🏥 Health Dashboard — Carlos Blanco
Comprehensive Health Report | April 19, 2026 | Age 42 | Latest Labs: April 16, 2026
VO2 Max
42.2
Up from 39.1 ↑
Avg Steps
22,353
Extremely active
Avg Sleep
7h 30m
Eight Sleep 29-night avg
Resting HR
61 bpm
Apple Health avg
Body Fat
20.5%
DEXA Jan 2025
Total T
1,131
↓24% — more controlled
LDL
133.4
↓30.8% from 192.7! ✓
hs-CRP
<0.5
Excellent — low inflam
🩸 Bloodwork Panel — Rythm Health, April 16, 2026 (vs March 20)
| Marker | Value | Reference | Status | Trend |
|---|
| LDL Cholesterol | 133.4 mg/dL | <130 | NEAR TARGET | ↓↓ was 192.7 (-30.8%!) |
| ApoB | 108 mg/dL | <90 | IMPROVING | ↓ was 137 (-21.2%) |
| Total Cholesterol | 213 mg/dL | <240 | NORMAL | ↓ was 281 (-24%) |
| HDL | 53.4 mg/dL | >60 | DROPPED | ↓ was 65.9 (-19% ⚠️) |
| Triglycerides | 131 mg/dL | <90 | ABOVE | ↑ was 112 (+17%) |
| hs-CRP | <0.5 mg/L | <1.0 | EXCELLENT | — |
| Total Testosterone | 1,131 ng/dL | 250-1100 | BORDERLINE | ↓ was >1500 (-24%) |
| Free Testosterone | 324.1 pg/mL | 35-155 | HIGH | ↓ was 371 (-12%) |
| Estradiol (E2) | 47.8 pg/mL | <40 | IMPROVING | ↓ was 58.9 (-18%) |
| TSH | 1.41 mIU/L | 0.5-4.5 | OPTIMAL | Stable (was 1.27) |
| Vitamin D | 62.7 ng/mL | 40-80 | OPTIMAL | Stable (was 64.4) |
| Ferritin | 200 ng/mL | 20-300 | OPTIMAL | ↓ was 288 (-30.6%) |
| Fasting Insulin | 23.6 uIU/mL | 2-20 | ELEVATED | ↑ was 7.5 |
| Glucose | 95 mg/dL | 65-99 | NORMAL | — |
| HOMA-IR | 5.65 | <2.0 | HIGH | Calculated |
| ALT | Normal | <50 | NORMAL | ↓ was 57 |
🏋️ Body Composition — DEXA Scan, Jan 9, 2025
Total Body Fat
20.5%
Athletic range
Fat Mass
33.2 lbs
Of 161.8 lbs total
Visceral Fat
42.4 in³
VAT volume
A/G Ratio
1.31
Abdominal pattern ⚠️
Bone Mineral
6.1 lbs
BMC total
| Region | % Fat | Lean Mass | Fat Mass |
|---|
| Arms | 12.9% | 16.8 lbs | 2.5 lbs |
| Legs | 17.0% | 40.0 lbs | 8.2 lbs |
| Trunk | 26.1% | 58.2 lbs | 20.5 lbs |
❤️ Cardiovascular
Resting HR
61 bpm
Apple Health avg
HRV (RMSSD)
34 ms
Low for age
Cardiac CT
RMI 1.2
Cleerly AI — low risk
Sleep HR
58 bpm
Eight Sleep avg
😴 Sleep Dashboard — Eight Sleep (29-Night Averages)
Avg Duration
7h 30m
Target: 7-8h
Deep Sleep
79 min
18% of sleep
REM Sleep
95 min
21% of sleep
Sleep HRV
214 ms
Eight Sleep method
Last Night (Apr 19): 6.4h sleep | Deep: 26% (1.6h) | REM: 24% (1.5h) | HR: 51.6 bpm | HRV: 53.5 ms | Resp: 15.7/min
Sleep efficiency: 89% avg | Chronotype: late | Temp preference: cool
🔥 Metabolic Testing — PNOE, Jan 9, 2025
Fat Burning
77%
Fat utilization at rest
Breathing
96%
Coordination score
Lung Utilization
100%
Full capacity
HRV Score
94%
PNOE assessment
Non-Workout Cal
2,869
kcal/day
🧬 Genetics — 23andMe
Ancestry
99.5% Spanish (90.7% Andalusian/Asturian/Castilian, 6.2% Basque, 2.6% Portuguese)
Health Risk Variants
| Alzheimer's / Parkinson's | NO VARIANTS |
| Hereditary Heart Disease | NO VARIANTS |
| Macular Degeneration | FLAGGED |
| Celiac Disease | FLAGGED |
| Triglyceride Risk | FLAGGED |
| Prostate Cancer | FLAGGED |
Wellness Traits
Light sleeper genetically | Saturated fat sensitivity | Caffeine consumer (but slow metabolizer — CYP1A2 AC)
📷 Imaging
Prenuvo Whole-Body MRI (Apr 2023 + Apr 2024)
- ONCO-RADS Category 2 — No Cancer
- Mild spinal degeneration (cervical, thoracic, lumbar) — stable
- L5/S1 disc bulge + 25% height loss + annular fissure — stable, monitor
- T6 hemangioma 0.9cm — benign, unchanged
- Prostate: 18.2 mL (normal)
- Next scan due: April 2026
Fountain Life Cardiac CT (Dec 2021)
- Cleerly AI: Max RMI 1.2 (borderline), very low soft plaque
- No repeat needed 2-3 years (next: 2024-2025)
💊 Supplement Protocol — Genetically Optimized (160+ SNPs)
☀️ Morning — 17 Supplements with Breakfast
| # | Supplement | Dose | Why (Genetic Basis) |
|---|
| 1 | Omega-3 Fish Oil | 2,000mg | FADS1/FADS2 — can't convert plant omega-3 |
| 2 | CoQ10 (Ubiquinol) | 200mg | ACE DD + ENOS GT — vascular protection |
| 3 | Vitamin D3 | 5,000 IU | CYP2R1/GC/VDR triple impairment |
| 4 | Vitamin K2 (MK-7) | 200mcg | Calcium→bones not arteries (COL1A1 TT) |
| 5 | Curcumin (Meriva) | 500mg | IL-6 GC + IL-6R AC double inflammatory hit |
| 6 | NAC | 600mg | GSTM1 DELETED — missing Phase II detox |
| 7 | Methylated B-Complex | 1 cap | MTHFR 677 CT — 35% reduced folate |
| 8 | L-Tyrosine | 500mg | DRD2 TT — 30% fewer dopamine receptors |
| 9 | CDP-Choline | 500mg | MTHFD1 GA — high choline demand |
| 10 | Calcium Citrate | 500mg | COL1A1 TT — weaker bone matrix |
| 11 | Collagen Peptides | 10g | COL1A1 + MMP1 + GDF5 — weak collagen |
| 12 | Creatine Monohydrate | 5g | ACTN3 XX + cognitive support |
| 13 | L-Carnitine (ALCAR) | 1,000mg | 4 impaired fat-burning genes |
| 14 | DIM | 200mg | CYP19A1 TT — aromatase + E2 management |
| 15 | Calcium D-Glucarate | 500mg | UGT2B15 TG — estrogen/toxin clearance |
| 16 | Selenium | 200mcg | DIO2 TC — T4→T3 thyroid conversion |
| 17 | Glucosamine + Chondroitin | 1,500/1,200mg | GDF5 TT + COL1A1 TT — joint protection |
🌙 Evening — 5 Supplements with Dinner
| # | Supplement | Dose | Why |
|---|
| 1 | Omega-3 (split dose) | 2,000mg | Total daily: 4g |
| 2 | Magnesium Glycinate | 400mg | ACE DD + GABA support + sleep |
| 3 | Curcumin (split dose) | 500mg | Total daily: 1,000mg |
| 4 | CoQ10 (split dose) | 200mg | Total daily: 400mg |
| 5 | Berberine | 500mg | IRS1 CT — insulin sensitivity + LDL |
💛 LDL/ApoB Reduction Protocol
Goal: LDL 192.7 → <130 | ApoB 137 → <90
Root Cause: TRT at >1,500 ng/dL upregulates hepatic lipase, reduces LDL receptor activity
| Week | Supplement | Dose | Expected LDL ↓ |
|---|
| 1 | Citrus Bergamot | 1,000mg/day (500mg 2x) | 20-30% |
| 1 | Omega-3 Fish Oil | 2-4g EPA+DHA | TG ↓15-30% |
| 2 | Plant Sterols/Stanols | 2,000mg/day | 6-15% |
| 2 | Psyllium Husk Fiber | 10g/day (5g 2x) | 5-10% |
| 3 | Red Yeast Rice + CoQ10 | 1,200mg + 100mg | 15-25% |
🥗 Food Recommendations — Viome
🌟 Superfoods (35)
- Almonds, Apple, Artichoke, Asparagus
- Black Beans, Blueberry, Broccoli
- Cinnamon, Cranberry, Garlic, Ginger
- Grapefruit, Grapes, Green Tea
- Kiwi, Olive Oil, Orange, Papaya
- Pineapple, Pistachio, Pomegranate
- Salmon, Spinach, Turmeric
❌ Minimize / Avoid
- 🧀 Aged cheeses (parmesan, cheddar)
- 🥓 Cured meats (salami, prosciutto)
- 🍷 Red wine, champagne, beer
- 🥒 Fermented foods (kimchi, sauerkraut)
- 🐟 Canned/smoked fish (fresh only!)
- 🥫 Leftover food (histamine builds)
- ⚡ Energy drinks (slow caffeine metabolizer)
📅 Upcoming & Action Items
| WIN | LDL 192.7 → 133.4 (-30.8%) in 4 weeks! Protocol WORKING. Continue and recheck June 2026 |
| IMPROVING | TRT dose adjusted — T: 1131 (was >1500), E2: 47.8 (was 58.9). Lipids responding |
| SOON | Prenuvo WB-MRI #3 — due April 2026 |
| SOON | Recheck Lp(a) — last done 2021 |
| SOON | Recheck Ferritin — was 518, now 288 (monitor hemochromatosis) |
| WATCH | HDL dropped 65.9 → 53.4 (-19%). TGs up 112 → 131 (+17%). Monitor next labs |
| MONITOR | L5/S1 disc bulge — stable, annual check |
| MONITOR | Daylight exposure only 4.6 min/day — critically low |
| TRACK | VO2 Max trending up (39.1 → 42.2) — keep it going |
Health Dashboard — Carlos Blanco | Generated April 19, 2026 | Sources: Rythm Health Labs, Eight Sleep, Apple Health, 23andMe, Prenuvo, Fountain Life, DEXA, PNOE, Viome