What is the difference between a Functional Blood Chemistry Analysis and a Pathological Blood Analysis (“regular” blood test)
When interpreting blood chemistry lab results, there are two main types of ranges in the field of blood chemistry analysis: a pathological range (given on standard lab reports) and a functional range. The pathological range is used to diagnose disease. The functional range is used to assess risk for disease before the disease develops. Most people know of the pathological blood analysis because that is what they see when they have their blood drawn at a lab. These references are provided with laboratory test results are referred to as “the pathological range,” because if the test results are out of range, it usually indicates potential for pathology or disease. The lab will flag these numbers so they stand out so one can see there is an issue that needs to be addressed. Test values that fall between the Functional Range and the Pathological Range are considered sub-clinical and can indicate the beginning stages of disease. They should be used as markers, indicating something that is not as good as it should be; or they can be a sign of a developing condition that is not bad enough to treat medically…at least not yet.
Most conventional health practitioners today use only the Pathological Ranges and do not address the sub-clinical findings until they become a serious medical condition. Some clinicians use a conjunction of both functional and pathological reference ranges. We look at both. Both sets of ranges are valid and useful. It is important to know when to use each and how they can be used together. The goal is to identify developing nutritional problems and prevent them from manifesting into a serious medical condition. This will help us on our path to true health and a better quality life. Diseases such as diabetes and cardiovascular disease are merely a cascade of symptoms indicating bodily imbalances. The main different between the functional range and the pathological range is the degree of deviation allowed within their normal ranges. For example, the functional range for glucose may be 85 – 100 mg/dl, but the pathological range may be 65-110 mg/dl. Levels in the pathological range may indicate diabetes. Levels above the functional range, but before they reach the extremes of the pathological range, may indicate insulin resistance and future risk for developing diabetes. Patient say they have already had their doctor run labs and they are “normal”. Rarely are the labs normal from a functional perspective. The pathological lab values provided on the lab results are actually based on a “bell curve analysis” of all the people that have been to the lab over “x” amount of time. If you go to the same lab in two different cities you will find that the reference ranges are actually different. It is important to have a doctor who looks at functional ranges so you are not considered “normal” or “healthy”, because your lab tests fall in the same range as the majority of the sick people that have been to that lab. The sicker the population gets the wider, and less useful the lab reference ranges become.
Why don’t most health care providers embrace the functional range?
A lot of health care providers think that care should be provided when disease is present. This view is generally formed from conventional medical training which ignores the philosophies of preventative medicine and nutrition. Traditional medical training teaches physicians to evaluate blood chemistry in comparison to ranges that determine pathology. If pathology is not present, the patient is considered “healthy.” The main difference between health care providers who embrace or reject functional ranges basically boils down to the definition of health. Some healthcare providers define “health” as the absence of disease, and therefore if you are not diseased then you must be “healthy.” Other healthcare providers define “health” as being free of disease but also having adequate energy levels, healthy digestion, ideal physiological function, etc. Dorland’s Medical Dictionary defines health as: “A state of optimal physical, mental, and social well-being, and not merely the absence of disease and infirmity”.
Addressing you, your body, well-being and your symptoms.
We use the functional range when evaluating our patients. We get incredible results with very difficult cases because we are willing to take a step back and look at the WHOLE person, not just a diagnostic label. When we see shifts out of the functional range we are going to analyze that in conjunction with a detailed history and physical examination. Glancing down at a lab report and saying everything is “normal” because all the values fall within the “pathological reference range” a disservice to the patient. We take a Complete Functional Approach when we see patients.