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

So, after spending a solid 10 days basically hovering somewhere between life and death, I finally dragged myself to the ER today. Honestly, I’ve spent the last 10 days just glued to my bed. I had a headache unlike anything I've ever experienced—and look, I've dealt with migraines since my freshman year of college. My head was spinning (well, more like this dizzy feeling shooting from my forehead down to the bridge of my nose), I lost my balance, my ears felt constantly pressurized, and my whole face was tingling. I finally forced myself to go in this morning because the nausea finally let up enough for me to tolerate the smell of the car ride without puking. Even then, I was squinting the whole way because seeing things move too fast triggers that weird dizziness in my forehead again. They pulled some blood, the neurologist checked me out, and basically told me it’s nothing scary—just a "neglected" migraine. They didn't even bother with any imaging; they just handed me some Torecan, which has left me feeling totally wasted all day (honestly, can't tell if it's the meds or just pure exhaustion, who knows anymore). I'm posting my labs below, so please, if anyone has thoughts... do you think I actually needed a brain CT or maybe an X-ray of my neck?

Neurological status: Heart rhythm is regular, no carotid bruits heard. Eupneic. Pupils and bulbar function are normal, no nystagmus. No diplopia reported. No signs of facial or glossoparesis. Speech and swallowing are fine. Trigeminal nerve exits are not tender to palpation. Facial sensation is normal, both peripheral and central. Lhermittean sign is negative. No motor weakness noted during AG or Mingazzin maneuvers. Reflexes are symmetric and appropriate. Babinski sign is negative. Limb coordination is okay, though the right arm feels a bit weaker. Stable in Romberg.

WBC 10.6
E 5.26
Hb 154
Hct 0.458
MCV 87.1
MCH 29.3
MCHC 336
RDW-CV 13
PLT 353
NEUT 7.20
LYM 2.42
MONO 0.83
EO 0.11
BASO 0.05
PV 1.38
INR 0.9
CRP 12.5
Glucose 6.5
TBIL 11
CREAT 77
UREA 4.0
ALT 17
AST 16
GGT 33
Na 138
K 4.2

Recommended therapy: Propranolol a 40 mg, 1/2 tablet twice daily, moving to 1 full tablet twice daily after one week.

Thanks in advance, everyone!

Still waiting on the urine culture results. Is there anything in the urinalysis that looks bad?

Hey there.
Can anyone tell me if these kinds of lab results actually explain why I'm feeling so dizzy all the time?
I'm a 41-year-old woman, carrying a little extra weight (5'6"/167 lbs), but I'm currently working on losing it by sticking to a diet heavy on veggies, meat, and fish... basically an LCHF approach, plus I stay pretty active physically.
I don't smoke, though I do drink—mostly on weekends, but sometimes during the week too.
My hemoglobin and iron levels don't look super low to me, and while my cholesterol is technically off the mark, it doesn't seem crazy high, you know? It doesn't feel like an emergency, but should I be stressing over this and everything else?
I'm definitely going to start taking some kind of iron supplement again regardless.
Thanks.

vividcrane24 said:You're right; since my Pap smear came back clean, all that's left are the cervical swabs. I managed to snag some appointments for follow-up hematology and urology work, so hopefully, I'll have some actual answers regarding these symptoms soon.

👍

While I wait, I'm curious about how neutropenia linked to Hashimoto is typically handled (assuming other causes are ruled out)?
It strikes me as odd that an endocrinology specialist told me he wouldn't link elevated lymphocytes and low neutrophils to thyroid dysfunction.
On the other hand, one study suggests that a low white blood cell count is observed in patients with autoimmune diseases (i.e., chronic thyroiditis), and that this possibility might even extend to untreated hypertensive patients.

If other causes are ruled out, neutropenia as part of an autoimmune condition like Hashimoto’s thyroiditis is quite plausible.

The endocrinologist you mentioned seems to be contradicting both clinical experience and scientific literature—for instance: https://pubmed.ncbi.nlm.nih.gov/26061308/

Given that we are looking at mild neutropenia without an increased susceptibility to infections, if a link to autoimmune thyroid disease is confirmed, treatment isn't necessary.

Kimberly Morris said:I'm uploading my results here. I’d appreciate any feedback—do you think I actually needed further imaging, like a brain CT or maybe even an X-ray of the cervical spine?

To reiterate: radiological follow-up—specifically a CT, or ideally a brain MRI with angiography—is definitely indicated in my view.

Betty Collins45 said:Still waiting on the urine culture. Is there anything concerning about this urinalysis result?
http://uploads.tapatalk-cdn.com/202...c533e88e8a.jpg

The results look normal.

Emily Ortiz27 said:https://i.ibb.co/CwfYprg/provjera-nalaza.jpg

Hi there.
Could these results explain frequent dizzy spells?
Female, 41 years old, slightly overweight (5'6"/167 lbs) currently working on weight loss through a high vegetable, meat, and fish diet—essentially LCHF. Physically quite active.
Non-smoker, though I drink on weekends, sometimes more frequently.
My hemoglobin and iron levels don't look critically low, and while my cholesterol is outside the standard range, it doesn't seem alarming to me. Should I be concerned about this or anything else?
I'll definitely be starting an iron supplement again.
Thanks.

There is mild anemia present, which could certainly cause dizziness, though whether it's the actual cause of your vertigo remains to be seen. The real question is determining what is driving the anemia itself. As for the lipid panel, the values are elevated, but they aren't a cause for immediate alarm; however, it would be wise to manage them by adjusting lifestyle habits.

Maria Fisher46 said:There's a mild case of anemia present, which could be causing those dizzy spells, though it's hard to say if that's actually the root cause of your vertigo. We also really need to pin down what's driving the anemia in the first place... Your lipid panel shows some elevated levels, but nothing worth panicking about just yet; however, it's probably a good idea to get those under control by tweaking your lifestyle habits.

Thanks for the advice, I'm working on it.

Also—this lower glucose level keeps popping up on several consecutive tests, and my doctor doesn't seem to think it's an issue or anything.

I've never even had my kidney function tested before, so I have no clue why they ordered it now, but I noticed the results are looking a little bit low too.

Maria Fisher46 said:Let me say it again: radiological imaging—specifically a CT scan, or even better, an MRI of the brain with angiography—is definitely indicated here, in my opinion.

Yeah, I get that, but obviously I'm gonna have to go out of pocket and pay for it myself. The ER doc and the neurologist aren't seeing the need for it.

Emily Ortiz27 said:

Hey there. What's up?
Can anyone actually make sense of these results? Like, seriously, do these numbers explain why I’m feeling so dizzy all the time?
So, I've got this 41-year-old woman on my radar. She’s sitting at about 169 cm and 76 kg—so she's carrying a little extra weight, nothing crazy, but definitely in that "working on it" phase. She’s actually pretty disciplined about her diet; we're talking heavy on the veggies, meat, and fish, basically running a solid LCHF setup. On top of that, she stays pretty active physically. Just thought I'd throw that out there.
I don't smoke, but man, I definitely go hard on the booze during the weekends—and honestly, some days it doesn't even take a weekend to get me started.
So, looking at my bloodwork, my hemoglobin and iron levels don't exactly look bottomed out to me, and even though my cholesterol is technically off from the standard reference range, it doesn't feel like it's hitting any red flags, you know? It honestly doesn't feel like an emergency situation on my end. Am I just overthinking this, or should I actually be losing sleep over these numbers and everything else in the report?
I'm definitely going to end up taking some kind of iron supplement again. Honestly, what else am I supposed to do?
Thanks.

Maria Fisher46 said:So, you've got this mild anemia going on, which might be causing those dizzy spells, but honestly, can we even be sure that's actually what's triggering them? It’s a bit of a "chicken or the egg" situation, right? And then there's the whole bigger question hanging over us—what's actually causing the anemia in the first place? We still need to nail that down. As for the lipid panel, the numbers are running a little high, but nothing to lose sleep over just yet. Still, it’d be a smart move to get those levels back in check by cleaning up the diet and making some lifestyle tweaks before they become an actual problem.

Emily Ortiz27 said:Thanks for the tip, I'm already on it.

Plus, this lower GUK keeps popping up on several consecutive tests, yet somehow the doctor doesn't see any issue with it? Are you kidding me?

They’ve never even bothered to run a kidney function test on me before, so I have absolutely no clue why they're suddenly ordering one now. But looking at the results, I see the levels are a little bit low. Why the sudden interest all of a sudden?

Hey everyone,
I should probably add a bit more context to my question, so I’m asking you all—is there actually any way these lab results could be linked to what's going on, and honestly, how am I even supposed to handle this?

So, I’ve had a regular period for as long as I can remember, but over the last few years, things have gone totally off the rails. My cycle has sped up—now it hits every 25 or 26 days like clockwork—but the actual bleeding is a mess. It always starts out weird, just some spotting and discolored discharge, and then suddenly I'm hit with two days of heavy, intense bleeding accompanied by these massive clots. Honestly, I’m pretty sure those clots are exactly why I'm dealing with anemia. After that chaos, the whole thing finally wraps up around day eight or ten. Just... a total disaster.
Honestly, ovulation can be absolutely brutal. We’re talking about pain that isn't just a little twinge; it can range from several hours of intense, gut-wrenching agony to lasting for a few days straight. Is there anything worse than feeling like you're being stabbed from the inside every single month? It's exhausting.

So, I had my last gynecological checkup about a year ago, and honestly, everything was totally fine back then—Pap smear came back clean, hormones were perfectly balanced, and the doctor basically told me everything looked normal. Everything was smooth sailing.
So, I checked the TSH on that latest batch of bloodwork posted above, and honestly? It looks totally fine. Everything's right where it should be.

So, about two weeks ago—right around when I had my last period—I started feeling this weird, intense soreness in my breasts. It wasn't just a little ache, either. Then, out of nowhere, this milky discharge started coming out of one side, and just a few days after that, the exact same thing started happening with the other breast. What is even going on?
So, I’ve got my ultrasound scheduled, plus they grabbed some three-day discharge samples and drew blood to check my prolactin levels, but honestly? I won't even see the actual results for another month. Isn't that just typical? Why does everything have to take forever?

So, I’m currently sitting in the waiting room for a glaucoma specialist because they flagged me as a "suspect" case, though my eye pressure is actually totally normal right now.

I’m not on any medications at all—barely even touch painkillers, honestly.

I’ve been doing some digging and it seems like this kind of thing could be tied to endocrine issues, or maybe even something going on with my liver or kidneys? That actually made me realize I should probably mention that my estimated GFR came back slightly low.

Then there are these other symptoms I’m dealing with—not sure if they even matter, but who knows? My skin is super dry, my lower legs are incredibly itchy (especially right around the sock line, even when I'm barefoot), that area gets swollen, my under-eyes look puffy and baggy, my eyelids swell up too, and I've got this dyshidrosis on my hands.

Hi there, could anyone lend me some insight regarding my lab results? I have an appointment scheduled with my doctor this Monday, but I’m hoping for a bit of perspective before then. I gave birth about six months ago; during my pregnancy, my TSH levels were elevated, so I was prescribed a combination of Euthyrox 50 and 75. However, on the very morning I went into labor, my OBGYN decided to discontinue the medication. Back when I was six months pregnant, I had a thyroid ultrasound where they mentioned a Hashimoto diagnosis and advised me to get blood work done after three months. The results are at the link provided. What I’m particularly stuck on is the note stating, "Consider Tg findings in the context of positive TgAt."
Should I be pushing for more intensive follow-ups based on these numbers, or is staying on the current therapy sufficient? Thanks.
https://ibb.co/Dk2QGQM
https://ibb.co/1q3xvvM

I’d say we should get you back on therapy—honestly, bumping it up to 75 or even 100 mcg might be the way to go, but I’ll leave that final call to my colleague when they see you in person. We definitely need to follow up with some bloodwork—specifically checking those TSH levels—in about 2 to 3 months. That note regarding the thyroglobulin being lowered? It just means those antibodies are actively targeting the same thing.

brightgull95 said:It might be worth restarting the therapy—maybe bumping it up to 75 or even 100 mcg, though I’ll leave that specific call to whichever doctor you see in person. You should definitely get some follow-up labs, specifically checking your TSH, in about two or three months. Just a heads-up: if your thyroglobulin levels look low, it could simply be because there are antibodies present that are targeting the exact same thing.

Could someone walk me through what it actually means when they say there are antibodies targeting the same thing?

So, how exactly did they land on a Hashimoto diagnosis for you?

Basically, your lab work probably shows elevated antibody levels, which is why they’ll tell you to keep a close eye on those thyroglobulin numbers too.

Well, look at that—my prolactin results actually showed up sooner than I expected: 135 (normal range is 102-496).

Looking for some insight on these blood test results. We just had our annual physical and a few markers came back just below the threshold.
Glucose 4.2 (lower limit 4.4)
HDL cholesterol 1.1 (lower limit 1.2)
Iron 6 (lower limit 8)
MCHC 319 (lower limit 320)
Platelets 148 (lower limit 158)
Everything else looks fine. I'm 36 years old, 61 kg, and 169 cm tall.
Should I be concerned?
My iron levels have been like this since I gave birth back in 2018. I always assumed it was because of the D&C I had after delivery, where I lost quite a bit of blood.
Thanks in advance.

Emily Ortiz27 said:To whom it may concern,
I’ll add a bit more context to my question. I'm looking for an interpretation: is there a potential link between these specific lab results and my situation, and what should my next steps be?

Dear Madam,

Given the symptoms that surfaced later, it would be wise to check serum protein and albumin levels, along with a one-time urine albumin-to-creatinine ratio.

Regarding further steps for managing galactorrhea, we first need to confirm that this is indeed milk discharge from the breast. If it turns out to be true lactation—provided prolactin levels are normal and menstrual cycles remain regular—the risk of a pituitary adenoma being the underlying cause is low. That said, expanding the endocrine workup would be a prudent move.

A glucose reading of 4.1 mmol/L doesn't qualify as hypoglycemia. It shouldn't be linked to the symptoms you're experiencing.

Everything else depends on the lab results we're still waiting for.

Amy Cruz8 said:I’m looking for some insight—basically, an interpretation of my blood work. We went in for a routine checkup and a few markers came back just below the threshold.
Glucose 4.2 (lower limit 4.4)
HDL cholesterol 1.1 (lower limit 1.2)
Iron 6 (lower limit 8)
MCHC 319 (lower limit 320)
Platelets 148 (lower limit 158)
Everything else looks fine. I'm 36 years old, weighing 134 lbs at 5'6".
Should I be worried?
My iron levels have been like this since I gave birth in 2018. I always assumed it was because I had to undergo a D&C after delivery due to heavy bleeding.
Thanks in advance.

Hello,

If possible, please transcribe the results from all tests performed.

Are you currently taking any medications?

Do you recall what your previous blood counts were like—specifically, when was the last time you had them checked?

https://postimg.cc/vxmd3rpF/2926be6a



I photographed all three pages. The first one is at the link.
I don't take any medication normally, aside from what I was taking for a cold over the last couple of weeks. I had some Theraflu and one effervescent Vitamin C tablet—though I can't quite remember if I took the Vitamin C the day before or after the tests.
Otherwise, my results look fine, except my iron levels haven't budged above 6 since I gave birth back in 2018.
I can't recall exactly when I last had a full blood panel done. Maybe a year ago.

Found this from back in 2020.