Even my doctor is confused. I am 27 year 168cm height with 66kg weight. So my bmi is 23.
These are my lft results: TEST(s) RESULT(s) REFERENCE RANGE(s) S. TOTAL BILIRUBIN 0.8 mg/dl 0.2-1.2 S. DIRECT BILIRUBIN 0.4 mg/dl 0-0.3 S. INDIRECT BILIRUBIN 0.40 mg/dl 0.25-0.9 SGPT (ALT) 58 U/L <45 ALKALINE PHOSPHATASE 102 U/l 53-128 GAMMA GT 119 U/I <55 SGOT (AST) 46 U/I <35
In short: direct Bilirubin is 0.4, ALT is 58, Gamma GT is 119, AST is 46.
And these are my creatinine, Urea and electrolytes levels: SODIUM 139 mEq/l 136-146 POTASSIUM 5.5 mEq/l 3.5-5.1 CHLORIDE 105 mEq/l 98-107 BICARBONATE 15 mEq/L 23-29 CREATININE 0.90 mg/dl 0.9-1.3 UREA 21.8 mg/dl 17-49
In short: bicorbonate is 15 and potassium us 5.5
I have been tested negative for hepatitis B and C. My ultrasound is normal so I don't have fatty liver. My platelets are dropping, I am anaemic from very beginning. I am not obese and don't have alcoholic problem and don't have any medication except Omeprazole 20mg. My stools are also loose yellowish.
What is wrong with me?

I had blood taken yesterday and got the results back via email today. My follow up appointment with my doctor to discuss the results is over 3 weeks from today. Just looking for some potential answers on what came back?
MCV 103 (high) MCH 34.9 (high) Albumin 5.0 (high) Alkaline Phosphatase 34 (low) Cholesterol, Total 207 (high)
These were the only things with "flags" on them in the blood work. I included the (high) and (low) because that's what is says next to the numbers.
Any ideas on what this means? Thank you for the feedback in advance! I've been googling (obviously 😅).

Female, 42, 5’8 135 lbs
I got a routine blood test done. Everything came back within the normal ranges. However, I was looking at my AST/ALT ratio and not sure what to think.
I believe a ratio greater than 1 could be indicative of some sort of liver damage. I have De Ritis ratio of 1.7 which is almost double and (this is my question) could be indicative of cirrhosis? Every single other test was fine and my levels were normal.
Can anyone shed some light? Does the higher ratio only apply when the individual levels are high or does it apply even when levels are normal.
Billiruben .03 Alkaline phosphatase 63 AST 17 ALT 10
I have a follow up appointment with my doctor two weeks post work trip but at first she did not flag anything.

I'm not going to lie, folks. Like most women with PCOS, I am feeling incredibly frustrated. I feel like any time I research things about PCOS, I find something or am told by a doctor something completely different. I scheduled an appointment with an endocrinologist last month after months of looking into different factors of PCOS. This isn't my first rodeo, I saw a different endocrinologist for years back in my teens, and I knew that I never learned what "type" of PCOS I have. Am I insulin resistant, inflammatory, am I pill induced, or adrenal, what am I???
I can't be pill induced (I think) because I only started birth control after being diagnosed with PCOS. When I was diagnosed 11 years ago, I didn't have cysts, I just had 6 months of missed periods and chin/neck hair growth. I was overweight, but I've been overweight my whole life, and I mostly blame that on shitty eating (I know what I eat and I'm not going to argue that it's the PCOS talking [it might be!!] but I know damn well I eat way too much fast food, fatty, sugary, etc things to blame it on anything other than what it is).
I go in to see this doctor, she asks why I'm here, and I tell her I have PCOS, I need to get it managed, and I want to know what type I have. "What do you mean what type?" I was taken aback by this, because literally every thing I read regarding PCOS talks about the different types! "L-like Insulin Resistant, Inflammatory-" "There are no types. If you have PCOS, you have insulin problems."
I... What? Is that true? Like just a basic google search of "Do all women with PCOS have insulin resistance" has the first result saying "According to one recent estimate, insulin resistance is present in about 44% to 70% of people with PCOS."
Now, I'm not fighting the fact that I could have insulin resistance, I just want to know! I want to know everything that is wrong with me, because if I'm adrenal, then what's the point in treating me as if I'm insulin if I'm not addressing the adrenal issues?
Okay, maybe she's wrong? She's a doctor who is trained in this field, so I advocate for myself, I want to test my insulin levels. She essentially caves in and is like "we can order it since you want to test it."
We go over my results today, everything is looking fine. She says my testosterone level of 57 is high for being on birth control (even though the range is 13 to 71), so she's putting me on spironolactone for chin hair management (no problem, used to be on that before, don't remember why I stopped taking it tbh). My sex hormone binding glob was high, 145 when the range is 24.6 to 122, she said depending on what phase of my cycle I was in, that is normal. My diabetes screening cleared, so I don't have diabetes. Glucose 89 with a range of 70-99, alkaline phosphatase was high so we're going to do a liver screening if it's still high after my next blood test, AST is good, ALT is good, TSH is good, T4, free is good. Cortisol was fine and ruled out Cushing Syndrome. Insulin is of course missing, even though I asked for it and she said she ordered it. That's fine, maybe it's a labcorp problem, she said she's reordering it for when we do blood tests next.
So I ask, besides the fact that I have PCOS, is there anything in the bloodwork numbers that show I have insulin resistance. She said "Usually the main thing is cholesterol (I previously tested cholesterol and I do have high cholesterol, but it's because of my diet), the size of your waist, your neck area, and diabetes screening. So you passed diabetes screening, you don't have diabetes. But you have an enlarged waist. You don't have any skin tags or dark discoloration on the neck area. So uh you do have some insulin resistance because you have polycystic ovarian syndrome, but you don't have severe insulin resistance to show itself clinically in your appearance. but you are young, usually when you have pcos all these clinical pictures come later while you're aging towards 30 and above, pcos tends to get at peak level of its clinical picture"
I'm just so confused and frustrated. She's saying I have insulin resistance because I have PCOS, but everything I'm seeing online says that isn't 100% the case. Am I stupid for being confused? Am I wrong for feeling frustrated? Should I just take what she says and just go with the flow towards insulin resistance?
Side bar, she had a lot to say about nutrition in my first appointment that my nutritionist had a FIELD DAY with. For instance "stop eating sandwiches, there's something about the sandwich diet that I see a lot of my patients having problems with." (didn't realize eating sandwiches made me apart of a sandwich diet...) and "have your nutritionist put you on a PCOS friendly diet," to which my nutritionist said "oh sure, you mean the one that doesn't exist?" Love my nutritionist

Male. Canada. 36. 6'2. 310 lbs. Caucasian. No current health issues besides severe plaque psoriasis. Do not drink or smoke.
So I had some stomach issues about a year ago that ended in me getting an ultrasound on my abdomen and a stool sample. Both found nothing. I suspect it was a lingering foodborne illness. One thing they did mention is that I do have a fatty liver. I assume because I am so overweight. I have since lost 35 lbs and still working hard.
The question I have is, do you think it would be safe to start a drug like Methotrexate for severe plaque psoriasis since I have a fatty liver? I am reading this drug may be quite hard on the liver. The problem is in my Country, I have to try light therapy and then Methotrexate for me to be able to get a biologic like Skyrizi covered since it is so expensive. Light therapy worked years ago but it no longer does.
Just curious on your thought.
I did just recently get some bloodwork and my Alanine Aminotransferase (ALT) & Alkaline Phosphatase (ALP) are within normal range.
Thanks a lot.

For the last 3 months my body has been acting weird, it started with a sharp pain on my left pectoral that eventually started to twitch. Soon the I had the same sharp pain on my lower left abdomen right below my rib cage. At times it felt hard to breathe like the rhythm of my breaths wasn’t good enough and I couldn’t get the correct size of breaths. Later my head started to hurt, from my neck going up to the top of my head on one side of my head, it felt like a burning sharp pain that eventually switched sides and switches sides often. I started to sleep poorly, I started waking up at least 3 times a night and had very active dreams never feeling rested in the morning and always waking up with a dull headache and a sharp pain in my abdomen. The headaches I get now are dull and feel almost cold inside get more sharp and stabby as I go through the day. Often I will get very sharp headaches that come out of nowhere and lay a few seconds. I have to stop whatever I’m doing immediately because it feels like I’m about to have stroke. The other headaches are less painful but more dull and sting and are constant to the point of everything I do constantly being Interupted by a pain I feel I need to deal with but can’t figure out how. I’ve gone to multiple doctors multiple times and all they can tell me is my hemoglobin is high and my alkaline phosphatase is high. They also said it could be anxiety so they prescribed me escitslopram wich I used to take as a kid and took recently but I stoped because I’ve never liked needing to rely on medication I’d prefer to find and fix the root cause, also before I took the pills I never really noticed feeling anxious and actualy liked the way I felt, I always feel like I know how to regulate any anxiety that comes my way and recently my life has been going a lot better than it used to, I just moved out of my parents house and allot of the issues more psychological problems I’ve had as a kid have been resolved. I was given a sleep oxygen monitor and it showed that my oxygen does drop when I sleep. My doctor said that it sleep some would explain everything but it would have to be central because I am 20, very skinny and have never been told I snore. Prior to all these recent events I began trying to take better care of myself seeing as I’ve put it off for a while and started by eating more high fat meats with no bread, a lot of my meals where 73% 27% ground beef, blueberries, and sweet potatoes. I’m not sure where to go from here and it’s getting harder to think. Harder to sleep and harder to function during the day. Even though there are still slot of stressful things I am currently in the process of fixing, they fulfill me and I feel my life would be perfect if I just didn’t have every moment interupted by some sort of pain. Part of me could be fine with the pain in my abdomen as long as it wasn’t serious but the headaches just eat up all of my focus in the moment and won’t let me keep going. Any advice would be greatly appreciated as I am out of ideas and ready to give up.

Hello Docs,
Background: I am a 29 yr old woman (5’8” 184lbs) with medication (150mg spironolactone started 1 yr ago at 100mg) controlled hypertension inherited from my dad. I had a physical w blood work done in Feb and my eGFR was 65 at the time. Other results of note: 8.1 protein, 33 alkaline phosphatase, 11 ALT/SGPT. I’ve been making efforts since then to increase my water intake (I typically do not like drinking water) to around 68 oz a day of fluid (not perfect, but I try). I also take biotin+1.5mg minoxidil (started 1 week ago), maca root, probiotics and slippery elm in my smoothies 6 days a week. I don’t smoke and I drink very rarely. I also started a new job 3 weeks ago so a bit stressed/not enough rest.
Problem: The past 3 or so days, my urine stream has been weak. I’ve also been constipated for the past 2 days (resolved today after espresso). I also have been having mild discomfort in my lower left abdomen. It’s hard to get an appointment with my pcp, so I thought I’d ask here. Any ideas what the problem could be?
Thank you for your time! I know how valuable it is!

What does everyone’s bloodwork look like? Particularly CBC, metabolic panel, and CRP!
Mine is so wonky none of my doctors can figure it out🙃
I have high platelets (490-575) always High crp (30-45) always Sed rate varies Calprotectin is always normal High WBC sometimes (up to 12.7) High Alkaline Phosphatase sometimes (up to 125) Low b12 and d New high calcium (10.3), potassium (5.3) New low mean platelet volume (5.2)

Hi, I just got labs done because I am only 22 years old I was diagnosed with osteopenia by DEXA scan and X-ray. I have Celiacs Disease but it’s been managed since I was 16 and I haven’t broken diet. I’ve had Vitamin D deficiency but it’s been normal for the last two years and I take a good amount of Vitamin D daily. So my orthopedic doctor and PCP were like hmmm we need to figure this out. They sent in parathyroid hormone and CMP so I went and got my blood drawn today and results came back from Quest quickly.
My parathyroid hormone is normal which is good but leaves us with more questions about the osteopenia.
My CMP shows I have a low BUN and low AST. Not severely low, but still not normal. Results are as follows: Glucose: Normal BUN: LOW—5.7 mg/dL (range: 8-20) Creatinine: Normal BUN/Creatinine ratio: Normal GFR: Normal Sodium: Normal Potassium: Normal Chloride: Normal CO2: Low (it’s always been low-not a concern) Calcium: Normal Protein: Normal Albumin: Normal Bilirubin: Normal Alkaline Phosphatase: Normal AST: LOW—13 IU/L (range: 15-41) ALT: Normal Anion Gap: Normal
Are low AST and BUN levels clinically significant whatsoever? I know they’re usually high with kidney/liver issues. It would maybe be more significant if ALT was also low or if it was high. And would be more significant if my creatinine, cr ratio, GFR, bilirubin, and albumin were abnormal along with the BUN.

Hello everyone!
Today, we’re diving into an important topic - liver function tests. These tests help check how well your liver is working. Your liver is a vital organ that processes everything you eat and drink, filters toxins from your blood, and helps with digestion. Let's break down what liver function tests are, what they measure, and how you can keep your liver in top shape.

What is the Liver?

The liver is a large organ located in the upper right side of your abdomen. It performs many critical functions, including detoxifying chemicals, metabolizing drugs, and producing proteins important for blood clotting and other functions.

Key Liver Function Tests:

1. ALT (Alanine Aminotransferase)

• What It Measures: ALT is an enzyme found in your liver. High levels can indicate liver damage.
• Normal Range: Typically 7 to 56 units per liter (U/L).
• What High Levels Mean: High ALT levels can suggest liver inflammation or damage from conditions like hepatitis, alcohol use, or fatty liver disease.

2. AST (Aspartate Aminotransferase)

• What It Measures: AST is another enzyme found in your liver and other parts of your body. Elevated levels can indicate liver damage.
• Normal Range: Typically 10 to 40 units per liter (U/L).
• What High Levels Mean: High AST levels can also indicate liver damage, often used in conjunction with ALT levels to diagnose liver conditions.

3. ALP (Alkaline Phosphatase)

• What It Measures: ALP is an enzyme related to the bile ducts. High levels can indicate a problem with the bile ducts or liver.
• Normal Range: Typically 44 to 147 units per liter (U/L).
• What High Levels Mean: High ALP levels may suggest blockages in the bile ducts, liver disease, or bone disorders.

4. Bilirubin

• What It Measures: Bilirubin is a waste product from the breakdown of red blood cells. The liver processes bilirubin and excretes it in bile.
• Normal Range: Typically 0.1 to 1.2 milligrams per deciliter (mg/dL).
• What High Levels Mean: High bilirubin levels can indicate liver disease or bile duct problems, leading to jaundice (yellowing of the skin and eyes).

5. Albumin and Total Protein

• What They Measure: Albumin and total protein tests measure the levels of proteins made by the liver. These proteins are important for various body functions.
• Normal Range: Albumin: 3.5 to 5.0 grams per deciliter (g/dL); Total Protein: 6.3 to 7.9 grams per deciliter (g/dL).
• What Abnormal Levels Mean: Low levels can suggest liver disease or other conditions affecting protein production.

Why These Tests Matter:

• Detecting Liver Problems: Liver function tests can help detect liver inflammation, damage, and diseases early.
• Monitoring Chronic Conditions: Regular tests help monitor liver health in chronic conditions like hepatitis or fatty liver disease.
• Guiding Treatment: Test results can guide treatment decisions and monitor the effectiveness of interventions.

Tips for Keeping Your Liver Healthy:

1. Eat a Balanced Diet: Focus on fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid excessive sugar and processed foods.
2. Maintain a Healthy Weight: Obesity can lead to fatty liver disease, so aim for a healthy weight through diet and exercise.
3. Limit Alcohol: Excessive alcohol consumption can cause liver damage. Stick to moderate drinking guidelines or avoid alcohol altogether.
4. Avoid Toxins: Limit exposure to harmful chemicals and toxins. Use protective gear when handling chemicals and avoid smoking.
5. Stay Hydrated: Drink plenty of water to help your liver function properly.
6. Exercise Regularly: Physical activity helps maintain a healthy weight and supports liver health.
7. Get Vaccinated: Vaccinations for hepatitis A and B can prevent infections that cause liver damage.
8. Regular Check-Ups: Regular health check-ups and liver function tests can catch problems early and keep your liver healthy.

When to Get Tested:

• Routine Check-Ups: Regular check-ups, especially if you have risk factors for liver disease.
• Symptoms: If you have symptoms like jaundice, fatigue, abdominal pain, or dark urine.
• Medical History: If you have a history of liver disease, alcohol use, or use of medications that can affect the liver.

Conclusion:

Understanding liver function tests is key to maintaining liver health. Regular testing and a healthy lifestyle can help prevent liver problems and ensure your liver is functioning properly. If you have any questions or personal experiences with liver health, share them in the comments. Your insights can help others who might be facing similar issues.
Stay healthy and informed!

38/F. Checked into ER on Sunday with palpitations and weakness that I was pretty sure was linked to low hemoglobin (same thing happened in March, went to the ER where they discovered low hemoglobin was the cause and they gave me a blood transfusion which help me feel a lot better and discharged me. I've set up an appointment with my hematologist but couldn't get an appt until July.)
I was admitted due to my very low vitals and blood counts, namely:

• Hemoglobin: 7.1
• WBC: 3.6
• HR: high 30s-mid 40s
• BP: averaging 80s/high 30s, highest has been 89/50.

I've been seen by the gastro team, who wants to do an endoscopy but ultimately as an outpatient procedure because they're concerned about doing it while my WBC is low due to increased possibility of infection.
I've been seen by the cardiac team, who is going through my past records (the hospital I'm in is where I had a cardiac ablation for an arrhythmia back in 2018), but ultimately will want me to get an electrophysiology study - but whether I do it while inpatient or do as an outpatient once discharged is TBD.
They've given me some IV iron and ongoing saline drip but my numbers are not shifting.
I also had some bacteria in my urinalysis but no other symptoms, but they're giving me antibiotic IV just in case.
Basically, my case has my medical team at a loss, so thought I'd share my results and history here to see if anyone had any ideas!
Abnormal test results since being admitted (any value not listed means it was normal range.)
Echocardiagram abnormal findings:

• Trace miltal regurgitation.
• Mild aortic valve thinking. No aortic regurgitatin.
• Trace tricuspid regurgitation.

EKG 12-Lead abnormal findings:

• QT Interval: 464 ms
• QTC calculation (Bazett): 478 ms

Abnormal bloodwork:

• Reticulocyte hemoglobin: 20.7
• Ferritin: 3
• Iron: 13
• Iron saturation: 4%
• WBC count: 3.6
• RBC count: 3.57
• Hemoglobin: 7.2
• Hematocrit %: 24.8
• Mean corposcular volume: 58.7
• Mean corposcular hemoglobin: 19.9
• Mean corposcular hemoglobin conc: 28.6
• RDW - CV%: 20.3%
• RDW-SD: 52.2
• Neutrophils %: 22%
• Lympocytes %: 68%
• Neutrophils absolute: 0.8
• Chloride: 115
• CO2: 17
• BUN: 5
• Creatanine: 0.48
• Calcium: 7.7
• Albumin: 2.9
• Protein, total: 4.9
• Bilirubin total: 0.1
• AST: 60
• Alkaline phosphatase: 38

Relevant history/surgeries/medications listed below.
Medical history:

• Had a modified duodenal switch surgery (also known as SIPS) in July 2017 (both bariatric but did that surgery specifically because it helped address hormonal issues like overproduction of ghrelin.) Went from 260 lbs at 5'1" to my current weight of around 110 lbs. This surgery also resulted in malabsorption, so have been on bariatric ADEK/multi and bariatric iron supplement since then.
  
• Had a 20+ year history of an eating disorder (primarily restrictive but worsened after SIPS as getting adjusted to that led to occasional regurgitation, which I started to take advantage of so symptoms turned more to restricting purging type.) Went into treatment in 2019 at a treatment center that was HAES and focused more on intuitive eating and body neutrality, which ultimately was hugely successful and I've been in true recovery since I was discharged in February 2020.
  
• Had palpitations in 2017/2018 which were later diagnosed as bigeminy PVCs. Ablated and had loop recorder inserted. No issues since until I started experiencing some palpitations again in March, which is what led me to go to ER, where they identified low hemoglobin as the issue.
  
• Have had low hemoglobin previously due to malabsorption, and had series of iron infusions in 2021.
  
• Have rheumatoid arthritis, diagnosed in fall 2019. Currently between medications (was on methotrexate but wasn't doing anything) - currently just have predinsone but I only take it when I'm having a flare. Rheum and I are exploring Rinvoq but am in the process of getting updated scans and labwork to check on RA progression before updating treatment plan.
  
• Have previously had stomach ulcers caused by NSAIDs (was negative for H Pylori at the time), but has not been an issue since winter 2013.
  

Previous surgeries/procedures:

• July 2017: SIPS / modified DS
• March 2018: Cardiac ablation for bigeminy PVCs
• Fall 2018: skin removal surgery post weight loss (abdomen and upper arms)
• Fall 2019: Emergency surgery for intrasucception
• Winter 2020: Gallbladder removal

Hi. I just got back a series of blood ests and my dr is not concerned. I am tired all the time and feel depleted. I am also cold all the time - the optimal indoor temp for me is 78 degrees which means i am not freezing. I am considering a more IM route, but don't even know where to start in an affordable way. Any thoughts or advice would be most welcome. Here are my results if heloful in any way:
URINALYSIS
COLOR Yellow // CLARITY Cloudy // GLUCOSE, BILIRUBIN, KETONES, BLOOD, PROTEIN, NITRITE, BACTERIA - All Negative // SPECIFIC GRAVITY 1.012 // PH 8.0 // UROBILINOGEN 0.2 // LEUKOCYTE ESTERASE Moderate // RED BLOOD CELLS 11 (high) // WHITE BLOOD CELLS 2 // SQUAMOUS EPITHELIAL 4 // HYALINE CASTS 0
COMPREHENSIVE METABOLIC PANEL
SODIUM 140 // POTASSIUM 5.2 (high) // CHLORIDE 103 // CARBON DIOXIDE 25 // BLOOD UREA NITROGEN 11 // CREATININE .80 // GLUCOSE 80 // CALCIUM 9.4 // PROTEIN 70 // ALBUMIN 4.3 // AST 111 (high) // ALKALINE PHOSPHATASE 75 // BILIRUBIN 0.8 // ALT 121 (high) // eGFR (CKD-EPI 2021) 89.2 // ANION GAP 12 // CHOLESTEROL 246 (high) // TRIGLYCERIDES 90 // HDL CHOLESTEROL 70 // LDL CHOLESTEROL, CALCULATED 158 (high) // CHOLESTEROL/HDL RATIO 3.5
CBC
WHITE BLOOD CELL COUNT 6.4 // NUCLEATED RED BLOOD CELLS 0% // NUCLEATED RBC,ABSOLUTE 0.00 // RED BLOOD CELL COUNT 4.39 // HEMOGLOBIN 13.6 // HEMATOCRIT 42.7 // MEAN CORPUSCULAR VOLUME 97.3. /MEAN CORPUSCULAR HEMOGLOBIN 31.0 // MEAN CORPUSCULAR HEMOGLOBIN CONC 31.9 (low) // RDW-CV 12.9 // RDW-SD 46.5 (high) // PLATELET COUNT 298 // MEAN PLATELET VOLUME 9.7 // IMMATURE PLATELET FRACTION 1.7% // IMMATURE PLATELET FRACTION ABSOLUTE 5.1FERRITIN 115 // IRON 66 // TOTAL IRON BINDING CAPACITY 346 // IRON SATURATION 19
OTHER
THYROID PEROXIDASE AB <3.0 // T4, FREE, NON-DIALYSIS 1.0 // TSH HIGH SENSITIVITY 3.33
VITAMIN B12 541 // VITAMIN D 25 HYDROXY 37.6
HEMOGLOBIN A1C 5.1 // ESTIMATED AVERAGE GLUCOSE 100

I have some family history of CAD and found out I was a 9p21 homozygote and apoe 3/4. I do regular lab work because I've been on TRT for a few years because my levels were low (300ng/dl) in my mid-late 20s. The cause seemed to be idiopathic secondary. Looked at thyroid/prolactin/cortisol/etc. I feel better than I did with low T.
I've read more about heart health lately and am terrified to be honest. My grandpa had a quadruple bypass at 60 and is alive along with all of my other grandparents today in their 80s. His side had some early deaths though and my aunt with high lp(a) had a heart attack in her 50s and is alive. Mom tested for low lp(a) luckily.
I scheduled a vascular screening that my local hospital does in a few months. They do a few things. I'm not sure if the carotid ultrasound is duplex or CIMT, but am hoping for the latter. I've read the Beat The Heart Attack Gene book and have gotten some of the tests from that as well as Peter.
Blood pressure typically runs 120-125 over 70-75 when I relax for 10 min so that seems like something to lower maybe.
I'm really freaking out over this LP PLA2 result though. My other labs seem solid so I was shocked that it came back high. I have seen that maybe it doesn't have a lot of clinical significance and establishment, but I'm not sure. Does it mean I already have plaque in the arteries?
Should I try to meet with a cardiologist and get on a statin? My LP PLA2 was just pulled so it wasn't on my labs that my primary looked at. He thought everything looked great.
My labs are below:
Total Cholesterol - 169 mg/dL (<200)
Triglycerides - 39 mg/dL (<150)
HDL - 57mg/dL (> 40)
LDL - 101mg/dL
Apob - 77mg/dL (<90)
Lp(a) - <10nmol/L (<75)
LP PLA2 - 156nmol/min/mL (<=123) HIGH
Fibrinogen - 203mg/dL (175-425)
HS CRP - <0.2mg/dL (<1.0)
Homocysteine - 7.9umol/L (<11.4) This had been higher normal as I'm C677T heterozygote. B/Folate supplementation seems to help.
TSH - 2.97mIU/L (.4 - 4.5) I've pulled fT3 and fT4 in the past and they were close to top of the range. TSH always runs a bit higher, no hypo symptoms
Glucose - 89mg/dL (65-99)
SHGB - 10.7nmol/L (10-50)
Total Test - 876ng/dL (250-1100)
Free Test - 253pg/mL (46-224) HIGH
E2 Ultrasensitive - 60pg/mL (< 29) HIGH - I feel better not taking an AI and have read that E2 is cardioprotective
DHEAS - 286mcg/dL (93-415)
Albumin - 5.1g/dL (3.6-5.1)
Protein - 7.5g/dL (6.1-8.1)
Globulin - 2.4 (1.9-3.7)
Bilirubin - 2.3mg/dL (.2-1.2) I believe I have Gilbert's Syndrome. This always runs high especially with longer fasts
Alkaline Phosphatase - 50u/L (36-130)
AST - 19 (10-40)
ALT - 16 (19-46)
GGT - 11 (3-90)
BUN - 15 (7-25)
Creatinine - 1.24 (.6-1.26)
Calcium - 10.1 (8.6-10.3)
Cystatin C - .8mg/dL (.52-1.31) eGFR with this is 117
Sodium - 140 (135-146)
Potassium - 4.5 (3.5-5.3)
Chloride - 103 (98-110)
Carbon Dioxide - 31 (20-32)
Platelet Count - 184 (140-400)
Red Blood Count - 5.52 (4.2-5.8)
Hemoglobin - 16.6 (13.2-17.1)
Hematocrit - 49.8 (38.5-50)
Rest of reds and whites and PSA are in range