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

I would really appreciate it if someone could take a look at these lab results and give me their thoughts. I decided to get some bloodwork done because I’ve just been feeling so wiped out lately... I could sleep for 12 hours straight and still wake up feeling exhausted. I've also put on quite a bit of weight, though honestly, I think that's more due to my lack of energy levels than anything else.
Here are the results -> View on imgur

The only thing that jumps out at me is that my MCHC is high, but I'm not entirely sure what that implies, especially when you look at how it relates to my other numbers.
What actually surprised me most was seeing that my thyroid seems okay, which is a relief since Hashimoto is practically a family tradition for us... it's everywhere in my family tree.

Thanks so much in advance for any help! 🙂

edit: here is another link to the same report, I noticed something looks a little off: View on imgur

brighttinker23 said:I’d appreciate some feedback on these results. I ordered them because I’m exhausted—I could sleep 12 hours a day and still feel drained. I’ve also put on quite a bit of weight, though I suspect that’s more due to my lack of activity than anything else.
results -> View on imgur

The only thing that jumps out at me is the elevated MCHC, but I have no idea what that implies, especially given the other values.
What surprised me most was that my thyroid seems fine, considering Hashimoto is practically a family tradition.

Thanks in advance. 🙂

edit: here is another link to the same report; looks like something is off: View on imgur

Hello,

Regarding your lab work: based on these specific numbers, we can't pinpoint the cause of your fatigue. However, it isn't anemia or thyroid hormone issues, which suggests the culprit lies elsewhere.

A normal TSH level doesn't rule out an autoimmune thyroid condition. To confirm or deny that, you would need to test for specific thyroid antibodies. It is entirely possible for someone with Hashimoto to be euthyroid—meaning their hormone levels appear perfectly normal despite the underlying autoimmune issue.

Maria Fisher46 said:Hi there,

Here’s my take on those lab results. Based on what you’ve shared, we can't pinpoint exactly why you're feeling so wiped out, but I can tell you that it isn't due to anemia or thyroid hormone issues. That means we need to start looking for the cause somewhere else...

Just checking your TSH levels won't tell us if you have an autoimmune thyroid condition; to figure that out, we'd actually need to test for specific thyroid antibodies. It's quite common for people living with Hashimoto to have normal hormone levels, so a standard TSH reading doesn't necessarily rule out an autoimmune issue...

Thanks so much! 🙏
And should I be worried about this slightly elevated MCHC?

Thanks again for all the help. 🙏

brighttinker23 said:thanks a lot 🙏
but should I be worried about this slightly elevated MCHC?

No, the results are fine—everything is within the normal range.

Maria Fisher46 said:No, actually, the results look completely fine—everything is right within the normal range.

Dear Nicholas, thank you so much for everything. It’s really wonderful having you here with us...🙂

Hi everyone,
Could someone take a look at my mom's CBC results? She was hospitalized about a month ago, likely due to some IBD...
I'll just list the values that fell outside the normal range:
ESR - Eric 37 (0 - 28)
RBC 3.68 (3.86 – 5.08)
Hemoglobin 114 (119 - 157)
Hematocrit 0.335 (0.356 – 0.470)
Neutrophils 43.1 (44.0 – 72.0)
Iron – TIBC 47.5 (49 - 75)

Everything else looks fine—including ferritin, Vitamin B12, and Folate.
From the abdominal CT report:
Multi-phase imaging through the abdomen and pelvis shows no signs of pneumoperitoneum, ileus, or free fluid. There is colonic interposition between the anterolateral liver margin and the diaphragm—Chilaiditi sign. From the described bowel segment down to the sigmoid colon, there's a loss of haustration along with mesenteric fat stranding; meanwhile, the ascending colon wall appears thickened with intense post-contrast enhancement. Radiomorphologically, this could indicate inflammatory bowel disease. Sigmoid diverticulosis is present, but no signs of perforation. Further internal medicine evaluation is required.
The liver, pancreas, and spleen are normal in size with homogeneous post-contrast enhancement.
Both adrenal glands look normal. Both kidneys are normal in size with maintained parenchymal thickness.

Does this really point toward IBD? My mom is pretty worried it might be something worse... we're waiting on a colonoscopy for the end of the month.

Thanks in advance! 🙂

Nicholas Johnson8 said:Hey everyone,
Could someone please take a look at my mom's CBC results? This is in light of the fact that she was hospitalized about a month ago, likely due to IBD.
I'll just list the values that fall outside the normal range:
Eric's ESR 37 (0 - 28)
RBC 3.68 (3.86 – 5.08)
Hemoglobin 114 (119 - 157)
Hematocrit 0.335 (0.356 – 0.470)
Neutrophils 43.1 (44.0 – 72.0)
Iron – TIBC 47.5 (49 - 75)

Everything else looks normal, including her ferritin, Vitamin B12, and Folate.

Hypochromic, microcytic anemia. You need the full clinical picture to interpret this properly, though a chronic inflammatory condition is always a very solid explanation for this kind of anemia.

Nicholas Johnson8 said:From the abdominal CT report:
In the multi-phase cross-sections through the abdomen and pelvis, there is no evidence of pneumoperitoneum, ileus, or free fluid. There is colonic interposition between the anterolateral liver margin and the diaphragm—Chilaiditi syndrome. From the described bowel segment down to the level of the sigmoid colon, including the distal sigmoid, there is a loss of haustral markings accompanied by mesenteric fat stranding; meanwhile, the ascending colon wall is thickened and shows intense post-contrast enhancement. Radiomorphologically, this could represent IBD. Sigmoid diverticulosis is present, without signs of perforation. Further internal medicine evaluation is required.
The liver, pancreas, and spleen are normal in size with homogeneous post-contrast enhancement. Both adrenal glands appear normal. Both kidneys are normal in size with maintained parenchymal thickness.
The liver, pancreas, and spleen are normal in size with homogeneous post-contrast enhancement. Both adrenal glands are normal. Both kidneys are normal in size and have maintained parenchymal thickness.

Can we actually conclude from this that it's IBD? My mom is terrified that it might be something much worse. We're waiting on a colonoscopy at the end of the month.

Thanks in advance! 🙂

What's described definitely points toward inflammation. Is there some tiny, two-centimeter tumor hiding somewhere? It’s impossible to say for sure. But what *is* possible to say is that if a tumor were truly there, it would have been visible.

It would certainly be beneficial to understand both the patient's lifestyle habits and their medical history; however, given the specific circumstances described here, you won't receive a definitive confirmation regarding suspected IBD until a pathology report is issued following a colonoscopy.

My mom has dealt with sluggish digestion for as long as I can remember. She had a colonoscopy about seven years ago, and everything came back clear.
I ended up inheriting those same digestive issues myself—though I manage to keep things under control with diet and magnesium supplements.
She’s having a bit of a hard time adjusting to a new way of eating, but after her last hospital stay and finishing a round of antibiotics, she's slowly realizing she needs to change her habits if she wants her gut to settle down.
One habit that’s proving tough to break, though, is how little she actually chews. She’s always rushing through meals—just tearing into food and swallowing it half-chewed... definitely not helping the digestion.

I'm 10 weeks pregnant, and while my blood and urine tests were just routine prenatal checkups, some of the results have me feeling a bit uneasy. Is it actually normal during pregnancy to see elevated white blood cell counts (specifically neutrophils) alongside lower lymphocyte levels?
On another note, my swab showed an isolated ureaplasma 10 at 4, and I just finished a course of Augmentin and Genoistina last week. Lately, I've been struggling with daily dizziness, nausea, and a loss of appetite—though I am surprised by my iron levels, since they were at 11 just two months ago; the only real change is that I've started eating more chokeberries. I'm also dealing with low blood pressure (90/50), intense fatigue, and insomnia.
My urine culture from a month ago came back clear.
Even if the ureaplasma count was relatively low, could it still be causing these kinds of symptoms?
Also, my TSH is quite low (it was around 1.20 before I got pregnant)—is that something to worry about?
I did have a soda right before my blood draw🤦—could that have impacted my glucose levels within that hour, or can I be confident that my sugar isn't actually too low?

Sarah Wells23 said:

Ten weeks pregnant. No specific reason for running blood and urine tests other than standard prenatal monitoring, but some deviations have me worried. Are elevated white blood cell counts (specifically neutrophils) and low lymphocyte levels somewhat normal during pregnancy, or not?
My recent swab came back positive for ureaplasma 10 at a 4. I just wrapped up a course of Augmentin and Genoistina last week, but I’m still struggling. I've been dealing with daily dizziness, nausea, and a total loss of appetite. My iron levels are also a concern—they were sitting at 11 two months ago, and honestly, the only thing I've changed is eating more berries. On top of that, my blood pressure is low, around 90/50, and I'm facing heavy fatigue paired with insomnia.
My urine culture came back clear just a month ago.
Even if the ureaplasma 10 count was low, could it still trigger a result like this?
TSH this low (it was around 1.20 before pregnancy)—is that cause for concern?
I had a soda right before my blood draw. 🤦 Would that hour before the blood draw affect my glucose levels, or can I be reasonably certain my sugar isn't dipping too low?

To whom it may concern,

Looking at these labs, there aren't any red flags if you factor in the pregnancy. It’s standard for certain values to shift during this time; what looks like an outlier for most women is actually quite normal when you're expecting.

It’s quite common to see elevated white blood cell counts during pregnancy, specifically driven by neutrophils, just like what you're experiencing. In the first trimester, the upper limit for leukocytes is typically around 13.6 x 10^9/L, with neutrophils reaching up to 10.1 x 10^9/L, even in the absence of an actual infection.

On the flip side, it’s pretty common for TSH to dip during pregnancy. That said, a reading of 0.78 mIU/L still sits firmly within the normal range.

As for the dizziness, nausea, insomnia, and those other symptoms you mentioned—I won't dive into that here. It would require significantly more data and a much broader battery of tests to make sense of them. Based on the findings presented so far, those issues don't seem to correlate with these specific results.

Maria Fisher46 said:Dear ma'am,

Looking at these results, there aren't any actual abnormalities when you account for the pregnancy; it's quite common for certain values to shift specifically for expectant mothers compared to non-pregnant women.

For instance, it's standard to see an increase in white blood cell counts due to neutrophils, which matches exactly what you're seeing here. During the first trimester, the upper limit for white blood cells can be as high as 13.6 x 10*9/L, and neutrophils up to 10.1 x 10*9/L, without any underlying infection being present.

On the other hand, TSH levels often dip slightly during pregnancy, but your value of 0.78 mIU/L is perfectly within the normal range.

As for the dizziness, nausea, insomnia, and other symptoms you mentioned, I won't dive too deep into those here since they require much more data and further testing—plus, those specific issues don't seem to correlate with the lab results provided.

Thank you so much for such a detailed explanation! I had no idea white blood cell counts could vary like that during pregnancy.
Regarding the dizziness and weakness, I've already seen a physical therapist (dealing with osteochondrosis and some cervical spine alignment issues), as well as a neurologist (who didn't find anything significant). However, I am struggling with some pretty intense psychiatric issues; I'm not on any medication because of the pregnancy, aside from Normabelle, and it’s hard for me to accept that my dizziness might just be blood pressure or anxiety. My mind immediately jumps to worst-case scenarios like a tumor or MS, and I even wondered about neurosyphilis since I can't recall if I was ever tested. My psychiatrist believes it’s a combination of hormonal shifts and mental health struggles.
The dizziness feels more like spinning or pressure in my eyes and temples. It hits hardest in the morning while I'm at work, though I feel better after eating or if I can just lie down and nap. At least now I know it isn't anemia or hypoglycemia. 🤷

But hey, having no abnormalities in my bloodwork is great news! 🙂

Hey everyone. So, I recently had some blood work done because my arthritis has been acting up, and it turns out there’s something funky going on with my blood counts. I went through all the lab tests and even had a bone marrow biopsy. My appointment with the hematologist isn't until September 14th, so I'm kind of spiraling here—could anyone help me make sense of whether these results look super scary or not? I’m 55, and honestly, I’ve always been pretty healthy, aside from dealing with anemia since I was a kid (which I usually managed just fine with occasional supplements). For the last decade or so, my iron levels were totally steady and I didn't have any issues at all.
Thanks so much in advance.

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Hello there. Good to see you.

Can someone help me out with just a few specific values on the KKS?

Iron levels are at 13.9. This falls within the standard range of 26 to 59. Everything looks good.
AST 41 (11-34)

The ESR reading came back at 3 mm/hr, which falls comfortably within the normal range of 4 to 24. Everything looks perfectly fine here.
Urea levels at 367 mg/dL. The reference range is 134–337 mg/dL. This is slightly elevated.

shadowskipper47 said:Warm greetings to everyone. During some recent blood work I had done to investigate my arthritis, it turned out that something in my blood counts isn't quite right. I have completed various laboratory tests as well as a bone marrow biopsy. Since my appointment with the hematologist isn't until September 14th, I was hoping someone might be able to explain whether these results are particularly concerning. I am 55 years old and have generally enjoyed good health up to this point, with the exception of being somewhat anemic since childhood, though I managed that with occasional treatment. For the last decade or so, I haven't experienced any issues with anemia.
Thank you all in advance.
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It might be highly beneficial, prior to your consultation with the hematologist, to undergo protein electrophoresis with immunofixation. In addition to that, arranging for a 24-hour urine protein test and an abdominal ultrasound would likely provide a more complete picture.

Keith Gonzalez said:It’d be a smart move to get a protein electrophoresis with immunofixation done before you head into that appointment with the hematologist. You should probably also get a 24-hour urine protein test and an abdominal ultrasound too.

Hey there! So, I actually already knocked out the electrophoresis and the ultrasound, and I finished the 24-hour urine test as well. All those results are right here in the files I uploaded in my last post.

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neonfalcon99 said:Best regards,

Can someone walk me through a few of these lab results?

UIBC iron 13.9 (26-59)
AST 41 (11-34)

Sedimentation 3 (4-24)
Urea 367 (134-337)

Hi there,

It’s impossible to accurately read these isolated numbers without clinical context—why the tests were ordered, current medications, etc. You also need the full panel for a real picture (for instance, regarding iron status, you'd need Fe, UIBC, TIBC, ferritin, Hgb, Hct, unknown, MCV...).

Hi there,
I’d love to get some thoughts on my unknown levels.
I had my hormone panel done on day three of my cycle, mainly because things have been a bit irregular lately—dealing with some acne and seeing what looks like mild microcystic ovaries on an ultrasound. I’m in my mid-30s, generally healthy, and my weight is right where I want it to be.
The unknown level is really weighing on me, though, since it looks quite high, but given that my other androgen levels are totally normal, I’m honestly at a loss as to what such a high value actually signifies. Thanks!

Estradiol 142 pmol/L (ref 77-921)
LH 8.5 IU (ref 1.8 - 11.8)
FSH 6.8 IU (ref 3.0 - 8.1)
PRL 11.9 µg/L (ref 5.2 - 26.5)
Testosterone unknown 1.3 nmol/L (ref 0.4 - 1.9)
Free Testosterone 14 pmol/L (ref 3.5 - 30)
Free T % 1.1% (0.5-8.0)
SHBG 71 nmol/L (20-155)
unknown 21.4 nmol/L (1-12)
DHEAs 6.9 µmol/L (1-13)

I couldn't find a specific thread about decoding abdominal ultrasound results, so I'm throwing this out here to see if anyone can help me make sense of it.
It’s for an older female relative, born back in '46.
Because she’s been dealing with repeated bouts of low potassium, her doctors decided to run an abdominal ultrasound.
The report says her liver is normal size and shows normoechoic, inhomogeneous, hypoechoic parenchyma, but there aren't any obvious focal lesions visible. The portal vein looks fine in the hepatic hilum area. Bile ducts aren't dilated either, and the common bile duct at the hilum is within normal limits.
However, they did spot an inhomogeneous formation in segment 4 of the liver—it's about 22mm, showing hypoechoic echoes, and isn't vascularized (maybe steatosis or some kind of secondary thing?).
The gallbladder has thin walls and is filled with anechoic content.
The pancreas looks okay in terms of size and shape, with maintained parenchyma that's hyperechoic and clearly defined.
...
There's no sign of enlarged lymph nodes or any free fluid in the abdomen.

They've recommended she get an abdominal CT scan as soon as possible just to figure out exactly what that liver finding is.

I don't have all the other details right this second, but regardless, I was hoping someone could take a look at this and give me an idea of what we might be looking at?
Just for context, she's a woman, overweight, and manages hypothyroidism with medication.

Greetings, I am seeking some clarity on whether a CRP level of 7.4 should be considered elevated... My physician maintains that this value is perfectly acceptable, but I find myself questioning the implications...