Know Your Numbers: A Terrain-Trained Practitioner’s Guide to Understanding Your Labs

Lynn Hughes
on
Friday, February 20, 2026
Know Your Numbers: A Terrain-Trained Practitioner’s Guide to Understanding Your Labs

It’s a familiar moment.

You log into your patient portal.
You open your lab results.
You scroll.

Red numbers. Black numbers. Arrows. Abbreviations.

And at the bottom, a note:
“Everything looks normal.”

But what does normal actually mean?

For many people navigating cancer treatment, survivorship, or prevention-focused wellness, that single word leaves more questions than answers.

Is normal optimal?
Is normal resilient?
Is normal protective?
Or is normal simply “not yet alarming”?

That tension — between reassurance and uncertainty — is something Kristie Howlett understands deeply.

A Practitioner Who Reads Between the Lines

Kristie Howlett, MS, CNS, NP-C, AOCNP, MHP — founder of Howlett Integrative Cancer Care — is a terrain-trained oncology nurse practitioner who doesn’t see lab results as isolated data points.

She sees patterns.

A story about inflammation.
About insulin signaling.
About immune strength.
About metabolic flexibility.
About whether the internal soil — the terrain — is strong or strained.

After more than 25 years working alongside individuals during surgery, chemotherapy, radiation, and recovery, she recognized something important:

Patients don’t just want reassurance.

They want understanding.

Not in a fear-based way.
Not in an overwhelming way.
But in a grounded, empowering way.

The Resource That Changes the Conversation

So she created a practical, accessible tool: Know Your Numbers: Metabolic Lab Tracker

This guide walks through foundational labs — CBC, CMP, fasting insulin, A1c, thyroid markers, ferritin, hs-CRP, homocysteine, vitamin D, IGF-1, GGT, magnesium, and more — explaining:

• What each test measures
• Why it matters from a metabolic and terrain perspective
• What optimal ranges can look like
• A place to write in your own results

Suddenly, your lab report isn’t just a static document.

It becomes a conversation starter.

Because a fasting glucose may be labeled normal — but what about fasting insulin?
Ferritin may fall within range — but what does it suggest about inflammation?
hs-CRP might not trigger a phone call — but what does it say about chronic stress in the body?

A terrain-trained practitioner looks at patterns, not just flags.

She looks at how blood sugar regulation influences inflammation.
How thyroid signaling affects energy and recovery.
How liver markers reflect metabolic load.
How micronutrient status shapes immune resilience.

This is not about replacing conventional care.

It is about strengthening the soil while treatment happens — and long after it ends.

A Thoughtfully Curated Resource Library

The lab guide lives within a broader collection of carefully organized tools, including:

  • A 24-Hour Water Fast Guide

  • A Metabolic Reset Guide

  • Handy Health Guides on nutrition, hormones, stress, toxins, longevity, and prevention

  • Survivorship care organizations

  • Educational books in integrative and metabolic oncology

  • Information on mistletoe and low-dose naltrexone

  • Lifestyle and clean living recommendations

It’s structured. Intentional. Grounded in experience.

You can explore her full resource collection by clicking here.

Because sometimes the first step toward restoring resilience isn’t adding something new.

It’s understanding what’s already there.

And realizing that “normal” might just be the beginning of the conversation.

Meet the Practitioner: Kristie Howlett

Kristie Howlett, MS, CNS, NP-C, AOCNP, MHP, is a terrain-trained oncology nurse practitioner and the founder of Howlett Integrative Cancer Care. With more than 25 years of experience supporting individuals through cancer treatment, survivorship, and prevention-focused care, she integrates metabolic principles with conventional oncology — always with an emphasis on strengthening the terrain.

Her work reflects a commitment to practical education, thoughtful assessment, and helping individuals feel informed and supported as they navigate both treatment and long-term health. To learn more, or schedule a free 30-minute discovery call, visit https://www.howlettintegrativecancercare.com/.

This blog post is shared as an educational resource to highlight Terrain-trained providers within the metabolic and integrative health space. Howlett Integrative Cancer Care is independently operated and is not an MTIH program.

The Metabolic Terrain Institute of Health is a 501c3 nonprofit organization.

The Metabolic Terrain Institute of Health is a 501c3 nonprofit organization.

The Metabolic Terrain Institute of Health is a 501c3 nonprofit organization.