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Malabsorption syndromes are conditions where the digestive system fails to properly absorb nutrients from food. They are caused by damage to the intestinal lining from conditions like celiac disease, Crohn's disease, or chronic pancreatitis, which disrupts the absorption of vitamins, minerals, and other essential nutrients. The Calcium, Ionized, Serum test is the most important test for malabsorption syndromes because it detects calcium deficiency, one of the earliest and most common signs of impaired nutrient absorption.
Malabsorption syndromes are caused by damage to the intestinal lining that prevents proper nutrient absorption. Celiac disease causes an autoimmune reaction to gluten that damages the small intestine villi, while Crohn's disease creates inflammation throughout the digestive tract. Other causes include chronic pancreatitis, which reduces digestive enzymes, lactose intolerance, bacterial overgrowth, and parasitic infections like giardiasis that interfere with the intestinal wall's ability to absorb nutrients.
The Calcium, Ionized, Serum test is the most important blood test for malabsorption syndromes because it detects calcium deficiency, one of the earliest and most common signs of impaired nutrient absorption. When your intestines cannot properly absorb calcium from food, blood levels drop, which can lead to serious complications like osteoporosis, muscle cramps, and nerve problems. This test measures the active form of calcium in your blood, providing critical information about how well your digestive system is absorbing nutrients. Additional tests for vitamin D, vitamin B12, iron, and folate levels may also be recommended to assess the full scope of nutritional deficiencies.
You should get tested if you experience chronic diarrhea, unexplained weight loss, bloating, or fatty stools that are pale and difficult to flush. Other warning signs include persistent fatigue, muscle cramps, tingling in your hands or feet, easy bruising, or bone pain that might indicate vitamin and mineral deficiencies. Get tested immediately if you have been diagnosed with celiac disease, Crohn's disease, or chronic pancreatitis, as these conditions commonly cause malabsorption and require regular monitoring of nutrient levels.
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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