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

TSH 1.117
FT4 13.9
Anti-TPO Anti-TG 337.3

Can anyone give me a quick, unofficial breakdown of these numbers? 😁
Last time, my TG was actually even higher than this, but I didn't bother following up with more tests. This time, though, I'm definitely heading to an endocrinologist... thanks in advance for any insight. 🙂

Megan Jones27 said:To provide some context... I experienced several peculiar symptoms last summer that have persisted intermittently into this year. They tend to wax and wane quite unpredictably. These include sensations of tingling, prickling, or a "pins and needles" feeling throughout my body—most notably in my right arm—along with a certain heaviness or weakness in my right wrist. I also experience bouts of heat, flushing in my ears, and an itchy scalp. My heart occasionally skips beats, and on a few occasions, my heart rate has spiked to about 130 bpm (though my cardiology reports are clear, aside from a minor case of mitral valve prolapse). There is also a sensation of shortness of breath, combined with tightness in my neck, chest, and stomach. On several occasions, I've dealt with frequent urination, intense thirst, and a dry mouth. I often feel a strange sense of lightheadedness or dissociation, almost as if I am disconnected from my own body. My vision is also affected; there is a momentary cloudiness in one eye when I blink, or a sensation of static electricity in the corner of my eye. Additionally, for the past six years, I've dealt with skin irritations on my face that feel like mosquito bites or itching. It comes and goes, and doctors have suggested it might be chronic idiopathic urticaria. My kidney function is fine. During my pregnancy, I was taking small doses of Synthroid, but I haven't taken it for six months now. I have a follow-up appointment tomorrow to check my hormone levels.

So, that is the "short version."

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Well, let’s see what those hormone levels reveal. If everything comes back within the normal range, you should still consider scheduling appointments with both a neurologist and a psychiatrist. If the bloodwork is clear, those specialists might be able to provide a cohesive explanation for all the symptoms you've described.

Megan Jones27 said:Phosphorus is at the upper limit of the normal range...
https://ibb.co/WKRsW55

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Nothing.

Thyroid hormone levels..
https://ibb.co/SR41jF8

Would it be advisable to check PTH levels as well?

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My little one has lymphadenitis, and we’re due for a follow-up, but honestly, I don't have anyone else to turn to for a second opinion, so maybe you guys could weigh in? We haven't been able to get a cytology smear done yet. I'll post an update if anything looks off in the results.

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Megan Jones27 said:For some context... I dealt with some strange symptoms last summer that have kept resurfacing this year. They come and go, and honestly, they aren't exactly pleasant. Some of them include... tingling, pins and needles, or a crawling sensation throughout my body—mostly in my right arm—along with weakness and a heavy feeling in my right wrist. Then there’s hot flashes, ears flushing, and an itchy scalp. My heart skips beats quite often, and a few times my heart rate has spiked to around 130... (my cardiologist said everything looks fine, aside from a minor mitral valve prolapse). I also get shortness of breath, along with tightness in my neck, chest, and stomach. On a few occasions, I've had frequent urination, intense thirst, and a very dry mouth. There's also this odd lightheadedness, a feeling of being unsteady, or like I'm not quite in my own body... plus vision issues where one part of my eye seems to blur for a second whenever I blink. It feels like static electricity in the corner of my eye... on top of all that, for about six years now, I've been getting itchy spots on my face that feel like mosquito bites. They come and go; doctors mentioned it might be chronic idiopathic urticaria... my kidneys are fine. During my pregnancy, I was on small doses of Synthroid... I haven't taken it in six months, but I have a hormone checkup tomorrow.

So, that's the "short version"...

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Have you checked your battery levels, or maybe dealt with a tick bite?

What kind of bacteria are we talking about?
As far as I recall, I haven't dealt with any ticks.
The only thing I remember from the summer of 2014, back when I was still pregnant, was an itch on my stomach that lasted for weeks—just two spots right next to each other. It eventually cleared up on its own...

What exactly are you referring to?

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The bacteria is called Borrelia burgdorferi, which causes symptoms very similar to what you're experiencing. It would probably be a good idea to rule out the possibility of that condition...

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bluepilot45 said:To whom it may concern,

Thanks for the response. I went back for a follow-up four weeks after the first set of tests, and while those same parameters are still elevated, they are showing a slight downward trend:

White blood cell count: 11.1 (normal range 3.4-9.7). On the first blood draw, it was 11.3.
Lymphocytes: 3.41 (Range: 1.19-3.35) — compared to the initial blood draw at 4.50.

Now I’ve got elevated neutrophil granulocytes: 6.85 (range 2.06-6.49). On the first blood draw, they were fine at 5.86.

The MPV hasn't been repeated.

I also dug up some results from about a year ago, and back then, everything was perfectly within the normal range.

One detail I missed in my first post: I had blood work done because of these sudden, intense bouts of vertigo. The labs ruled out anemia and thyroid issues, and my carotid artery scans came back clean. An eye exam was fine too, though the X-ray of my cervical spine wasn't exactly great news. Ultimately, an ENT specialist—even without running a full vestibular test—concluded it’s just Benign Paroxysmal Positional Vertigo caused by those tiny calcium carbonate crystals getting dislodged. I was prescribed Betaserc, 24 mg twice a day. I've been on it for about ten days now, and honestly, it’s making a real difference.

My biggest concern right now is whether I even have the right diagnosis. Looking at my blood work, I’m starting to wonder if this is actually BPPV, or if we're looking at some kind of inner ear infection or something else entirely. Should I be pushing for more testing? (That's just my layperson's take.) 😁)

Thanks in advance for the response.

To whom it may concern,

A diagnosis of benign paroxysmal positional vertigo is clinical. If the physical exam aligns with that finding, there’s no need for further testing. It’s straightforward.

Regarding the blood work, it would be best if you could provide the full panel. It’s also worth repeating both the CRP and ESR tests alongside the complete blood count.

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Emily Ortiz27 said:Hello.
An eight-year-old girl underwent thyroid testing after some slight swelling was noticed around her neck.

The results are in:
FT3 5.41 (Range: 5.1 – 7.4)
FT4 levels sitting at 11.12 (range: 11.1–18.1).
TSH at 50.063 (Normal range: 0.67–4.16).

I’ll provide my response over on the Pediatric Health PDF, since that's where you posted the inquiry.

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Grace Kelly39 said:TSH at 1.117.
FT4 at 13.9.
Anti-UN Anti-UN 337,3

Can anyone break this down for me? Looking for some forum-style interpretation here. 😁
Last time, my triglyceride levels were quite high—actually higher than they are now—but I didn't follow up with any more testing. This time around, I’m planning to see an endocrinologist. Thanks in advance for the input. 🙂

Hello,

As you can see from your results, you are euthyroid. Your thyroid hormone levels are within the normal range, so there is no clinical indication for hormone replacement therapy at this stage. However, you do have elevated thyroglobulin antibodies. Since thyroglobulin is a protein produced by the thyroid cells to help manufacture hormones, having these antibodies present can sometimes point toward the development of an autoimmune thyroid condition. That said, thyroglobulin antibodies aren't quite as specific as anti-UN markers, meaning their presence alone isn't enough to confirm an autoimmune disease. I'd suggest scheduling a follow-up with an endocrinologist. Depending on whether you've had one recently, an ultrasound might be worth considering, and you should work with them to establish a schedule for monitoring your hormone levels moving forward.

Megan Jones27 said:Thyroid hormones..
https://ibb.co/SR41jF8

Would checking PTH be appropriate here?

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I'm inclined to agree with what the colleague mentioned regarding Coca-Cola earlier. There isn't a clinical indication to test PTH right now.

Emily Ortiz27 said:A kid with lymphadenitis—regular follow-up, but there's no one available to re-examine him. Any thoughts? We haven't managed to get a cytological smear yet. I'll post an update if anything looks off.

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The results look good, as you can see, but they aren't a substitute for a physical exam.

Maria Fisher46 said:Look, lady,

As you can clearly see, you're euthyroid. Your thyroid hormone levels are right where they should be, so there's absolutely no reason to start any hormone replacement therapy. What you *do* have is elevated thyroglobulin antibodies—thyroglobulin is just part of the thyroid cells used to make those hormones. High thyroglobulin antibodies can suggest an autoimmune thyroid issue might be brewing, but let's be real: they aren't nearly as specific as anti-UN antibodies. Having high anti-TG alone isn't enough to confirm an autoimmune disease. Go see an endocrinologist. You should probably get a thyroid ultrasound done, depending on if you've had one recently, and work out a schedule for monitoring your hormone levels.

Thanks so much for the reply. I’ll definitely reach out to an endocrinologist. For what it's worth, I've had an ultrasound before and they found some small nodules that I need to keep an eye on (when I mentioned I hadn't done follow-ups in my first post, I meant the specialist visit, not the imaging).

Much appreciated, Nicholas Myers.
Sadly, we can't just head in for a checkup right now—not unless things actually take a turn for the worse.
What’s really eating at me, though, is how the neutrophils are consistently low while those eosinophils stay elevated, plus there's always those atypical lymphocytes showing up.
Since these results seem to be the baseline for this kid, should we just accept them as their "normal"?

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Emily Ortiz27 said:Much appreciated, Elgato.
Unfortunately, we can't get you in for an exam right now. We'll only consider a follow-up if things take a turn for the worse.

Why? His pediatrician won't even see him?

I’m also concerned about those low neutrophil counts, elevated eosinophils, and the constant presence of atypical lymphocytes.
If this finding remains constant, should we just accept it as the child's baseline?

The results look quite decent, even for a perfectly healthy kid—aside from the eosinophilia, which just points to an allergic reaction in your child. Neutrophils are essentially normal, and that 3% of atypical lymphocytes isn't really anything to worry about either. Given the circumstances, I’d call this more than satisfactory.

Thanks, his pediatrician sees him all the time, but because things have been such a mess over at the hematology-oncology department due to some COVID fallout, we've just been put on the list for remote consultations instead.
Appreciate all the input, everyone, so I guess we'll just stick to our usual routine for now. 👍

restlessdriver said:The bacteria is called Borrelia burgdorferi and causes symptoms similar to yours, so it would be wise to rule out this condition.

Lyme disease? I've never actually had that classic "bull's eye" rash anywhere...

It did show up once on my mom's leg, but she was put on antibiotics quickly (doxycycline).

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Maria Fisher46 said:Hey there,

A diagnosis of BPPV is clinical—meaning if the physical exam points to it, you don't need more tests to prove it.

Regarding the bloodwork, it’s better to just send over the whole panel. Also, you should probably get a CRP and ESR check along with the CBC.

Hi,

thanks for getting back to me.

Here is the full lab report:

First run, 02/09/2021.

RBC 4.67 (3.86-5.08)
hemoglobin 140 (119-157)
hematocrit 0.421 (0.356-0.470)
MCV 90.1 (83.0-97.2)
MCH 30.0 (27.4-33.9)
MCHC 333 (320-345)
RDW 12.6 (9.0-15.0)
platelets 271 (158-424)
MPV 11.1 (6.8-10.4)
WBC 11.3 (3.4-9.7)

Differential
neutrophils 52.0 (44-72)
lymphocytes 40.0 (20-46)
monocytes 6.5 (2-12)
eosinophils 1.1 (0-7)
basophils 0.4 (0-1)
neutrophil absolute 5.86 (2.06-6.49)
lymphocyte absolute 4.50 (1.19-3.35)
monocyte absolute 0.73 (0.12-0.84)
eosinophil absolute 0.12 (0.00-0.43)
basophil absolute 0.05 (0.00-0.06)

glucose 6.5 (4.4-6.4)
urea 7.1 (2.8-8.3)
creatinine 75 (49-90)
eGFR 86 (>60)
bilirubin 6 (3-20)

AST 13 ( ALT 17 ( GGT 22 (9-35)

potassium 5.0 (3.9-5.1)
sodium 143 (137-146)
iron 17 (8-30)
UIBC 35 (26-59)
TIBC 52 (49-75)

CRP 0.7 (
cholesterol 3.8 ( HDL 1.4 (>1.2)
LDL 2.1 ( triglycerides 0.7 (
TSH 2.15 (0.27-4.20)

ESR was not performed

Follow-up labs after 4 weeks, 03/08/2021.

WBC 11.1. (3.4-9.7)

Differential
neutrophils 61.8 (44-72)
lymphocytes 30.7 (20-46)
monocytes 6.2 (2-12)
eosinophils 0.8 (0-7)
basophils 0.5 (0-1)
neutrophil absolute 6.85 (2.06-6.49)
lymphocyte absolute 3.41 (1.19-3.35)
monocyte absolute 0.69 (0.12-0.84)
eosinophil absolute 0.09 (0.00-0.43)
basophil absolute 0.05 (0.00-0.06)

glucose 5.2 (4.4-6.4)

everything else wasn't repeated.

After those second results came in, my primary care doctor figured I had some mild, undefined inflammation and put me on antibiotics: Amoxicillin 1000 mg, twice a day, for 7 days.

She also gave me a referral to get blood drawn again 10 days after finishing the meds, but it hasn't been 10 days yet.

Thanks and best wishes!

Went to the doctor yesterday because things weren't feeling right. They did a quick urine dipstick test and the nurse mentioned there was "just one line" of protein. When I asked what that actually meant, she just brushed it off saying everything looks fine and it's a normal result. But now I can't stop thinking about why she phrased it like that. Naturally, I went to Google, and now I'm a total wreck because everything says a positive protein test means kidney or heart disease. I'm heading back tomorrow to get actual blood work and more detailed labs done.
Starting to panic a little...
__________________

Hi everyone,

I just got some blood work back from a routine checkup I decided to get done, mostly because I haven't really needed to see a doctor in a few years.



https://ibb.co/Ypbwjg4

Are high basophil counts actually alarming for someone young, healthy, at a normal weight, a non-smoker, and living a pretty decent lifestyle? I have an appointment with my primary care physician next week, but you know what happens when you type "basophilia" into Google 🤦

It’s making me panic a little.

Thanks in advance!!

Could someone please help me make sense of this?

EBV VCA IgM-negative
EBV VCA IgG-positive
EBV EA IgG-borderline
EBNA IgG-negative

What exactly am I looking at here?

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bluepilot45 said:Following that second blood draw, my GP decided I had some sort of low-grade inflammation she couldn't quite pin down. Her solution? A prescription for Amoxicillin—1000 mg, twice a day, for seven days.

She also gave me a referral for follow-up blood work ten days after finishing the antibiotics, though that ten-day mark hasn't actually hit yet.

Thanks and cheers to everyone!

To whom it may concern,

Follow your doctor's instructions. Your results should return to normal soon.

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Betty Nelson71 said:Went to the doctor yesterday about some health issues. They ran a quick urine test using those reagent strips, and the nurse mentioned there was just "one little line" for protein. When I asked for clarification, the doctor brushed it off, saying everything looks perfectly fine and it’s a normal result. Still, that comment from the nurse stuck with me. It felt off. Naturally, I did what anyone would do and hopped on Google, and now I'm an absolute wreck. Every search result says a positive protein reading is a red flag for kidney or heart disease. Now I'm spiraling. I have follow-up blood work and more detailed testing scheduled for tomorrow.
I’m starting to panic a little...
__________________

To whom it may concern,

To offer any meaningful commentary, we’d need to see the rest of the urinalysis results—specifically the sediment analysis. It’s also worth questioning if the sample itself was clean; you can't rule out contamination if vaginal discharge mixed with the urine during collection. Given those variables, repeating the test alongside some supplemental screenings would be the prudent move.

Megan Hayes40 said:To whom it may concern,

I just got my blood work back. It was just a routine checkup I decided to schedule myself, since I haven't felt the need to see a doctor in a few years.



https://ibb.co/Ypbwjg4

Is a high basophil count cause for concern if you're young, healthy, at a normal weight, a non-smoker, and generally living a balanced lifestyle? I have a consultation scheduled with my primary care physician next week, but we all know what happens when you type "basophilia" into Google. 🤦

So, I might be overreacting just a little bit.

Thanks in advance!

To whom it may concern,

I don't see any reason to get worked up over these results. We only talk about true basophilia when the count exceeds 0.2x10*9/L. Those serious diagnoses you’re mentioning usually involve much higher numbers—starting around 0.5x10*9/L and up. Your report shows only a slight elevation in basophils and monocytes. It looks like a reactive, transient response. In my view, there's no reason to panic right now.

slystag4 said:Can someone please help me make sense of this?

EBV VCA IgM-negative
EBV VCA IgG-positive
EBV EA IgG-borderline
EBNA IgG-negative

What does this pattern indicate?

Hi there,

It isn't possible to provide a definitive interpretation from these numbers alone. This could represent an active EBV infection currently underway, or simply a past infection that has already run its course. Typically, doctors look at how these results align with actual symptoms—like fatigue or fever—alongside other lab work (for instance, a CBC or liver function panel) before deciding whether to re-run the serology.

Maria Fisher46 said:Dear Ma'am,

It isn't really possible to interpret this specific lab result with any absolute certainty. It could potentially indicate an acute EBV infection—meaning an active, ongoing issue—but it could just as easily be a sign of a past infection that you have already moved past. I suppose, typically, one would need to correlate these findings with the actual clinical picture, such as your specific symptoms and other diagnostic markers (for instance, a complete blood count or liver function panel), and I would suggest repeating the serology tests later on.

Thank you so much....here was the situation: two weeks before this blood work was done, I had a fever, body aches, nausea, and incredibly intense joint pain. Eight days prior to this serology, my liver enzymes were extremely high and my CRP was at 17. Around the same time as that upper test, we also ran serology for CMV (IgM negative, IgG positive) and Parvovirus (IgM negative, IgG positive). Eight days after the liver serology, everything else looks fine (except for GGT, which dropped significantly after being elevated three times) and amylase, which is at 118 (with a reference range up to 91).

How much time should pass before I should re-run the EBV serology?