Dan Ostermayer 's avatar
Dan Ostermayer
ostermayer@primal.net
npub1gc64...uyek
physician metabolic health maximalist 📚 co-sleeping https://a.co/d/0itAvPV the simple world https://a.co/d/5u4BdMU 📚
Dan Ostermayer 's avatar
ostermayer 1 month ago
and when things are tough, "just say good" -jocko
Dan Ostermayer 's avatar
ostermayer 1 month ago
stay hard everyone build that physical grit so you can show more emotional strength
Dan Ostermayer 's avatar
ostermayer 1 month ago
fixed some formatting issues. metabolic health labs and ranges Core Metabolic & Glucose: 1. Fasting Insulin: < 5 µIU/mL (Optimal); Conventional "normal" often up to 25 µIU/mL. 2. Hemoglobin A1c (HbA1c): < 5.3%(Optimal); Conventional "normal" < 5.7%. 3. Fasting Glucose: 70-90 mg/dL. Lipids & Cardiovascular: 1. Triglycerides: < 80 mg/dL (Optimal); Ideally 50-70 mg/dL. 2. HDL Cholesterol: > 60 mg/dL (Men), > 70 mg/dL (Women) (Optimal). 3. LDL Cholesterol: Context-dependent(Focuses more on particle number/size if concerned, but prioritizes low Trigs/High HDL). 4. Triglyceride/HDL Ratio: < 1.0(Optimal Insulin Sensitivity Marker); < 2.0 is good. 5. Lipoprotein(a) Lp(a): < 30 mg/dL(Lower is better, strong genetic risk factor). 6. Gamma-Glutamyl Transferase (GGT): < 20 U/L (Optimal Liver/Stress Marker); Conventional normal often up to 40-60 U/L. Hormones: 1. Free T3 (Thyroid): 3.5 - 4.5 pg/mL(Upper half of range optimal for energy/metabolism). 2. Reverse T3 (rT3): < 20 ng/dL(Optimal); High levels indicate stress/conversion issues. 3. TSH: 0.5 - 2.0 µIU/mL (Optimal Function); Conventional normal often up to 4.5-5.0. 4. Total Testosterone (Men): 700 - 1100 ng/dL  5. Free Testosterone (Men): > 20 pg/mL . 6. Estradiol (Men): 20 - 30 pg/mL 7. Cortisol (AM): 12 - 18 µg/dL (Optimal morning peak). 8. DHEA-S (Men): > 350 µg/dL (Optimal for age); Women: Age-adjusted, often > 150 µg/dL. 9. Cortisol:DHEA-S Ratio: < 5x the multiplier (e.g., Cortisol 15 µg/dL / 10. DHEA-S 300 µg/dL = 0.05, which is good). Lower ratio indicates better stress resilience. Inflammation & Nutrients: 1. High-sensitivity CRP (hsCRP): < 0.5 mg/L (Optimal/Low Inflammation); < 1.0 mg/L good. 2. Homocysteine: < 8 µmol/L (Optimal); Conventional normal often up to 15 µmol/L. 3. Vitamin D (25-OH): 60 - 80 ng/mL(Optimal Immune/Function); Conventional > 30 ng/mL. 4. Magnesium (RBC): > 6.0 mg/dL(Optimal Cellular Status); Conventional serum normal often lower (1.8-2.6 mg/dL). 5. Uric Acid: < 5.5 mg/dL (Men), < 4.5 mg/dL (Women) (Lower end optimal, especially on high-purine diets). Other Key Markers: 1. Parathyroid Hormone (PTH): 15 - 30 pg/mL (Optimal, indicates good Vit D/Ca status); High levels suggest deficiency/stress. 2. IGF-1: Context-dependent (Moderate levels associated with longevity; very high may link to cancer risk). 3. ALT/AST (Liver Enzymes): < 20 U/L### Ratios Ratios: 1. Triglycerides/HDL Ratio: < 1.0 (Gold Standard for Insulin Sensitivity). 2. Cortisol/DHEA-S Ratio: Lower is better (Marker of HPA Axis Resilience).
Dan Ostermayer 's avatar
ostermayer 1 month ago
there is a great summary of core metabolic health labs and their appropriate ranges Core Metabolic & Glucose: 1. Fasting Insulin: < 5 µIU/mL (Optimal); Conventional "normal" often up to 25 µIU/mL. 2. Hemoglobin A1c (HbA1c): < 5.3%(Optimal); Conventional "normal" < 5.7%. 3. Fasting Glucose: 70-90 mg/dL(Optimal Stability). Lipids & Cardiovascular 1. Triglycerides: < 80 mg/dL (Optimal); Ideally 50-70 mg/dL. 2. HDL Cholesterol: > 60 mg/dL (Men), > 70 mg/dL (Women) (Optimal). 3. LDL Cholesterol: Context-dependent(Focuses more on particle number/size if concerned, but prioritizes low Trigs/High HDL). 4. Triglyceride/HDL Ratio: < 1.0(Optimal Insulin Sensitivity Marker); < 2.0 is good. 5. Lipoprotein(a) Lp(a): < 30 mg/dL(Lower is better, strong genetic risk factor). 6. Gamma-Glutamyl Transferase (GGT): < 20 U/L (Optimal Liver/Stress Marker); Conventional normal often up to 40-60 U/L. Hormones 1. Free T3 (Thyroid): 3.5 - 4.5 pg/mL(Upper half of range optimal for energy/metabolism). 2. Reverse T3 (rT3): < 20 ng/dL(Optimal); High levels indicate stress/conversion issues. 3. TSH: 0.5 - 2.0 µIU/mL (Optimal Function); Conventional normal often up to 4.5-5.0. 4. Total Testosterone (Men): 700 - 1100 ng/dL (Optimal for vitality); (Reported his own drop to ~500 ng/dL on strict carnivore as suboptimal). 5. Free Testosterone (Men): > 20 pg/mL (Upper end of range optimal). 6. Estradiol (Men): 20 - 30 pg/mL(Balanced range). 7. Cortisol (AM): 12 - 18 µg/dL (Optimal morning peak). 8. DHEA-S (Men): > 350 µg/dL (Optimal for age); Women: Age-adjusted, often > 150 µg/dL. 9. Cortisol:DHEA-S Ratio: < 5x the multiplier (e.g., Cortisol 15 µg/dL / 10. DHEA-S 300 µg/dL = 0.05, which is good). Lower ratio indicates better stress resilience. Inflammation & Nutrients 1. High-sensitivity CRP (hsCRP): < 0.5 mg/L (Optimal/Low Inflammation); < 1.0 mg/L good. 2. Homocysteine: < 8 µmol/L (Optimal); Conventional normal often up to 15 µmol/L. 3. Vitamin D (25-OH): 60 - 80 ng/mL(Optimal Immune/Function) 4. Magnesium (RBC): > 6.0 mg/dL(Optimal Cellular Status); Conventional serum normal often lower (1.8-2.6 mg/dL). 5. Uric Acid: < 5.5 mg/dL (Men), < 4.5 mg/dL (Women) (Lower end optimal, especially on high-purine diets). Other Key Markers: 1. Parathyroid Hormone (PTH): 15 - 30 pg/mL (Optimal, indicates good Vit D/Ca status); High levels suggest deficiency/stress. 2. IGF-1: Context-dependent (Moderate levels associated with longevity; very high may link to cancer risk). 3. ALT/AST (Liver Enzymes): < 20 U/L### Ratios Ratios: 1. Triglycerides/HDL Ratio: < 1.0 (Gold Standard for Insulin Sensitivity). 2. Cortisol/DHEA-S Ratio: Lower is better (Marker of HPA Axis Resilience).
Dan Ostermayer 's avatar
ostermayer 1 month ago
public health is based on the principle of utilitarianism with the greatest good for the greatest number of people the opposite of that is private health, the optimization of your own body for your own good for your own longevity and health maximization
Dan Ostermayer 's avatar
ostermayer 1 month ago
people report the benefits of carnivore diets because they are generally increasing their protein intake and at the same time eliminating garbage food. by no means is carnivore diet consistent with our evolution but it is a great diet to cleanse your system of a lifetime of toxins
Dan Ostermayer 's avatar
ostermayer 1 month ago
One of the biggest expenses for small to medium size medical practices are electronic health record software. Many of them have expensive licenses and lock-in. The HiTech act in 2009 made usage of them essentially mandatory or you would get decreased reimbursement and penalties. If have a medical practice that does not bill insurance that only accepts cash, you can use any type of documentation software you want without needing to use any of the Medicare Medicaid approved billing software.
Dan Ostermayer 's avatar
ostermayer 1 month ago
the Surgery Center of Oklahoma is a legend in its ability to create a high quality institution that is cash only healthcare. here is a video of the founder Dr. Keith Smith speaking about fixing costs in the united states
Dan Ostermayer 's avatar
ostermayer 1 month ago
this is just a taste of what a self hosted AI can do. 1. record with a transcript your answers to these 1000 questions https://savewisdom.org/wp-content/uploads/2025/02/SaveWisdomQuestions-NEW-1.pdf 2. load up deep seek or oss-gpt on lmstudio on your own computer 3. feed the model your answers from step 1. 4. ask the llm to provide insight to a question using the thought process from your 1000 questions. 5. imagine a future where your children can interact with a model of you when you are gone
Dan Ostermayer 's avatar
ostermayer 1 month ago
LMStudio is the most user friendly privacy focused ai tool for text based analysis and allows for apple silicon (mlx) optimized open source models if you need to parse and format moderate to large data sets it is wonderful.
Dan Ostermayer 's avatar
ostermayer 1 month ago
biology follows the power law for metabolism The heart grows proportionally with the rest of the body while the head grows early in life, reaches a certain size, and stops growing. This suggests that head growth is subject to very different growth conditions compared to the heart. One hypothesis for this difference is that if the relationship between two variables displays a log-log relationship I hypothesis that this is due to the power law relationship of eukaryotic mitochondria image
Dan Ostermayer 's avatar
ostermayer 1 month ago
try and cultivate a miniature version of reality for your kids based on what they can handle and might be able to handle. then they will be ready for reality when an adult