega-3 index 4.81 is above minimum but not optimal.
Creatine monohydrate	Unrelated to bloods, but worth raising with the PT for strength + cognition. 5g/day. Cheap, safe, evidence-based.

Key story for the PT

⚠ Blood sugar has moved the wrong way (Do Health, 22 Sep '26): HbA1c 35 → 43 mMol/Mol, back just over the 42 pre-diabetes line after falling 43 → 38 → 35. Fasting glucose is normal (5.0 mmol/L), but fasting insulin is at the top of its range (173 pmol/L) and HOMA-IR is 5.5 (above ~2.5 suggests insulin resistance): the body needs a lot of insulin to keep glucose normal. Part of the HbA1c jump may be the change of lab (Thriva finger-prick → Randox), but the insulin result points the same way.
⚠ Triglycerides stay high: 1.3 → 3.1 → 3.5 mmol/L. This panel reports fasting glucose and insulin, so it should be a fasted sample — that makes a non-fasted blip unlikely. HDL has slipped to 0.93 (target >1.0), so Total:HDL is 5.4 and Trig:HDL 3.7. High triglycerides + low HDL + high insulin is the usual insulin-resistance pattern; it points at diet (refined carbs / alcohol) more than training.
Deficiencies have slipped back — Ferritin 39 → 21 ug/L (below 30 again), Vitamin D 39 → 27 nmol/L (deficient, target 50+), Active B12 67 pmol/L (just under 70). Worth checking the supplements are still being taken.
Testosterone is low-normal — total 13.9 → 8.7 nmol/L since March 2025 (bottom of the range), free testosterone 0.17 (below range), oestradiol 194 pmol/L (above range). Can affect energy, recovery and muscle gain; low vitamin D, low iron and excess body fat all push it down. One for the GP.
Good news — Liver ALT 23.7 U/L (lowest ever, was 88 in 2025), AST normal. LDL 2.5 (in range), ApoB down 1.33 → 1.06 g/L (still just over 1.0). Inflammation very low (hs-CRP 0.44). Kidneys, thyroid, full blood count all normal.
PT implications: insulin sensitivity is the main target — regular resistance training plus zone-2 cardio both improve it directly, alongside the diet. Low iron and vitamin D may show up as fatigue or slower recovery on cardio; monitor energy vs session load. Strength work is unaffected.