Lab results - looking for opinions [PLEASE READ 1ST POST]

You have an autoimmune thyroid condition—Hashimoto's...

I would truly appreciate some insight regarding these OGTT results and the three-point insulin levels. My first insulin reading was 38.6 pmol/L (within the reference interval of 17.8 - 173.8), followed by an insulin II of 490.2 pmol/L and an insulin III of 238.5 pmol/L (note that reference values for insulin II and III were not provided). As for glucose, the first measurement was 5.1 mmol/L (reference interval 3.3 - 5.2), while glucose II was 6.9 mmol/L and glucose III was 5.8 mmol/L (again, no reference values were listed for glucose II and III). Thank you!

Maria Fisher46 said:Hi there,

I consider thrombocytopenia to be anything where the platelet count drops below 150x10^9/L, so based on what you've taken, your levels aren't actually low yet.

On the other hand, like you mentioned, you're dealing with iron-deficiency anemia. It’s actually possible for your red blood cell count and platelet count to be linked. Usually, when people have iron deficiency, we see a higher platelet count—thrombocytosis—but there are cases where platelets run low, though that’s extremely rare.

Did you guys ever figure out what was causing that anemia? Was it heavy periods, or maybe some GI bleeding?

Has anyone here had a peripheral blood smear done?

So, besides all that, have you been dealing with any other symptoms?

You might see elevated Factor VIII levels during times of inflammation, an infection, or even just because of pregnancy or taking oral contraceptives. That said, sometimes it can just be a natural part of how someone is built, without any specific underlying cause at all.

Aside from the fact that this could be linked to anemia—though you didn't mention what's causing that—a drop in platelet counts can actually be its own separate issue entirely, regardless of whatever anemia you're dealing with.

When you see a case of mild, isolated thrombocytopenia in an adult, the most common culprit is usually immune thrombocytopenia. Typically, the standard protocol involves running a peripheral blood smear and testing for HIV and Hepatitis C, then deciding on further tests based on what the clinical situation calls for.

Since it isn't really clear from your message what kind of symptoms you're dealing with—especially with that iron-deficiency anemia in the background—I can't say for sure if you need more testing done right away. It might be enough just to keep an eye on your platelet count, maybe checking in once a month.

Nicholas Myers, thank you so much for all your hard work and those answers!
Regarding what might be causing this anemia—I just had an abdominal ultrasound done, and everything came back clear. Now I'm just waiting on my first appointment with a gastroenterologist, though I don't really have any digestive issues (well, I used to, but not much lately). My periods have been heavy, but that's also how they were back when my iron levels were higher.
I went in for more blood work today. I'm honestly not sure if they did a peripheral blood smear or not—
My platelet count is at 153 now, exactly one month after my last update when they were at 153.
Platelets. 133 (158-424)
mpv 9.0 (6.8-10.4)
Note: Citrate

Platelets: 97 (Ref range: 158-424)e
MPV 9.6 (6.8-10.4)
NOTE: Heparin

Platelets: 139 (Normal range: 158-424)
MPV 9.9 (Range: 6.8–10.4)
Note: EDTA

I'm still planning on working on those anti-platelet antibodies.

I haven't done an HIV test yet—though I'm pretty sure I'm in the clear there—nor have I tested for Hepatitis C.

I've been dealing with some abdominal pain, but it’s not digestion issues. It’s more on the side—right under the ribs, though sometimes I feel it on the left too. My urine has been looking darker lately, and my tests showed a high bacteria count, even though the urine culture came back sterile. Right now, I'm feeling a bit of pain on my right side, but nothing too alarming, just a light discomfort.

I just got ten ampules of iron administered through my IV.

Thanks anyway, everyone. Just wanted to update you all—it's been another month and my platelet count is dropping again :-(
Last year on this date, I was at 276. My doctor asked if I’d been taking any specific medications lately. I haven't really taken anything substantial—just my vitamins. I did use some Neofen and Normabel a few times for my back, plus some topical gel for my spine. I also used a corticosteroid inhaler for a couple of months, took some Augmentin, and did two months of evening primrose oil capsules. I tried spirulina for a very short bit, along with Vitamin C and iron, though I had to stop the iron because it was messing with my stomach.

Can tea actually cause your platelet count to drop? I'm honestly stumped on what else could be triggering a dip like that.
The only thing I can think of that I actually started taking was herbal teas.

Maria Fisher46 said:An inhomogeneous or uneven liver structure seen on an ultrasound can be nothing more than a subjective impression from the technician performing the scan, or it could indeed signal changes in the liver, such as fatty liver disease or inflammation.

If we were looking at fatty liver, that wouldn't be caused by what you ate just a single day before the exam; that process is typically a much longer, more gradual buildup that doesn't just materialize within a 24-hour window.

Given that the gastroenterologist conducting the abdominal ultrasound didn't seem particularly concerned about it, that "inhomogeneous" finding likely isn't something that should be causing you undue anxiety at this stage.

As for the immunoglobulins—I don't have much to add there. You requested the tests, you received them, so now you simply go ahead and get them done.

Thanks. The doctor was just a resident, but honestly, I feel like I'm playing a guessing game here. One time it’s hyperechoic, then it’s normoechoic, and now suddenly it's inhomogeneous... it's like, is it fatty or isn't it? I honestly can't wrap my head around the difference between echogenicity and homogeneity—does it mean it's fattier in both scenarios?
And regarding the immunoglobulins, what exactly does that entail? I haven't actually had my blood drawn yet, I just crossed it off my list.

swiftgull37 said:I just had my abdominal ultrasound, and everything came back clear. Now I'm just waiting on my first appointment with a gastroenterologist, even though I don't really have any digestive issues (I used to, but just a little bit).

I also forgot to mention that the ultrasound showed my kidneys are looking a bit smaller than they should be, shifted more to the right. My doctor said she wants to monitor them every 5 months now...
As for me, I don't feel too bad energy-wise or strength-wise, besides that weird sensation under my ribs.

*** First off, sorry about my last post—I hit send by mistake, so could a moderator please just delete that?***

Hey everyone, reaching out after a long break (I used to post here about a year ago). I’ve been dealing with a massive cluster of issues: exhaustion, weakness, general malaise, and digestive problems—specifically pale, soft stools. On top of that, I get these localized abdominal pains that seem to migrate to different spots every few days. My skin is also acting up with a rash on my face, chest, and back, plus swollen lymph nodes, changes in my salivary glands, and dry eyes. These lymph nodes have been enlarged for about a year and a half now. I’ve had four neck ultrasounds; the first three showed nodes around 1.8cm, which stayed relatively stable, but during the seventh month, the ultrasound showed they were growing (the largest ones near my jawline hit 2.8cm and 2.0cm). I had a fine-needle aspiration done back in month five, and the result was reactive hyperplasia—basically benign changes (though I know an aspiration isn't 100% foolproof).

I recently saw a private endocrinologist who confirmed the swollen nodes and mentioned seeing some changes in my thyroid, suggesting we should shift the focus there. I ran all the thyroid tests they recommended, which you can see in the link I attached. Everything looks good except for my TSH, which was 5.6. Then, during another blood draw a little while ago, my TSH was around 5.5, which is confusing because—as you can see in one of the links—my most recent TSH reading, just a few weeks after that elevated one, was totally within the normal range.

The specialist thinks the node swelling might be due to the "inflammation" on my skin, which is incredibly dry and red around my nose and cheeks. I ended up seeing a private dermatologist who prescribed a corticosteroid cream. Honestly, after using it, my gut feeling—based on constantly checking the nodes—is that they feel slightly smaller, though I have to say the change is minimal. It's not like they vanished or anything. I have another neck ultrasound scheduled in two days. I’ve already consulted several ENTs and a couple of internists/immunologists, and none of them want to biopsy the nodes yet. We’re doing another aspiration in two days to check the status. Basically, the dermatologist sent me for the tests listed in the link; one of the big suspicions is lupus, and she also wants to rule out a gluten allergy or Celiac disease. It’s worth noting that my blood work has been pretty all over the place over the last year; specifically, my absolute lymphocytes tend to spike above the limit and then settle back down to normal. That's happened across my last six or seven KKS panels. If you look at the links, you'll see my leukocyte count was elevated in the second-to-last test, but everything returned to normal in the most recent one.

Since the dermatologist noticed my tongue was looking pretty white, she ordered a stool test for Candida. The results came back a few days ago, and it just says: "yeast to rise." Candida could definitely be the culprit here, especially since all these symptoms kicked off about a month after I finished a course of antibiotics for H. pylori in my stomach.

Regarding the CMV, toxoplasma, and EBV tests:
Toxoplasma IgM and IgG are negative.
CMV IgG is POSITIVE—98.7 (positive is >14); CMV IgM is negative.
EBV VCA IgM and IgG are negative.
EBV EA IgG is negative.
EBNA IgG is POSITIVE—160 (positive is >20). I'm not sure why the IgM isn't listed here.

So, why am I asking here? My primary care doctor basically ignores all my symptoms, and I’ve practically had to beg for every single test or just pay out of pocket to see specialists. Most doctors agree there's clearly something going on, but nobody can pin down what it is. I was hoping someone here could help me make sense of these results and tell me if this rules out any autoimmune diseases. *One photo I forgot to include shows my IgE at 61—the limit is 90, so that should be fine.

Seriously, I’m like a walking case for Dr. House. If anyone has any ideas on how all of this connects, I would be incredibly grateful. I know I dumped a ton of info on you, but I'm fully expecting my GP to just tell me everything is perfectly fine again.

Help! I need someone to explain these results. My leukocyte count is up and

Leukocytes: 10.7 H
Granulocytes: 80.8 H
Lymphocytes: 14.8L

Please, help... what does this mean? What kind of illnesses could this be?

My doctor is baffled. I don't have any pain, no fever, just breathing issues—sometimes I feel like I can't catch my breath. Thanks.

Here is my situation:
30 years old, Female, Vegetarian for 3 years.

- Dealing with anemia since 2009. I had low ferritin once, so I took supplements and my levels have been fine since then. Had blood work done twice over the years to monitor it.
My red blood cell counts, hemoglobin, and a few other related metrics have always been inconsistent—either hovering right at the minimum threshold or occasionally spiking above the maximum (I think it was the cell size, if I recall correctly). My doctor never really dug deeper into those specific fluctuations; it’s just been my "normal" since 2009.

- The results are in English, which I hope is alright. I am no longer living in America, so perhaps these values seem more pronounced now. I'm curious to hear what anyone thinks. For now, I've just been told to take iron and come back for a checkup in three months, but I'm wondering about this pattern of being both too low and too high. It's a bit concerning.

- I tend to feel cold quite often and catch colds easily. Sometimes the fatigue is heavy, though usually, I'm fine, except when the exhaustion hits in the afternoon. Periods are regular, though quite painful. 😢

- I should admit my diet isn't perfect. Aside from being a Vegetarian, I don't consume much dairy or many eggs. I eat plenty of fruit, vegetables, avocado, rice, and oats. I don't eat huge quantities, but I wouldn't say I'm thin either. I avoid fast food and greasy, fried meals.

- I recently finished treatment for H. Pylori in my stomach. I wonder if my current blood work reflects that recovery, as I know PPI medication can sometimes mess with the numbers.
- No other underlying medical conditions.
Anyway, I won't ramble on. I would appreciate any insights.

https://s16.postimg.org/puih4fbzp/file_page1.jpg
https://s16.postimg.org/6qtr1toj9/file_page2.jpg
https://s16.postimg.org/j6qgvkhv9/file_page3.jpg

Hello,

Can anyone tell me how far off these results are from the normal range?

This is for a 41-year-old male.

It’s been three weeks since he dealt with a long, nasty virus. He just had a full physical, and out of a very extensive set of blood and urine tests, these are the values that came back abnormal (everything else was perfectly fine):

MCHC 361
platelets 144
TIBC 44
alkaline phosphatase 53

By the way, his kidney function isn't quite where it should be (even though his hormones look okay), and as for other issues: stress (fatigue, occasional insomnia...).

Thanks in advance!

I've been dealing with this viral sore throat for two weeks now. My doctor sent me off to get some blood work done. Does that automatically include serology, or do I actually have to ask for that specifically?

Well, that really depends on what she sent you over for. Why not just ask your doctor?

Hey everyone,

I really need some advice from a gastroenterologist here. My 11-year-old daughter has been dealing with daily stomach pain for two months now. Our primary doctor started us off with basic urine tests—culture, sediment, the whole nine yards. Everything came back normal, except both tests showed a high amount of Ca oxalate. We were told to stick to a diet loaded with citrus—lemon juice, tangerines, stuff like that—and just give her painkillers when the pain gets too much to handle. Ten days later, the pain spiked, so we headed to the pediatric ER. Blood work and urine (aside from that Ca oxalate) looked fine. Abdominal ultrasound was totally clear too. We ran stool tests next—Salmonella, Shigella, Yersinia spp., parasites, and Campylobacter spp. all came back negative. However, they did find H. pylori antigen. Her treatment was 7 days of Fromilid (250) 2x1, Amoxicillin 2x1, and Nexium (20g) 2x1, followed by another 3 weeks of Nexium 1x1 along with a specific diet. Meanwhile, the pain hasn't budged. It usually wakes her up around 5 AM, and she’s sleeping an insane amount. Painkillers aren't even helping anymore—in fact, they actually started making her vomit. In the meantime, they put her on a gluten-free diet, but there's zero improvement. After all this, her blood serum was sent to Washington, D.C. for AGA, EMA, and TTG testing. Now we've been handed yet another different diet and told to take Ares 1x1 10mg for two weeks. Please, if anyone has any insight or suggestions for further testing, I'm all ears. She’s always been a healthy kid—hasn't even been seriously sick before, only taken antibiotics three times in her entire life until now. She isn't overweight and eats relatively healthy, including plenty of fruits and veggies. But after two months of bouncing between these different diets, she’s lost 3 pounds and has basically no appetite left. Thanks in advance for any help.

A psychologist?

Daniel Palmer22 said:To whom it may concern,

I’m looking for some gastroenterology advice here. My daughter is 11 years old—a fifth grader—and she’s been dealing with daily abdominal pain for two months now. Our primary care physician initially sent us for urine tests: a culture, sediment analysis, and a standard urinalysis. Everything came back within normal ranges, except for a high concentration of Ca oxalate in both tests. We were told to stick to a diet rich in citrus—lemon juice, mandarins, that sort of thing—and just use painkillers when the discomfort becomes unbearable. After ten days, the pain intensified, so we headed to the pediatric ER. Blood work and urine tests (aside from the Ca oxalate) were all fine. An abdominal ultrasound showed nothing unusual. We also ran stool tests; everything came back negative for Salmonella, Shigella, Yersinia spp, parasites, and Campylobacter spp. However, they did detect H. pylori antigen. Her treatment plan was seven days of Fromilid (250) twice a day, Amoxicillin twice a day, and Nexium (20g) twice a day, followed by another three weeks of Nexium 1x1 alongside a specific diet. In the meantime, the pain hasn't budged. It usually wakes her up around 5:00 AM, and she’s sleeping an incredible amount lately. Painkillers aren't helping—in fact, they’ve actually started making her vomit. We've also switched her to a gluten-free diet in the interim, but there hasn't been any progress whatsoever. Following all of this, her blood serum was sent to Washington, D.C. for AGA, EMA, and TTG testing. Now, we've been given yet another different diet and a prescription for Ares (10mg) once a day for two weeks. I would be so grateful for your thoughts or perhaps a suggestion for any additional testing we might have missed. Before this, she’s never been seriously ill—she’s only taken antibiotics three times in her entire life up to age 11—she isn't overweight, and she eats relatively healthy, including plenty of fruits and vegetables. Over these last two months of juggling various dietary restrictions, she has lost three pounds and just doesn't have much of an appetite. Thank you in advance for your help.

Eleven years old—that's fifth grade, right? All the new teachers, new subjects, shuffling from room to room... school started just two months ago. What kind of pain is it, exactly? Does she have to take medication immediately when it hits?
Can she still function when she's hurting? I mean, is she able to go to school, study, participate in sports?
Does the pain subside if she manages to distract herself with something else? And you say this happens every single day? Is it a constant ache all day long, or just brief episodes?
Look, I’m no doctor, but we are talking about those pre-pubescent years where everything shifts—both physically and psychologically.
(We dealt with something similar, though it was headaches, and I know kids who vomit every single morning before heading out the door to school).
Once you’ve run all the tests—and it looks like you’ve already covered a lot of ground—and ruled out the physical causes, I’d probably look into seeing a psychologist too. Two months of persistent pain feels like a long time; surely a physical cause would have surfaced by now?
P.S. You might want to do a little digging into "abdominal migraines."

hollowhawk13 said:11 years old—5th grade? That's a mess—new teachers, new subjects, jumping from classroom to classroom... school just started two months ago. What kind of pain are we talking about here? And does she actually need treatment if it hurts?
Can she even function when it's hurting? Like, can she go to school, study, or do sports?
Does the pain fade if she focuses on something else? And you said this happens every single day? Is it constant or just short bursts?
Look, I'm no doctor, but we're talking pre-puberty here—everything is changing, physically and mentally.
(We dealt with something similar, just with headaches, and I know kids who throw up every single morning before heading to school).
Once you've run all the tests—and it looks like you've already done a ton—and ruled out anything physical, I’d take her to a psychologist too. Honestly, pain lasting two months feels a bit long; wouldn't something physical have popped up by now?
ps. maybe Google "abdominal migraines"

She isn't going to school right now, but I've worked it out with her teachers so she can take tests and exams. She stays on top of everything at home—studying, homework, you name it—and she's pulling straight A's on all her tests. When the pain is intense, she just stays in bed and sleeps a lot, but when it eases up, she functions normally. Still, I'll take the advice. Thanks.

Hey,
I'm looking for some thoughts on these results... just to give you some context:
male, 30 years old, tends to drink a bit too much (even if he won't admit it)
ALT and AST enzymes are way up on this report, along with glucose and bilirubin.
The labs were ordered because of some varicose veins in his leg and a potential surgery, but then this popped up: 😲

Daniel Palmer22 said:Hey everyone,

I’m looking for some advice from a gastroenterologist here. My 11-year-old daughter has been dealing with daily stomach pains for about two months now. Our primary doctor started us off with some basic urine tests—culture, sediment, the whole nine yards. Everything came back totally normal, except for a high amount of Ca oxalate in both tests. We were told to stick to a diet heavy on citrus, like lemon juice and mandarins, and just give her painkillers when the pain gets unbearable. Well, after ten days, the pain actually got worse, so we headed to the pediatric ER. Blood work and urine tests (aside from that Ca oxalate) were fine, and an abdominal ultrasound showed nothing unusual. We also did stool samples; everything for Salmonella, Shigella, Yersinia, parasites, and Campylobacter came back negative, but they did find H. pylori antigen. Her treatment was seven days of Fromilid (250) 2x1, Amoxicillin 2x1, and Nexium (20g) 2x1, followed by another three weeks of Nexium 1x1 along with a specific diet. Even with all that, the pain hasn't budged. It usually wakes her up around 5:00 AM, and she’s been sleeping a ton lately. The pain meds aren't even helping anymore; in fact, they’ve actually started making her vomit. In the meantime, we switched her to a gluten-free diet, but there hasn't been any improvement at all. After all this, her blood serum was sent off to Washington, D.C. for AGA, EMA, and TTG testing. Now we've been given yet another different diet and prescribed Ares 1x1 10mg for two weeks. I would really appreciate any thoughts or suggestions for further testing you might have. She’s never been seriously ill before—honestly, she’s only taken antibiotics three times in her entire life up to this point. She isn't overweight, eats relatively healthy, and enjoys plenty of fruits and veggies. But over these last two months of jumping through all these dietary hoops, she's lost three pounds and just doesn't have much of an appetite. Thanks so much in advance for any help.

Could it be related to her period?
Maybe a gynecologist visit to check for potential PCOS?
What about an EEG?

EDIT: I'm assuming her pediatrician also ordered a standard CBC (complete blood count)....

Addressing the remaining questions:
Quote : Felix the Cat

David Mitchell4 Asks: The antibiotics have already been prescribed. I’m struggling to see what’s missing from the diet—it's strictly meatless, heavy on vegetables, and that sort of thing. So, it’s definitely not a nutrition issue; there's no snacking involved, and no soda either.

The LDL cholesterol level is far more concerning. There is a strong suspicion that we might be looking at familial hypercholesterolemia, which means we need to run a full workup and likely start a regimen of statins. These numbers aren't a result of diet; that much is certain. As for the urinalysis, I have my doubts—the high concentration of epithelial cells suggests a poor quality sample, so the test should be repeated. The results don't clearly point to a urinary tract infection, so it's unclear why antibiotics were prescribed immediately without a follow-up test or a culture.

Kate Mitchell87 said:I’m looking for some clarity on what a low GGT actually means. My lower limit is 9. Everyone seems to tell me that a low GGT isn't clinically significant, but is that really an accurate interpretation? Two years ago I was at 9, last year I was at 8, and now I've hit 6.
What does a low hematocrit actually mean? Mine is sitting just slightly above the lower limit. I don't have any chronic illnesses, and I'm definitely not pregnant. These tests were just routine prep for an upcoming surgery, and everything else on my blood work looks perfectly normal. Thanks.

Exactly. Low GGT levels aren't worth worrying about. As long as the hematocrit is even slightly above the lower limit, you can consider the results normal.

Kevin Bishop9 said:Please provide the blood work results for review.
Red blood cell count: 2.96.
Hemoglobin: 83
Hematocrit: 0.243
Platelets: 94
Neutrophils: 0.49L
Neutrophils: 7.4%
Lymphocytes: 83%

The results are for a one-year-old. Both IgG and IgM anti-leukocyte antibodies came back positive.

Doctors are claiming a virus caused this. Is that actually plausible?

It's possible, but you'd expect those levels to normalize pretty soon. Of course, the real answer depends on how the kid is actually feeling and what else the clinical results are showing.

Hannah Murphy11 Asks:
Could I get some insight on these OGTT results and the three-point insulin levels? Insulin I was 38.6 pmol/L (ref: 17.8 - 173.8), Insulin II hit 490.2 pmol/L, and Insulin III came in at 238.5 pmol/L (no reference ranges provided for II or III). As for glucose, the first reading was 5.1 mmol/L (ref: 3.3 - 5.2), the second was 6.9 mmol/L, and the third was 5.8 mmol/L (again, no reference ranges listed for the second and third readings). Clinic Thanks!

Assuming these values were taken at the 0, 60, and 120-minute marks, the results fall within the acceptable range—essentially normal. That said, context is everything. It all depends on what you're actually feeling, why the test was ordered in the first place, or if there’s any possibility of pregnancy involved.

swiftgull37 said:Could tea influence a drop in platelet counts? I'm trying to pin down what might be triggering this decline.
The only thing that comes to mind is what I started taking. Herbal teas.

Anything is possible. It might be wise to cut out those specific teas, but looking at the big picture, I'm not convinced that's the smoking gun.

Since you're actually dealing with bicytopenia—meaning both your platelet and red blood cell counts are low—you really ought to get a full hematology workup done.

Jason Vaughn482 As specified by:
Thanks. The specialist ran some tests, and while everything seems okay, I’m getting mixed signals. One moment it's hyperechoic, then it shifts to normoechoic, and now they're calling it inhomogeneous. It feels like a moving target. My theory? It’s just more fatty tissue, which messes with the readings. Honestly, I don't even grasp the nuance between echogenicity and homogeneity here—but regardless of the terminology, does it just mean there's more fat involved in both scenarios?
What exactly are immunoglobulins? I haven't had my blood drawn yet, but I've already circled that part on the lab order.

I don't see why everyone is getting so worked up over immunoglobulin levels. They're just proteins designed to defend the body against infections, mainly bacterial ones. Fluctuations in immunoglobulin values can pop up in all sorts of conditions—liver disease, autoimmune disorders, kidney issues, hematological diseases, and so on. It's just one piece of the puzzle.

Joseph Taylor3 said:Interpret these results—does this mean I don't have any autoimmune diseases?

Systemic lupus is ruled out since the ANA is negative. Those facial skin changes likely point toward seborrheic dermatitis.

If this is a new onset of seborrheic dermatitis in an adult male, an HIV test should be performed.

Finding Candida in stool isn't unusual; it often colonizes the digestive tract mucosa. One needs to check the colony count and perform a mycological throat swab to see if there are signs of oral candidiasis, which would definitely be a pathological finding in an adult man.

The attached results rule out systemic lupus and likely celiac disease, though they don't exclude all autoimmune conditions.

Karen Stewart46 said:Excuse me,

Can someone tell me how far these results deviate from the norm?

This is for a 41-year-old male.

It’s been three weeks since a severe, prolonged viral infection. He had a comprehensive systemic checkup, and from an extensive blood and urine panel, these are the values that deviate: (everything else is within normal limits)

MCHC 361
platelets 144
TIBC 44
alkaline phosphatase 53

Otherwise, his kidneys aren't performing optimally (though hormones are fine), and other "issues" include stress (fatigue, occasional insomnia...).

Thanks in advance!

The tests should be repeated in 3–4 weeks. The deviations aren't major, but it's necessary to compare the new values against the previous ones.

Emily Morgan3 said:I've had a viral sore throat for two weeks now. My doctor sent me for blood work. Does that automatically include serology, or does one have to request that specifically?

Certainly not. Serology is performed at a limited number of labs and requires a specific referral; it must be requested separately.