Lactic acidosis is a serious metabolic condition characterized by excessive accumulation of lactic acid in the bloodstream, causing blood pH to drop dangerously low. It is caused by inadequate oxygen delivery to tissues, impaired cellular metabolism, or conditions like heart failure, sepsis, liver disease, and certain medications. The Lactic Acid Plasma test is the most important test for diagnosis because it directly measures lactic acid concentration in the blood.
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Lactic acidosis is caused by conditions that prevent your body from getting enough oxygen to tissues or that interfere with how your cells produce energy. Heart failure, severe infections like sepsis, shock, respiratory failure, liver disease, kidney disease, and certain cancers can all trigger lactic acidosis by disrupting normal cellular metabolism. Medications like metformin (used for diabetes), excessive alcohol consumption, and intense physical exertion can also cause lactic acid to build up faster than your body can clear it, leading to dangerous blood pH levels.
The Lactic Acid Plasma test is the most important test for lactic acidosis because it directly measures the concentration of lactic acid in your bloodstream, providing immediate confirmation of the condition. When lactic acid levels rise above 4 mmol/L, it indicates lactic acidosis and helps doctors identify whether the cause is related to oxygen deprivation (Type A) or metabolic dysfunction (Type B). This test is essential not only for diagnosing lactic acidosis but also for monitoring how well treatment is working, as levels should decrease as the underlying condition improves.
You should get tested if you experience symptoms like rapid breathing, confusion, extreme fatigue, nausea, vomiting, abdominal pain, or muscle weakness, especially if you have conditions like heart failure, diabetes, liver disease, or take metformin. Anyone with severe infections, sepsis, or who has recently experienced shock or respiratory distress should be tested immediately, as lactic acidosis can become life-threatening within hours. If you have cancer, kidney disease, or recently engaged in extreme physical exertion and feel unusually unwell, testing is also warranted to catch this condition early.
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What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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