Should I get bloodwork before I diet? What markers actually matter?

Nov 19, 2025

Gentlemen, if you are over 40 and gearing up for a diet to drop the dad bod or build muscle, getting bloodwork first is a smart move that could save you frustration and health hassles.

As an online personal trainer for men over 40, I always recommend it in my Silhouette PT Transformation Program. One client, a 46 year old exec, jumped into a strict diet without checking his levels, only to stall hard because his thyroid was off. We got bloods done, adjusted, and he shed 10kg in 12 weeks. Bloodwork gives a snapshot of your internals, spotting issues like low testosterone or vitamin deficiencies that sabotage progress. Let us dive into why you should do it, what markers matter most for men like you, and how to use the results for better results without overwhelm.

Why Get Bloodwork Before Dieting?


Diets stress your body, cutting calories or changing macros can amplify underlying issues. For men over 40, age related changes like hormone dips or slower metabolism make this crucial. Bloodwork spots deficiencies or imbalances that make dieting ineffective or dangerous. A study in the Journal of Clinical Endocrinology shows undiagnosed low T leads to muscle loss on diets, while thyroid issues slow fat burn.

Without it, you might blame the diet when it is biology. My client thought he was "just lazy," but bloods revealed low vitamin D, common in office workers, tanking his energy. Fixing it with supps turbocharged his progress.

Bloodwork is easy, see your GP or private lab. Cost 50 to 200 pounds, worth it for tailored plans.

Let us expand on risks. Diets can strain kidneys if protein high, bloodwork checks creatinine. Or if calories low, it affects cortisol, bloods monitor.

For men over 40, prostate markers like PSA are wise, diets can affect.

Key Markers That Actually Matter


Not all tests are equal, focus on these for dieting success.

  • Testosterone (Total and Free): Crucial for muscle and fat loss. Low T (below 300 ng/dl) makes gains hard. Studies show T drops 1 percent yearly post 30, diets can worsen if caloric deficit big. My client had 280 ng/dl, we added zinc and lifts, boosted to 550.
  • Thyroid Panel (TSH, T3, T4): Controls metabolism. High TSH means hypo, slowing fat burn. A study in Thyroid Journal links hypo to weight gain in men over 40.
  • Vitamin D: Deficiency common, linked to low T and fatigue. Aim 30 to 50 ng/ml. Supplement if low.
  • Iron and Ferritin: Low causes tiredness, affecting workouts.
  • Lipid Profile (Cholesterol, HDL, LDL): Diets change this, baseline helps track.
  • Blood Sugar (Glucose, HbA1c): High indicates insulin resistance, making fat loss tough.
  • Liver Enzymes (ALT, AST): High protein diets stress liver, check before.
  • Kidney Function (Creatinine, eGFR): Ensures high protein safe.
  • Cortisol: High from stress sabotages diets.
  • Inflammation (CRP): High means hidden issues.

    My program uses these to customize, e.g., low T means more fats.

A Client Story: From Stalled to Shredded


Take Mark, 46, busy exec, wanted to diet for summer body. Ate clean, trained, but no change. Bloods showed low T (250 ng/dl) and vitamin D (15 ng/ml). We added supps, adjusted diet with more calories initially, and he lost 10kg fat while gaining muscle. Without bloods, he would have quit.

My own prep in 40s, bloods kept me on track, spotting low iron early.

The Science Behind Blood Markers for Diets


Testosterone drives muscle, low levels lead to catabolism on deficits. A study showed men with low T lose more muscle on diets.

Thyroid regulates BMR, hypo drops it by 20 percent, per Endocrine Society.

Vitamin D supports T synthesis, deficiency common in UK, linked to obesity.

Iron for oxygen transport, low means poor performance.

Lipids, diets improve HDL, but baseline tracks.

Glucose, high HbA1c means prediabetes, adjust carbs.

Liver and kidney, high protein safe if healthy, but monitor.

Cortisol, high promotes belly fat.

CRP, chronic inflammation hinders recovery.

Research recommends baseline bloods for personalized nutrition.

How to Get and Interpret Bloodwork
See GP, say for "health check before diet." Private like Medichecks.

Interpret with doc, but know ranges, T 300 to 1000 ng/dl, TSH 0.4 to 4.0 mIU/L.

If low T, consider lifestyle first, lifts, sleep.

Using Results to Optimize Your Diet


Low T? Add fats, zinc. Hypo thyroid? See doc, add iodine.

Low D? Supp 2000 IU daily.

My program tailors macros based on bloods.

Challenges and Solutions
Cost? Basic panel cheap. Fear needles? Quick. Abnormal? Fixable.

Long Term Benefits
Bloodwork ensures safe, effective diets, prevents issues, boosts health.

For men over 40, regular checks catch age related changes early.

Actionable Tasks

  • Book bloodwork with GP or private.
  • Focus on T, thyroid, D.
  • Adjust diet based on results.

Need help interpreting? Join my Silhouette PT Transformation Program at www.silhouetteptonline.com, your online personal trainer for men over 40.