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

feralcobra3 said:Hello,

Thanks for the response. ESR wasn't part of the panel. Unfortunately, my labs don't list absolute values for albumin or other proteins—just percentages. However, total protein is 80 g/L, so I assume those percentages are derived from that total. If that's the case, here are the numbers:

Albumin - 49.29 g/L
Alpha-1 globulins - 2.48 g/L
Alpha-2 globulins - 5.6 g/L
Beta globulins - 6.64 g/L
Gamma globulins - 15.36 g/L

During the biopsy, they didn't actually take a tissue sample. I assume the doctor decided it wasn't necessary since everything looked "clear as day."

For celiac disease, they were supposed to run tTG IgA, but since my IgA levels were low, they ran an anti-DGP IgG test instead. The result was
I went in for blood work today, and three things came back abnormal:
Bilirubin is at 41 µmol/L (normal up to 30)
Conjugated bilirubin is 3.7 µmol/L (normal up to 3)
FDA - 31 U/L (normal up to 27)

AST, ALT, ALP, and kidney function are all normal.

Hello,

Regarding the bilirubin, you likely have Gilbert's syndrome, as I mentioned previously. Some people with Gilbert's describe symptoms like fatigue, abdominal pain, loss of appetite, or bowel irregularities alongside occasional jaundice, though those issues aren't strictly linked to the syndrome—especially if they are pronounced.

In your case, I would suggest adding an ESR to your routine testing.

The lab results you provided don't show any major red flags. However, given that you are experiencing involuntary weight loss—which is always a concern we take seriously—it would be wise to follow up with a gastroenterologist. They should re-evaluate the situation and potentially consider an endoscopy of the lower GI tract.

Maria Fisher46 said:Dear sir,

Regarding your Bilirubin levels, you likely have Gilbert's syndrome, as I have mentioned previously. Some individuals with Gilbert's describe symptoms such as fatigue, abdominal pain, loss of appetite, or changes in bowel movements alongside occasional jaundice. However, these issues are likely unrelated to the syndrome itself, particularly if they are quite pronounced.

In your specific case, I would suggest adding an ESR test to your routine screenings.

The results you provided do not indicate any major abnormalities. However, given that you are experiencing involuntary weight loss—which is always a concerning development for us to hear from patients—I believe it would be prudent to schedule a follow-up with a gastroenterologist. They should re-evaluate your status and potentially consider a lower GI endoscopy.

Nicholas Myers, could you please share your thoughts on my cholesterol (Link 1) and my hormone levels (Link 2)?
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What is the best way to lower Estradiol? Should I focus strictly on diet, or is it more about lifestyle changes?
I assume cutting back on dairy might also help?

Maria Fisher46 said:Hi there,

are you experiencing any specific symptoms?

There isn't a single set of "standard" tests everyone needs, but if you're looking to get a systematic blood panel done, I'd suggest starting with a CBC, Iron, UIBC, TIBC, Ferritin, Calcium, Vitamin B12, Folic Acid, Vitamin D (25-OH D), total protein, and albumin.

Hello,

I haven't really had any unusual symptoms since changing my diet; honestly, before the change, bloating was probably my only real issue.

I just want to check in on my levels and make sure everything is running smoothly. Thanks so much for the response!

Richard Anderson53 said:Nicholas Myers, what's your take on my cholesterol (link 1) and hormone levels (link 2)?
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How does one lower Estradiol? Is it strictly diet, or more about lifestyle changes?
I'm assuming cutting back on dairy helps too?

First, we need to pinpoint why your Estradiol is running high. What are your actual numbers? Height, weight, current symptoms—essentially, why did you get these tests done in the first place?

Maria Fisher46 said:First, we really need to determine the underlying reason why your Estradiol levels are relatively high. For context, how tall are you, what is your weight, and what specific symptoms are you experiencing? What prompted these tests in the first place?

Well, I have some fat to lose—I’m about 209 lbs at 6'3". Occasionally my knees ache, but the main reason I ran these labs was a perceived lack of masculinity; specifically, I feel a lack of drive when it comes to dating, work motivation, studying, or staying consistent with exercise.

I also had my cholesterol checked because my blood pressure climbed from 120/80 to 140/80. 😛

Now, I wonder if my Estradiol would decrease if I managed to lose the extra weight, or if this might be due to consuming too much dairy—I have about one cup a day—or perhaps something else entirely. I'm honestly not sure.

Start exercising, cut out the empty calories, and drop those 10 pounds. There isn't some magic pill that's going to fix your problem, and it’s certainly not going to be solved by just having a glass of milk.

Hi there

Can anyone explain why creatinine and urea levels are linked to a lung CT? They’re requesting both blood values before they can proceed with the scan.

neonfalcon99 said:Hi there,

Could someone please explain the connection between creatinine, urea, and a lung CT scan? It seems they require those two specific blood values before they will proceed with the imaging.

The reason for this is that they intend to use contrast dye during the procedure, and for that to be done safely, your kidney function needs to be in good shape. Your creatinine levels serve as the primary indicator of how well your kidneys are performing.

Keith Gonzalez said:They use contrast dye, which requires healthy kidney function. You can verify this by checking the creatinine levels in the lab results.

Thanks so much for the reply. Could you clarify exactly what this contrast dye is?
It seems like they both mentioned the same thing.

neonfalcon99 said:Thank you all so much for the response! If it isn't too much trouble, could someone please clarify what exactly is meant by contrast?
And it seems to me like they mentioned urea as well.

In truth, urea isn't strictly necessary if you haven't been dealing with any underlying health issues or comorbidities beforehand. It is frequently included in a standard blood panel because, much like other metabolic markers, it is processed through the kidneys, making it an excellent indicator of renal function. As for the contrast, think of it as a specialized iodine-based agent injected to make specific internal structures pop on the CT scan—much like adding bright highlighter to a page to make certain notes stand out. Because this substance is also filtered out via the kidneys, just as I previously noted, it is vital that your kidney health is in good shape before the procedure.

Thanks so much for the explanation.

I’m really hoping someone here can give me some guidance. My mom is fighting cancer right now and she's supposed to start chemo next week,
but things aren't looking great. She’s got fluid building up in her lungs, so she's on diuretics to try and flush it out. Lately, she's barely even using the bathroom—hardly peeing at all—and we just got these blood test results back today that look pretty scary:

Glucose 2.1 (ref range 4.4 - 6.4)
Urea 31.7 (ref range 2.8 - 8.3)
Creatinine 362 (ref range 49 - 90)

Does this mean she needs to be hospitalized immediately? I'm asking here because honestly, it's been a nightmare trying to get a hold of her primary care doctor right now.

Thanks

Look, based on what you're describing online, you seriously need to head straight to the ER. Just get to the nearest hospital immediately. Given the fluid buildup in the lungs, we're looking at a very high probability—if not a certainty—of some form of cardio-renal or renocardial syndrome, especially if there's any underlying heart condition involved.

Greetings. I went in for some blood work yesterday, and for the most part, everything looks fine—with one nagging exception: my creatinine levels are elevated. The reading came back at 106, while the standard lab range sits between 64 and 104. For context, it was sitting at 97 this time last year. Looking back over the last few days or weeks, I suspect I haven't been hitting my hydration goals quite as consistently as I should. Furthermore, about twelve hours before the draw, I pushed through a pretty grueling aerobic workout and likely failed to adequately replenish my fluids. Is it plausible that this slight uptick in creatinine is merely a byproduct of general dehydration combined with that pre-test training session? Should I be genuinely concerned, or is this just statistical noise?

Anthony Wood11 said:Hey everyone! I just got my bloodwork back yesterday and everything looks fine, except for my creatinine levels being a bit high. It clocked in at 106, while the lab's normal range is 64 to 104. Last year, it was sitting at 97. Looking back over the last few days or weeks, I think I haven't been drinking nearly enough water. Plus, about 12 hours before the draw, I crushed a pretty intense cardio session and probably didn't rehydrate properly afterward. Is it actually possible for my creatinine to be slightly elevated just because I've been dehydrated and hit the gym hard right before the test? Should I be worried?

Yes. No.

brightgull95 said:Look, talking about this stuff online is one thing, but if things look like this, you gotta get to the ER immediately—like, right now. Seriously, just head to the nearest hospital. It sounds like cardio-renal or renal-cardio syndrome is almost a certainty here (especially since there's fluid in the lungs, which is super scary), particularly if the heart isn't in great shape to begin with.

Thanks so much, guys. I took my mom in and she's been admitted to the hospital.

I was hoping someone who actually understands blood work could explain why my MCH and MPV levels are low when everything else seems fine.

Here are the main results along with the reference ranges in parentheses:

WBC 8.4 ( 3.4 - 9.7 )
RBC 4.88 ( 3.86 - 5.08 )
Hemoglobin 133 ( 119 - 157 )
Hematocrit 0.410 ( 0.356 - 0.470 )
MCV 83.5 ( 83.0 - 97.2 )
MCH 27.3 L ( 27.4 - 33.9 )
MCHC 327 ( 320 - 345 )
RDW 12.6 ( 9.0 - 15.0 )
Platelets 245 ( 158 - 424 )
MPV 6.2 L ( 6.8 - 10.4 )
Lymphocytes 40.7 ( 20 - 46 )
Monocytes 7.1 ( 2 - 12 )

For some context, I went through a bit of a "B12 toxicity" phase back when I had a broken arm—I ended up with tingling in my arm and face, plus some chest discomfort because I was slamming B-complex vitamins every single day on top of a regular diet. That tingling still pops up occasionally in a milder form, and I suspect it happens whenever I consume B12 through multivitamins or just food that's particularly high in it. As for my heart, I think it’s fine since I've already had an echocardiogram and a Holter monitor test.
I suppose these numbers are barely outside the normal range, but I guess I'm wondering if this could be a lingering effect from that B12 issue or perhaps from taking fish oil capsules daily for the last two years?

What does a positive anti-HBs titer of 405.84 mean? The reference range is <10

neonfalcon99 said:What does an anti-HBs titer of 405.84 mean when the reference range is div>

Essentially, this indicates that you have either been successfully vaccinated—thereby developing a robust level of antibodies—or, much less likely, that you are currently managing an active infection.

Keith Gonzalez said:Either you've been successfully vaccinated (meaning you have antibodies) or there's an active infection (though that's less likely).

I didn't run the tests myself; I just picked them up for another family member. Out of the four items, three were negative. This single positive result is likely due to liver enzyme markers. That’s my assessment.