Metabolomix+ Review: My Full Test Results & What I Discovered

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Why I Took the Metabolomix+ Test

I’ve been eating low-carb since 2022, and at one point, I went all in—strict carnivore—as an experiment. Since that time, reintroducing foods has been a major struggle. Even after over a year of trying, my diet is still limited, and the only thing that’s helped is taking digestive enzymes before meals.

I’ve started to wonder if my very low-carb way of eating has had an impact on my nutritional status or vitamin levels. Some people say that you get all the nutrients you need from meat alone. I wanted to explore this theory for myself. I personally believe that everyone is different and what works for one will not work for all in the same way.

I’m always looking for ways to optimize my health, so I decided to take the Metabolomix+ test by Genova Diagnostics—one of the most comprehensive at-home lab tests available. It gives you detailed insights into nutrient levels, metabolism, gut health, and overall wellness, analyzing everything from micronutrients and amino acids to antioxidants, essential fatty acids, heavy metals, and gut markers.

Unlike standard blood tests, this one goes deeper into how your body is actually using nutrients. This is the most in-depth at-home health test I’ve ever done, and I highly recommend it!

Pricing & Tests that It Covers

Metabolomix+ Test: Price: $490. This test combines four major profiles to provide a complete picture of your overall health and wellness. It requires a finger prick for a blood sample, a urine sample, and a cheek swab. The directions will guide you through the preparation and testing.

  • Organic Acids  – Measures how your body uses food for energy, detoxifies, regulates inflammation, and processes neurotransmitters
  • Amino Acids  – Assesses protein metabolism, muscle health, and neurotransmitter support
  • Fatty Acids  – Evaluates Omega-3, Omega-6, and saturated fat levels to determine inflammation and cardiovascular risk
  • Elements – Checks for toxic heavy metals and essential minerals that impact metabolism and cell function

*Testing is not available in NY, NJ, RI, or outside of the continental United States.

Metabolomix+ Genova Labs Review

Background on My Health & Diet

As far as my health goes, I’ve been dealing with fatigue that’s worsened over the last few months mostly due to thyroid issues, which I am working on with a doctor, so that should improve soon. Over the last year I also experienced sleep problems, and some blood sugar regulation issues at night. I did manage to fix my 3 AM wake-ups with a couple of key changes, but some of those issues return from time to time.

I think it’s important to share some background information on my way of eating. Many people have suggested I add more foods, but that’s easier said than done. Every time I try, I end up with stomach pain, bloating, and other digestive issues. With that said, I do want more variety, so I’ve been slowly reintroducing foods over time. The only way I’ve been able to to so is by taking digestive enzymes. Even lettuce hurts my stomach.

My Diet Mainly Consists Of

  • Meat & Animal Products: Ground beef, ground chuck, chuck roasts (majority of what I eat), eggs, steak, ribs, ground pork, chicken & fish (occasionally), and bacon.
  • Vegetables & Fruits: Lettuce (recently added), carrots, cucumbers, small peppers, green beans, celery, and chickpeas (occasionally). I’m working on adding in cabbage, but it’s a tough one. Organic berries, peaches. Onions, and garlic.
  • Fats & Condiments: Avocado oil-based mayo, Primal kitchen sauces (buffalo), coconut butter, coconut milk, nuts (occasionally), Kalamata olives.
  • Other: Seaweed. Spam (occasionally). Small amounts of rice or rice noodles (rarely). Honey (occasionally). Avocado (rarely, due to histamine issues), organic nuts (sometimes).
  • For Sleep: At night, after my main meal, I eat a portion of frozen fruit (like peaches or berries) with coconut butter or coconut milk, which seems to help my sleep significantly.

Experimenting with the Diet

Despite my struggles with reintroducing foods, I’m still experimenting with ways to expand my diet without triggering symptoms. Unfortunately many of the non-meat items do trigger symptoms, unless I take a digestive enzyme. But, I hope that changes over time because I want to try to get nutrients from my diet, rather than supplements. My main goal is to support my energy, digestion, and sleep while continuing to optimize my health.

Adding in Carbs

I am open to adding in more carbs and I do that from time-to-time. I don’t like to do that if it leads to excessive hunger. When I do eat some carbs, I tend to either stay in ketosis or go right back into it very fast. But, I am also careful to limit the amount I have because I’m not used to eating many carbs anymore & my blood sugar will really fluctuate from it.

I go through phases when it comes to my diet and sometimes I eat the same thing daily, for a very long time (ie: ground beef/ground chuck). But, then I get inspired and I make some new recipes. I even have a “bread pudding” of sorts that I really enjoy and it has very little impact on my glucose levels, even though it contains some carbs. I haven’t made it in months though.

Daily Diet

When it comes to my daily diet, lately I tend to eat some ground beef/chuck, lettuce, and I make a bit of a dressing from avocado-oil mayo. That is my main staple, but I always like to change things up whenever possible. For example, today I made a Thai chicken coconut curry and a it was a nice change, though chicken isn’t filling at all unless it has skin on it.

With my diet, I plan to continue experimenting with things. I’ve been taking photos of my food over the last six months or so on the Levels app, to track what’s going on with my health and diet. I’ll share some of the photos here. The first one shows an online order of meat because I buy the bulk of my meat online from a couple farms in my state.

Metabolomix+ Test Results

Disclaimer: How I’m Analyzing My Test Results

I’m currently working with a great integrative health doctor, but I won’t be able to go over my results with her for a couple of months. In the meantime, I wanted to dive into the data myself—and I’ve used Claude AI to help me analyze my Metabolomix+ results. I tried using ChatGPT but I found that it didn’t do a very good job of analyzing the data for me.

The AI analysis I received was surprisingly comprehensive—and likely a lot more in-depth and detailed than what I will get with a doctor’s visit. With that said, AI is not always right, so some of the interpretations could be off.

I’m sharing these results as a personal experiment in understanding my own health data, and will update the post if anything is inaccurate. Please take this as a personal experiment, not medical advice. Note: please click on section title to see the test result and AI analysis for each test category.

Genova Toxic Elements

Heavy Metal Testing – AI Analysis

  1. Elevated Toxic Elements:
    • Gadolinium (0.064 μg/g creatinine) is significantly elevated above the reference range (≤ 0.019), which is concerning as it’s a toxic metal often related to MRI contrast agents.
    • Uranium (0.003 μg/g creatinine) is close to but within the reference range (≤ 0.026).
  2. Nutrient Element Imbalances:
    • Copper (3.5 μg/g creatinine) is slightly below the reference range (4.0-11.4), suggesting potential deficiency.
    • Iron (6 μg/g creatinine) is at the lower end of the reference range (5-64).
    • Manganese (0.10 μg/g creatinine) is within reference but on the lower end (0.03-1.16).
  3. Mineral Status:
    • Selenium (67 μg/g creatinine) appears adequate within its reference range (32-333).
    • Zinc (245 μg/g creatinine) is within the middle of its reference range (63-688).
    • Magnesium (60 mg/g creatinine) is within normal range (41-267).
  4. Other Observations:
    • Arsenic (25 μg/g creatinine) is elevated but still within reference range (≤ 50).
    • Rubidium (547 μg/g creatinine) is high but within reference range (≤ 2,263).
    • Creatinine Concentration (118.70 mg/dL) is normal, indicating proper sample concentration.

The most prominent issues are the elevated toxic metals, particularly gadolinium. Gadolinium exposure comes from MRI contrast agents and can accumulate in tissues. The copper deficiency also warrants attention as copper is essential for proper immune function, iron metabolism, and connective tissue formation.

* Note: The gadolinium was from an MRI I had 8+ years ago. Check out my gadolinium warning post here.

Key Nutrient Needs – AI Analysis

Significant Findings Across Panels

  1. B-Vitamin Metabolism – Critical Deficiencies:
    • Riboflavin (B2) shows the most severe deficiency (score of 9) in your entire profile
    • B6, Biotin (B7), and Folate (B9) all show high need (score of 7)
    • Thiamin (B1) and B12 show moderate deficiency (scores of 6)
    • Only Niacin (B3) is optimal (score of 0)
  2. Antioxidant Profile – Mixed Status:
    • Plant-based Antioxidants show high need (score of 7)
    • Glutathione shows moderate deficiency (score of 6)
    • Vitamins A and E show moderate need (score of 6)
    • CoQ10 and Vitamin C are optimal (score of 0)
    • α-Lipoic Acid shows mild deficiency (score of 3)
  3. Mineral Status – Mixed Profile:
    • Magnesium shows moderate deficiency (score of 5)
    • Manganese and Molybdenum show mild-moderate deficiency (score of 4)
    • Zinc is optimal (score of 0)
  4. Digestive Support Needs:
    • Digestive Enzymes show moderate deficiency (score of 6)
    • Microbiome Support shows mild deficiency (score of 3)
  5. Essential Fatty Acids:
    • Omega-3 Fatty Acids show moderate deficiency (score of 6)

Connecting The Dots – Underlying Patterns

Your nutrient overview reveals several interconnected patterns:

  1. Methylation Pathway Concerns: The combined deficiencies in B2, B6, B12, and folate suggest potential methylation cycle issues. These B vitamins work together in this critical pathway that affects detoxification, neurotransmitter production, and DNA synthesis. The severe B2 deficiency (9) is particularly significant as riboflavin is needed to activate other B vitamins.
  2. Enzymatic Function Bottlenecks: The B-vitamin deficiencies likely contribute to your digestive enzyme insufficiency (score of 6). Many digestive enzymes require B vitamins as cofactors to function properly. This creates a vicious cycle: poor digestion leads to poor nutrient absorption, which further impairs enzyme production.
  3. Antioxidant Imbalance: Your antioxidant profile shows excellent status of endogenous antioxidants like CoQ10 but deficiencies in dietary-derived antioxidants (plant antioxidants, vitamins A and E). This imbalance may be related to your digestive issues with plant foods.
  4. Fatty Acid Metabolism: The moderate omega-3 deficiency (score of 6) combined with B-vitamin deficiencies may be affecting your fatty acid metabolism, as B vitamins are essential cofactors for the enzymes that convert and utilize fatty acids.

Practical Implications & Recommendations

Based on these findings, the overview panel suggests specific interventions:

  1. B-Vitamin Supplementation:
    • The highest priority is riboflavin (B2) at 50mg
    • B6 (25mg), biotin (200mcg), folate (800mcg), and B12 (500mcg) are also recommended
    • These support methylation pathways and enzyme function
  2. Antioxidant Support:
    • Vitamin A (5,000 IU) and Vitamin E (200 IU) supplementation recommended
    • Plant-based antioxidants need addressing, though your difficulty with plant foods makes this challenging
  3. Digestive Support:
    • 5,000 IU of digestive enzymes is recommended
    • 10 billion CFU of probiotics for microbiome support
  4. Mineral Supplementation:
    • Magnesium (600mg) is recommended, which would support over 300 enzymatic reactions
    • Small amounts of manganese (3mg) and molybdenum (75mcg)
  5. Omega-3 Supplementation:
    • 1,000mg of omega-3 fatty acids recommended

Addressing Your Digestive Issues

Your digestive enzyme deficiency (score of 6) combined with B-vitamin deficiencies creates a challenging situation. You mentioned difficulty digesting non-meat foods, which is consistent with pancreatic enzyme insufficiency. The recommended digestive enzymes (5,000 IU) would provide immediate support, while addressing the B-vitamin deficiencies would help restore your body’s ability to produce its own enzymes over time.

The severe riboflavin deficiency is particularly important to address, as it’s crucial for energy production in the pancreas and other digestive organs. The B vitamin supplementation would support both methylation and digestive function, potentially helping your body gradually restore its own enzyme production capacity.

Antioxidants

Antioxidants Overview – AI Analysis

Key Findings:

  1. Plant-based Antioxidants:
    • Showing a critically high need (score of 7)
    • This indicates significant deficiency in dietary phytonutrients that combat oxidative stress
    • This is likely related to your low-carb diet which may limit colorful fruits and vegetables
  2. Vitamin A and Vitamin E:
    • Both show moderate deficiency (score of 6 for each)
    • These fat-soluble antioxidants play complementary roles in cell membrane protection and immune function
    • Their shared deficiency pattern suggests a common underlying cause
  3. Glutathione:
    • Shows moderate deficiency (score of 6)
    • This is your body’s master endogenous antioxidant and detoxifier
    • The note about “GSH requirement is increased with high-fat diets” is particularly relevant to your low-carb approach
  4. Optimal Status Areas:
    • CoQ10 is optimal (score of 0)
    • Vitamin C is optimal (score of 0)
    • These are strengths in your antioxidant profile
  5. α-Lipoic Acid:
    • Shows mild deficiency (score of 3)
    • This is an important recycler of other antioxidants and plays a role in glucose metabolism

Connecting the Dots:

Your antioxidant profile reveals an interesting pattern. You have excellent status of certain antioxidants (CoQ10, Vitamin C) while showing significant deficiencies in others (plant antioxidants, glutathione, vitamins A and E). This creates an imbalanced antioxidant defense system.

The glutathione deficiency is particularly noteworthy given your low-carb diet. The panel specifically notes that glutathione requirements increase with high-fat diets – precisely the metabolic state you’re in. Your body likely needs more glutathione than someone on a standard diet due to the increased fat metabolism.

The excellent CoQ10 status suggests your mitochondria have adequate protection for energy production, which is positive. However, the plant antioxidant deficiency (score of 7) indicates you’re missing the diverse array of polyphenols, flavonoids, and other phytonutrients that provide broad-spectrum protection.

Implications and Recommendations:

  1. Glutathione Support:
    • Your low-carb diet increases glutathione needs
    • Consider glutathione precursors compatible with your diet (whey protein, NAC, sulfur-rich foods)
    • Focus on the food sources listed: meats, poultry, fish, eggs (which align well with your diet)
  2. Increase Plant Diversity:
    • Even within a low-carb framework, focus on incorporating more diverse low-carb vegetables
    • Herbs and spices provide concentrated plant antioxidants with minimal carbs
    • Consider berries in small amounts (highest antioxidant-to-carb ratio)
  3. Fat-soluble Vitamin Sources:
    • For Vitamin A: Liver, egg yolks, grass-fed butter (preformed vitamin A sources)
    • For Vitamin E: Nuts, seeds, avocados (compatible with most low-carb approaches)
  4. Alpha-lipoic Acid:
    • The moderate need (score of 3) should be addressed, particularly since it helps recycle other antioxidants
    • Food sources like spinach, broccoli, and organ meats align with your diet

This pattern suggests that while your low-carb diet is supporting some aspects of your antioxidant status (CoQ10, Vitamin C), it may be creating deficiencies in others, particularly plant-derived antioxidants. The high glutathione need is especially relevant since your dietary approach increases requirements for this master antioxidant.

The digestive enzyme insufficiency you mentioned previously might also be limiting your absorption of fat-soluble antioxidants (A and E), creating a compounding effect on your antioxidant status.

amino acids results Metabolomix

Amino Acids: AI Analysis

  1. Urea Cycle Markers:
    • Citrulline is significantly elevated at 13.1 (reference range 0.6-3.9), which is notable
    • Urea is within normal range at 528 (reference range 169-465)
    • Ornithine is low-normal at 5 (reference range 2-21)
  2. Essential Amino Acids:
    • Histidine is dramatically elevated at 1,440 (reference range 127-800)
    • Lysine is elevated at 217 (reference range 11-175)
    • Methionine is low-normal at 6 (reference range 2-18)
  3. Non-Essential Amino Acids:
    • Glutamine is low-normal at 331 (reference range 110-528)
    • Aspartic Acid appears to be below detection limit
    • γ-Aminobutyric Acid is very low at 1 (reference range ≤5)
  4. B-Vitamin Markers:
    • α-Aminoadipic Acid is elevated at 18 (reference range 2-47)
    • Cystathionine is normal at 17 (reference range 2-68)
  5. Dietary Peptide Markers:
    • 1-Methylhistidine is elevated at 418 (reference range 38-988)
    • 3-Methylhistidine is normal at 267 (reference range 44-281)

Low-Carb Diet Context:

Your low-carb diet likely explains several patterns:

  1. The elevated histidine and methylhistidines likely reflect high protein intake (meat consumption) typical in low-carb diets.
  2. The elevated citrulline is particularly interesting – on low-carb diets, this could indicate:
    • Increased protein metabolism
    • Potential stress on the urea cycle from processing higher protein loads
    • Possible intestinal permeability issues
  3. The glycine/serine metabolites are within normal ranges, which is positive considering glycine is important for detoxification.
  4. The low-normal methionine with adequate cysteine suggests reasonable sulfur amino acid metabolism.

Potential Areas of Attention:

  1. Urea Cycle Function: The elevated citrulline with normal urea could suggest your body is working hard to process protein, which is expected on a low-carb diet but worth monitoring.
  2. Histidine Balance: The extremely high histidine level is notable and could be related to your protein sources or potential histamine issues.
  3. Methionine-to-Cysteine Pathway: Your methionine is on the lower end while cysteine is adequate, suggesting this pathway is functioning but possibly under some strain.
  4. Creatinine: Your urinary creatinine at 10.1 mmol/L is within normal range, indicating proper hydration and sample concentration.

Overall, many of these patterns are consistent with a low-carb, high-protein diet. The most significant finding is the elevated citrulline, which may warrant further investigation into your urea cycle function and protein metabolism efficiency. Considering your dietary choices, these results generally show expected metabolic adaptations rather than concerning abnormalities.

metabolic fatty acids Genova Labs Metabolomix+

Key Observations: AI Analysis

  • Omega-3 paradox: Alpha-linolenic acid (ALA) is quite low (0.15%), while EPA and DHA levels are normal – suggesting good absorption of pre-formed omega-3s from animal sources but poor conversion of plant omega-3s.
  • Inflammation markers: Arachidonic acid is elevated at 10%, approaching the upper limit of the reference range. This pro-inflammatory omega-6 fatty acid may contribute to oxidative stress.
  • Enzyme dysfunction: Delta-6-Desaturase activity is impaired at 39.6, explaining the inefficient conversion of essential fatty acids. This enzyme requires B-vitamins as cofactors, connecting to the B-vitamin deficiencies found in other tests.
  • Cardiovascular indicators: The omega-3 index is 5.1, which exceeds the minimum threshold but falls below the optimal range of 8-12% associated with maximum cardiovascular protection.

These findings align with other test results, demonstrating how specific nutrient deficiencies create metabolic bottlenecks affecting everything from energy production to inflammation regulation.

Potential Causes and Recommendations:

  1. Likely Causes:
    • Direct consumption of EPA/DHA through fish/seafood rather than conversion from ALA
    • Possible Delta-5-Desaturase bottleneck causing Dihomo-γ-Linolenic Acid accumulation
    • Possible deficiencies in nutrients that regulate Delta-5-Desaturase (zinc, magnesium, B6)
  2. Dietary Recommendations:
    • Consider incorporating small amounts of ALA-rich foods compatible with low-carb (walnuts, chia seeds)
    • Continue consuming fatty fish for direct EPA/DHA (if this is currently part of your diet)
    • Ensure adequate intake of zinc, magnesium, and B vitamins to support enzyme function

This pattern suggests you’re obtaining sufficient end-product omega-3s (likely through diet rather than conversion), while showing some imbalances in the omega-6 pathway that may warrant attention to optimize your inflammatory balance.

Note:

  • I take a fish oil supplement daily, plus asthaxanthin as well here and there.
  • I eat wild fish as often as possible, though it may only be a few times a month.
  • I don’t cook much with oils, but I do use a high quality olive oil and avocado oil from time to time. I also like avocado-oil based mayo.
Fatty Acid Metabolism Metabolomix

Key Observations: AI Analysis of the Chart

  1. Omega-3 Pathway Status:
    • α-Linolenic Acid (starting point) shows a red outline with a downward arrow, indicating deficiency or reduced levels
    • Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA) (end products) have green outlines, suggesting adequate or optimal levels
    • The intermediate Stearidonic Acid and Eicosatetraenoic Acid appear to be at normal levels (no color indicators)
  2. Omega-6 Pathway Status:
    • Linoleic Acid (starting point) has a green outline, indicating adequate levels
    • γ-Linolenic Acid and Docosatetraenoic Acid show yellow outlines with upward arrows, suggesting elevated levels
    • Dihomo-γ-Linolenic Acid shows a red outline with an upward arrow, indicating significantly elevated levels
    • Arachidonic Acid appears normal (no color indicator)
  3. Conversion Enzymes:
    • The diagram highlights crucial enzymes in these pathways: Delta-6-Desaturase, Elongase, and Delta-5-Desaturase
    • These enzymes require specific nutrients as regulators, including B vitamins, vitamin C, zinc, magnesium, and insulin

Interpretation Considering Low-Carb Context:

  1. Inflammation Balance: The diagram reveals a potential imbalance between pro-inflammatory and anti-inflammatory pathways:
    • Despite low α-Linolenic Acid (ALA), you have good EPA and DHA levels (anti-inflammatory)
    • Elevated Dihomo-γ-Linolenic Acid could indicate inflammation concerns, though it can produce anti-inflammatory Series 1 Prostaglandins
  2. Enzyme Function:
    • Your body appears to be efficiently converting limited ALA into EPA and DHA, suggesting good enzyme function in the omega-3 pathway
    • The elevated intermediate metabolites in the omega-6 pathway might indicate either high intake or potential bottlenecks in conversion
  3. Low-Carb Diet Relevance:
    • Your low-carb diet may be influencing these patterns in several ways:
      • Possibly higher intake of EPA/DHA directly through fatty fish consumption
      • Potential reduced insulin levels (typical in low-carb diets) could affect Delta-6-Desaturase activity
      • Your diet may be higher in linoleic acid sources (certain nuts, seeds) while lower in ALA sources

Potential Causes and Recommendations:

  1. Likely Causes:
    • Direct consumption of EPA/DHA through fish/seafood rather than conversion from ALA
    • Possible Delta-5-Desaturase bottleneck causing Dihomo-γ-Linolenic Acid accumulation
    • Potential supplements containing GLA (evening primrose oil, borage oil)
    • Possible deficiencies in nutrients that regulate Delta-5-Desaturase (zinc, magnesium, B6)
  2. Dietary Recommendations:
    • Consider incorporating small amounts of ALA-rich foods compatible with low-carb (walnuts, chia seeds)
    • Continue consuming fatty fish for direct EPA/DHA (if this is currently part of your diet)
    • Evaluate and possibly reduce any GLA supplements you might be taking
    • Ensure adequate intake of zinc, magnesium, and B vitamins to support enzyme function
    • Consider supporting Delta-5-Desaturase function with specific nutritional cofactors

This pattern suggests you’re obtaining sufficient end-product omega-3s (likely through diet rather than conversion), while showing some imbalances in the omega-6 pathway that may warrant attention to optimize your inflammatory balance.

Organic Acids Metabolomix Results Example

Organic Acids: AI Analysis

  1. Dysbiosis and Malabsorption Markers:
    • 3-Hydroxyphenylacetic Acid (7.0, ref. ≤ 5.3) and 4-Hydroxyphenylacetic Acid (23, ref. ≤ 9.9):
      Elevated levels could indicate gut dysbiosis or bacterial imbalance. On a low-carb diet, the gut microbiome can shift, sometimes favoring certain bacteria that thrive in a low-carb environment. This can cause dysbiosis, leading to higher levels of these organic acids. Furthermore, low carb can alter gut flora balance, possibly exacerbating malabsorption.
  2. Biotin Marker:
    • 3-Hydroxyisovaleric Acid (17, ref. ≤ 15):
      Elevated slightly, suggesting a potential biotin deficiency. Biotin is essential for the metabolism of fats and proteins. A very low-carb diet may lead to reduced intake of biotin-rich foods (like whole grains, fruits, etc.), possibly resulting in low biotin levels, as biotin plays a role in converting certain fatty acids and amino acids into usable energy.
  3. Fatty Acid and Energy Metabolism:
    • Pyruvic Acid (14, ref. 7-12):
      Elevated pyruvic acid is particularly notable in a low-carb diet, as your body is likely relying more on fatty acid oxidation and gluconeogenesis (making glucose from non-carb sources). In this state, pyruvic acid is produced as an intermediary of both glucose metabolism and fatty acid breakdown. This suggests that your body is working overtime to convert fats and proteins into glucose for energy, potentially leading to higher levels of pyruvic acid. This may be an indicator of insufficient glucose regulation or mitochondrial stress, which could explain your symptoms of low blood sugar and hunger.

Symptoms & Low Carb Diet Connection:

Given your low-carb eating habits, here’s what could be happening:

  1. Pyruvic Acid Elevation: On a low-carb diet, your body relies more heavily on gluconeogenesis (producing glucose from non-carbohydrate sources like proteins). This process might be leading to elevated pyruvic acid, especially if your body is under stress trying to meet energy demands without sufficient glucose from carbohydrates. This might explain your blood glucose regulation issues and nighttime hypoglycemia, as your body struggles to maintain stable glucose levels.
  2. Gut Dysbiosis and Malabsorption: A very low-carb diet can shift the composition of your gut microbiome. Some gut bacteria thrive on carbohydrates and fiber, so when those are restricted, an overgrowth of other types of bacteria might occur, leading to dysbiosis. This could explain the higher levels of 3-Hydroxyphenylacetic Acid and 4-Hydroxyphenylacetic Acid, as dysbiosis can disrupt normal digestion and absorption, especially in a low-carb environment.
  3. Biotin Deficiency: Since biotin is found in many carbohydrate-rich foods, low-carb diets can potentially reduce the intake of biotin, contributing to the slightly elevated 3-Hydroxyisovaleric Acid levels. Biotin deficiency could manifest in skin, hair, and nail issues, and may also affect metabolism.

Next Steps to Consider:

    1. Reevaluate Carbohydrate Intake: While a low-carb diet has its benefits, it may also put stress on certain metabolic pathways, especially with energy production and gut health. A slight increase in healthy carbs (especially from fiber-rich, low-glycemic sources) might help ease the pressure on these systems and stabilize blood sugar.
    2. Support Biotin Intake: Consider incorporating more biotin-rich foods (like egg yolks, nuts, seeds, and fatty fish) or biotin supplements to help support energy metabolism.
    3. Optimize Fat Metabolism: Make sure you’re balancing fats and proteins in a way that supports stable energy production without overloading on protein, which could lead to increased gluconeogenesis and higher pyruvic acid.
    4. Monitor Blood Glucose: If you continue to experience low glucose at night and hunger, it might be beneficial to check your blood glucose more regularly, particularly during the night to help determine if low glucose is the cause of sleep disturbances.
Oxidative Stress

Oxidative Stress: AI Analysis

This diagram provides a detailed view of your metabolic pathways with particular emphasis on energy production and mitochondrial function. I’ll analyze the key findings based on the color-coding and pathway relationships:

Key Mitochondrial Pathway Abnormalities

Citric Acid Cycle (Krebs Cycle) Dysfunction:

  • The early steps of the cycle show significant issues:
    • Citric Acid appears normal (green)
    • cis-Aconitic Acid shows moderate abnormality (yellow)
    • Isocitric Acid shows moderate abnormality (yellow)
    • α-Ketoglutaric Acid appears normal (green)

Metabolic Blocks and Inhibitors:

  • Multiple toxic inhibitors are affecting your mitochondrial function:
    • Aluminum (Al) is shown as an inhibitor at the isocitric acid to α-ketoglutaric acid conversion
    • Mercury (Hg), Antimony (Sb), and Arsenic (As) are inhibiting the succinate step
    • Fluoride (Fl), Lead (Pb), Antimony (Sb) are inhibiting the citric acid to cis-aconitic acid conversion

Ketogenesis Pathway:

  • β-OH-Butyric Acid is elevated (red with upward arrow), suggesting increased ketone production
  • This is consistent with your low-carb dietary approach, which promotes ketogenesis

Fatty Acid Metabolism:

  • Adipic Acid appears normal (green)
  • Suberic Acid shows moderate abnormality (yellow)
  • This suggests some inefficiency in fatty acid β-oxidation

Electron Transport Chain:

  • Multiple free radical indicators (orange sunburst symbols) appear throughout the electron transport chain
  • Lipid Peroxides show moderate abnormality (yellow)
  • This indicates oxidative stress within your mitochondria

Integrated Analysis

This diagram reveals a cohesive explanation for your metabolic challenges:

  1. Toxic Metal Burden: The most striking finding is the presence of multiple heavy metal inhibitors (Al, Hg, Pb, Sb, As, Fl) disrupting key steps in the Krebs cycle. These toxins are directly blocking energy production at critical conversion points.
  2. Energy Production Bottlenecks: The moderate abnormalities in cis-aconitic acid and isocitric acid represent functional bottlenecks in energy production. Your cells are struggling to efficiently complete the citric acid cycle due to these blocks.
  3. Compensatory Ketogenesis: Your body appears to be compensating for reduced carbohydrate metabolism by increasing ketone production (elevated β-OH-Butyric Acid), which is consistent with your low-carb diet but may also reflect metabolic adaptation to impaired glucose utilization.
  4. Oxidative Stress Pattern: The free radical indicators throughout the electron transport chain suggest increased oxidative stress, which can further damage mitochondrial function in a vicious cycle.

This diagram connects directly to your previous findings of digestive enzyme insufficiency. The mitochondrial dysfunction shown here would significantly impact the pancreas’ ability to produce digestive enzymes, as enzyme production requires substantial cellular energy. The toxic metal burden appears to be a primary driver of your mitochondrial dysfunction.

Your digestive symptoms and difficulty with non-meat foods can be understood as downstream effects of this fundamental energy production problem. The digestive enzymes you’re taking are helping symptomatically, but addressing the underlying mitochondrial dysfunction and toxic burden would likely provide more comprehensive improvement.

Microbiome

Microbiome: AI Analysis

Digestive Function

  • Digestive Support/Enzymes shows a moderate deficiency (score of 6), indicating significant pancreatic enzyme insufficiency
  • The panel specifically notes “a high functional need for digestive enzymes suggests that there is an impairment related to digestive capacity”

Mitochondrial Function

  • Mitochondrial Dysfunction is present at a moderate level (score of 4)
  • This aligns perfectly with the abnormalities seen in your organic acids test and the mitochondrial pathway diagram
  • The early Krebs cycle disruptions (citric acid, cis-aconitic acid, isocitric acid) are direct manifestations of this mitochondrial dysfunction

Toxic Burden

  • Toxic Exposure shows a mild score (1), which might seem relatively low
  • However, this connects with the mitochondrial pathway diagram showing multiple heavy metal inhibitors (aluminum, mercury, lead) blocking specific steps in the Krebs cycle
  • Even a relatively low toxic burden can have significant effects when concentrated at critical metabolic chokepoints

Methylation Status

  • Need for Methylation is optimal (score of 0)
  • This is a strength in your biochemistry and suggests your body maintains adequate methylation despite other challenges
  • This may explain why you’re able to function reasonably well despite the mitochondrial and digestive challenges

The Connecting Thread

The relationship between these findings tells a coherent story about your health challenges:

  1. The mitochondrial dysfunction (score 4) is the likely root cause of your digestive enzyme insufficiency (score 6). Your pancreas requires significant energy to produce digestive enzymes, and the compromised mitochondrial function limits this energy production.
  2. The toxic elements shown in your mitochondrial pathway diagram are directly inhibiting key steps in the Krebs cycle, creating the energy production bottlenecks that contribute to both your mitochondrial dysfunction and, consequently, your digestive enzyme insufficiency.
  3. The digestive enzyme supplements help by providing externally what your body struggles to produce internally due to energy limitations. This explains why they’ve been so helpful for you, particularly with non-meat foods that require more diverse enzymatic activity to digest.
  4. Your microbiome status is relatively good (score 3), which is somewhat protective. This suggests your gut bacteria are not a primary problem, though the bacterial markers in your organic acids test did show some mild dysbiosis.

The optimal methylation status is particularly interesting, as it indicates your body maintains this critical function despite other challenges. This suggests resilience in certain metabolic pathways even while others are compromised.

The fundamental issue appears to be an energy production problem stemming from mitochondrial dysfunction and toxic burden, which then manifests as digestive enzyme insufficiency. Addressing the mitochondrial health and toxic burden would likely improve your body’s ability to produce its own digestive enzymes over time.

Oxylates

Oxalates: AI Analysis

Oxalate Markers

  • Glyceric Acid at 10.1 mmol/mol creatinine is well within the reference range (3.5-16.4)
  • Glycolic Acid at 24 mmol/mol creatinine is within the reference range (≤ 67)
  • Oxalic Acid at 14 mmol/mol creatinine is well within the reference range (≤ 78)

Oxidative Stress Markers

  • Lipid Peroxides at 7.8 micromol/g creatinine is within reference range, though a bit high (≤ 10.0)
  • 8-OHdG at 7 mcg/g creatinine is well within reference range (≤ 15)

Both oxidative stress markers are within their reference ranges, though lipid peroxides are closer to the upper limit than 8-OHdG.

Methylation Pathways

The methylation diagram shows FIGLU (Formiminoglutamic Acid) with an upward arrow, an indication of moderate folate need.

Branched-Chain Amino Acid Metabolism

  • Valine is shown with a red marking and upward arrow
  • Leucine is shown with a red marking and upward arrow

These appear to be elevated based on the diagram’s markings.

Assessment

Your oxalate metabolism appears to be functioning normally, with all three markers well within their reference ranges. The oxidative stress markers are also within reference ranges, though lipid peroxides are closer to the upper limit.

The branched-chain amino acid elevations (valine and leucine) and the FIGLU indicator in the methylation pathway still suggest some metabolic challenges, but the oxalate and oxidative stress markers don’t appear to be significant concerns based on their reference ranges. These issues are likely related to B-vitamin deficiencies.

Overview

Overview Chart: AI Analysis

Functional Imbalance Scores and Patterns

  1. Oxidative Stress: Score 7 (Moderate-High Need for Support)
    • Elevated markers: Taurine (red triangle up)
    • Borderline markers: Lipid Peroxides (yellow triangle), cis-Aconitic Acid (yellow triangle down)
    • This indicates oxidative damage occurring in your body, which aligns with and likely contributes to your mitochondrial dysfunction
  2. Mitochondrial Dysfunction: Score 4 (Mild-Moderate Need for Support)
    • Primary concerns: Glutaric Acid elevation (red triangle up)
    • Borderline markers: Magnesium (yellow triangle down), FIGLU (yellow triangle), and cis-Aconitic Acid, Isocitric Acid (yellow triangles down)
    • This confirms the energy production issues we saw in your organic acids test, particularly in the early Krebs cycle
  3. Omega Imbalance: Score 6 (Moderate Need for Support)
    • Deficiencies: α-Linolenic Acid, γ-Linolenic Acid, Dihomo-γ-linolenic Acid (red triangles down/up)
    • Normal markers: Omega 6:3 Ratio, Arachidonic Acid, Linoleic Acid (green circles)
    • This validates the fatty acid metabolism imbalances we saw in your earlier tests
  4. Toxic Exposure: Score 1 (Minimal Need for Support)
    • Most markers are normal except for Cadmium (yellow triangle down) and Orotic Acid (red triangle down)
    • Despite the low overall score, specific toxins appear to be affecting your mitochondrial function as shown in the pathway diagram
  5. Methylation Imbalance: Score 0 (No Need for Support)
    • Most markers are normal with only FIGLU (yellow triangle) and Vanilmandelic Acid (yellow triangle down) showing borderline status
    • This confirms your methylation pathways are functioning well, which is a significant strength

Comprehensive Overview of Metabolomix+ Test Results: AI Analysis

After reviewing these extensive metabolic test panels and taking into consideration some additional health history that was shared with me privately, I can provide a comprehensive assessment of what these results reveal about underlying metabolic patterns and health challenges.

Primary Metabolic Patterns

Energy Production Challenges

The most striking finding across these panels is evidence of compromised mitochondrial energy production. The Krebs cycle (citric acid cycle) shows specific disruptions, particularly in the early stages:

  • Isocitric acid levels below reference range
  • Citric acid and cis-aconitic acid at the lower end of their ranges
  • Combined mitochondrial dysfunction score of 4 (moderate need for support)

This energy production challenge appears to be multifactorial, with both nutrient deficiencies and potential toxic influences affecting key enzymatic reactions in the energy production pathway.

Nutrient Insufficiencies

Several critical nutrient deficiencies appear to be contributing to the metabolic imbalances:

  • Severe riboflavin (B2) deficiency (score 9)
  • Significant needs for B6, biotin, and folate (score 7 each)
  • Moderate magnesium insufficiency (score 5)
  • Plant-based antioxidant deficiency (score 7)

These deficiencies are especially significant because they affect cofactors required for proper mitochondrial function, detoxification, and enzyme production.

Oxidative Stress Burden

The tests reveal a substantial oxidative stress burden (score 7), with:

  • Moderately elevated lipid peroxides
  • Evidence of increased free radical activity
  • Elevated markers of cellular oxidative damage

This oxidative stress pattern creates a concerning cycle where mitochondrial dysfunction increases free radical production, which then further damages mitochondrial structures.

Digestive Function Impairment

The digestive enzyme panel shows a significant need for support (score 6), indicating:

  • Pancreatic enzyme insufficiency
  • Potential challenges with nutrient absorption
  • Compromised digestive capacity

This digestive component is particularly important as it creates a potential “catch-22” where nutrient absorption is compromised, yet nutrients are needed to restore proper function.

Metabolomix+ Test – Learn More

The Metabolomix+ Test is $490 out of pocket, and it does not require your primary car physician to do a referral.

Please visit their website for more information and leave a comment if you have any questions!

Summary Assessment: AI’s Overall Analysis

These test results reveal a complex metabolic situation centered around compromised cellular energy production and the resulting adaptations and compensations. The primary issues include mitochondrial dysfunction, significant B-vitamin deficiencies, oxidative stress burden, and digestive challenges, all of which interact to create the current metabolic state.

The good news is that the patterns shown here are consistent with functional, reversible disruptions rather than permanent structural damage. With appropriate, targeted support addressing the underlying biochemical imbalances, significant improvement should be possible.

The most effective approach would likely involve a carefully sequenced strategy that first stabilizes and protects against further damage, then addresses specific nutrient deficiencies, and finally rebuilds metabolic resilience over time.

Claude AI Chart
Chart created with Claude.ai.

Understanding the Interconnections: AI’s Overview

What makes these test results particularly revealing is how clearly they demonstrate the interconnected nature of metabolic systems. The patterns suggest:

  1. Energy production deficits likely contribute to digestive enzyme insufficiency (the pancreas requires significant energy to produce enzymes)
  2. Digestive challenges may limit nutrient absorption, perpetuating deficiencies that further compromise energy production
  3. B-vitamin deficiencies affect both mitochondrial function and the body’s ability to handle oxidative stress
  4. The compromised Krebs cycle affects not just energy production but also the body’s ability to process various metabolic intermediates
  5. Mild toxic burden may be affecting enzyme function at key metabolic steps, as evidenced by specific pathway inhibition patterns

The relatively strong methylation capacity represents an important strength that provides some resilience and foundation for recovery.

AI's Overview
Chart created with Claude.ai.

Clinical Implications: AI’s Overview

Based on these results and considering the additional health history that was shared, several clinical implications emerge:

  1. Addressing the nutrient deficiencies would likely provide significant benefit, especially the severe B2 deficiency which acts as a rate-limiting factor for numerous metabolic processes
  2. Supporting mitochondrial function directly could help break the cycle of energy deficit and oxidative damage
  3. Digestive enzyme supplementation appears warranted given the clear functional insufficiency shown
  4. A careful, phased approach to restoring metabolic balance would be prudent, starting with foundational support before addressing more complex aspects
  5. The complex interaction between thyroid function, energy production, and detoxification pathways suggests that a comprehensive, systems-based approach would be more effective than addressing any single aspect in isolation

My Final Thoughts

B-Vitamin Deficiencies

I was surprised to see that even though I’ve been eating a very meat-heavy diet, that I am lacking so greatly in B-vitamins. According to Claude AI, I’m not absorbing many nutrients from my food and this can contribute to levels of fatigue. “The digestive enzyme insufficiency shown in your tests (score 6) indicates your body isn’t adequately breaking down foods into absorbable components. This creates a situation where you can be eating nutritious foods but still experiencing functional nutrient deficiencies, which can leave you feeling fatigued despite what seems like a good diet.”

Metabolic Issues

According to the tests analyzed, some issues could be a result of my krebs cycle being blocked. The Krebs cycle is a central metabolic pathway that is a crucial part of cellular respiration, where cells convert nutrients into energy in the form of ATP. The results show that there’s a blockage due to heavy metals interfering, in addition to B-vitamin deficiencies.

Omega 3/6 Ratio

Other than that, I think it’s interesting to see that my Omega 3/6 ratio isn’t optimal or considered healthy. Some people say that if you eat grass-fed beef, the Omega 3s will be higher. I have some other deficiencies in that area, though I try to include wild fish in my diet, and I also supplement daily with fish oil.

Methylation

One other thing to note is that the rest results show that my methylation is excellent. I believe that this may be a result of me taking quite a lot of supplements to help support methylation and histamine levels – supplements like quercetin, stinging nettle, vitamin C, and sometimes DAO.

Overall, I’ve found the results to be incredibly interesting and helpful. It’s going to take some time to get a better understanding. I am making some changes to try to help improve some of these results.

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Cor

Hello, why is there no information about your vitamin D level? This is the most important vitamin of your body.

Gr.
Cor

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