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

So, I'm 18 and basically feeling like a zombie—constant headaches, totally wiped out, low blood pressure, zero appetite, peeing all the time, and I've dropped about 4 or 5 pounds since July.
Here’s the breakdown: CBC—leukocyte 11.3 (wait, actually my lab says 5.20, range 4.4-11.6), RBC 4.59 (4.07-5.42), hemoglobin 134 (118-149), hematocrit 0.391 (0.354-0.45), MCV 85.2 (76.5-92.1), MCH 29.2 (24.3-31.5), MCHC 343 (304-346) RDW-CV 10.6 (11.6-14.6) platelets 169 (178-420) MPV 6.18 (7-10.4)
Diff—neutrophils 1.81 (1.49-8), lymphocytes 2.85 (0.84-6.03), monocytes 0.47 (0.22-1.51), eosinophils 0.03 (0-1.04), basophils 0.05 (0-0.23), neutrophils 34.8 (34-69) lymphocytes 54.7 (19-52) monocytes 9.0 (5-13), eosinophils 0.5 (0-9), basophils 0.9 (0-3)

CHEMISTRY—glucose 4.6 (3.9-5.9) total bilirubin 37.3 (6-26) urea 3.2 (2.7-6.8), creatinine 68 (57-96), uric acid 183 (142-303), AST 19 (14-32), ALT 15 (10-29) GGT 8 (10-24) alkaline phosphatase 40 (50-125) alpha-amylase 55 (23-91), cholesterol 1.89 (HDL cholesterol 0.70 (>1.2) LDL cholesterol 0.92 (TIBC 52.4 (53-84) CRP 1.3 (0-5)

URINALYSIS: looks slightly cloudy (clear), color yellow (pale yellow) , specific gravity 1.025 (1.002-1.030), pH 6.0 (5.0-9.0), leukocyte esterase neg., nitrites neg., proteins neg. (up to +1), glucose neg. (Hb neg.
Urine sediment—leukocytes 1-2 (0-2), squamous epithelial cells 8-10 (0-1) mucus-heavy (0), bacteria-trace (0)

I've dealt with meningitis and asthma before. My doctor just handed me some iron supplements and Nolicin and told me I need calcium carbonate for my bones. Honestly, I'm skeptical about these results, so I'm looking for a second opinion.

Ashley Vaughn10 said:..

Clean up these results.
You should definitely get an anti-TPO test done as well. If that comes back clearly positive, you'll need to have your thyroid hormone levels monitored once every two years.

Kyle Martinez7 said:To whom it may concern,
.

A heavier serum.
So, I’ve just finished a full three-month low-fat diet, and now it’s finally time to check the results for my lipid panel and liver enzymes. Now comes the big question: should we actually bother starting him on a statin or a fibrate?

Brenda Reed49 said:.

.

The results look organized. You should definitely get those anti-TPO levels checked next.
It’s absolutely vital that you get a complete blood count (CBC), a full metabolic panel—specifically checking those iron levels, UIBC, and your electrolyte status (Potassium, Sodium, Calcium, Phosphorus, Magnesium)... you really can't afford to skip over those.

wanderingmarlin54 As requested by:
..

I have to say, I completely disagree with what vividsailor7 is saying here.
Everything looks fine on the labs.
The only way to handle this is taking one Iron 1 tab daily. You absolutely have to do that if you want to actually replenish those iron reserves in your system.

Everyone except me gets an answer 😢
I'm trying to make sense of this low platelet aggregation. My doctor offered zero explanation—his only suggestion was that the lab might have just messed up the test. I'm scheduled for RF, ANF, ANCA, an abdominal ultrasound, c3, c4, CIC, and DKS (stat), plus a dermatology consult. They think it could be skin-related, though I doubt it since I dealt with similar issues as a kid. My mom is digging through old medical records now to see if we can find my childhood diagnosis.

Hello everyone, and I would like to start by thanking those who will take the time to comment on my lab results!

Age: 50
Sex: M
I had these tests done for routine screening due to my age and to check on Hepatitis B, as I have tested positive.

I will list the results in the following format: MY VALUES (REFERENCE RANGES):

Leukocytes: 7.6 (3.4 to 9.7)
Neutrophils: 53.5 (44 to 72)
Lymphocytes: 35.4 (20 to 46)
Monocytes: 6.1 (1 to 12)
Eosinophils: 4.8 (up to 7)
Basophils: 0.2 (up to 1)
Neutrophils: 4 (2.06 to 6.49)
Lymphocytes: 2.7 (1.19 to 3.35)
Monocytes: 0.5 (0.12 to 0.84)
Eosinophils: 0.4 (up to 0.43)
Basophils: 0.0 (up to 0.1)

RBC: 4.29 (4.34 to 5.72)
Hemoglobin: 143 (138 to 175)
Hematocrit: 0.436 (0.415 to 0.53)
MCV: 101.6 (83 to 97.2)
MCH: 33.4 (27.4 to 33.9)
MCHC: 329 (320 to 345)
RDW: 14.3 (9 to 15)
Platelets: 122 (158 to 424)
MPV: 11.0 (6.8 to 10.4)

Prothrombin Time: 42.8 (70 to 130)
INR (target for oral anticoagulation therapy: 2.0 - 3.5)
aPTT: 40 (22 to 28)
aPTT Ratio: 1.6 (0.8 to 1.2)
Fibrinogen: 0.9 (1.8 to 3.9)

Total Bilirubin: 76 (3 to 20)
AST: 73 (11 to 38)
ALT: 24 (12 to 48)
CK: 273 (up to 177)
CK-MB: 60.1 ( LDH: 277 (1 to 241)

Serology Tests
HBsAg - Hepatitis B antigen: Positive
Anti-HBc - Total (IgG+IgM): Positive

*HBsAg quantitative = 6629 IU/ml

THERAPY: Plibex, 3x2 tabs. Konakion, 1x1 tab.
-electrophoresis and immunoelectrophoresis of proteins

Other findings (FULL ABDOMINAL ULTRASOUND)
The liver is of normal size, with regular contours and homogeneous echostructure. No signs of focal lesions in the hepatic parenchyma. Intra- and extrahepatic bile ducts are not dilated. The gallbladder shows no signs of stones, with normal wall thickness and size.
The aorta shows normal course and caliber.
The pancreas appears normal.
The spleen is enlarged, measuring 175 mm, with a homogeneous echostructure.
Both kidneys are of normal size, with regular contours and normal renal parenchymal thickness and structure; no signs of dilation in the collecting system or visible stones.
The bladder is partially filled, showing regular contours and no pathological content.
The prostate is normal in size.

That is essentially everything. I am primarily looking for an opinion. Regarding the hepatitis, I have started medication immediately, I have some additional findings, and I have completely overhauled my diet. My immunity seems a bit weaker, but everything else looks fine. I know that eventually, a liver biopsy will likely be required, which worries me because I understand how risky it can be—the liver can become inflamed quite easily in these cases. An acquaintance of mine went through this, and a woman who appeared perfectly healthy passed away within two months. Because of that, I am feeling quite skeptical and anxious about the whole thing.

I look forward to your comments, and thank you once again!

Best regards!

You don't have to blindly follow every single order from your doctors. 🙂 You're allowed to make your own decisions. Sometimes, pure fear or a lack of information forces us to comply with every medical recommendation, even when those choices lead to unpleasant outcomes. Besides, doctors rarely agree with one another anyway.

Listen to your gut; you know your own body better than anyone else.

Good luck. 😉

Sandra Rivera37 said:Everyone except me is getting answers 😢—
I'm interested in this low platelet aggregation. My doctor explained absolutely nothing (his actual response was that maybe it was just a mistake at the lab!!??). I'll be doing RF, ANF, ANCA, an abdominal ultrasound, c3, c4, CIC, DKS (stat), and seeing a dermatologist (since it might be skin-related, though I doubt it because I had the exact same issues as a kid; my mom is digging through old files now to find the actual diagnosis.)

See a hematologist or an immunologist.
Beyond that, I'm staying out of it.

Jacob Sanchez2 said:Hello everyone, and let me start by thanking all of you who will take the time to comment on my test results!

Age: 50
Sex: M
Got tests done for routine checkups and to monitor Hepatitis B since I tested positive.

.

Other findings (FULL ABDOMINAL ULTRASOUND)
The liver is normal size, with regular contours and a homogeneous echostructure. No signs of focal lesions in the liver parenchyma. Intra- and extrahepatic bile ducts are not dilated. The gallbladder shows no signs of stones, with normal size and wall thickness.
The aorta is normal in course and caliber.
The pancreas looks normal.
The spleen is enlarged, measuring 175 mm, with a homogeneous echostructure.
Both kidneys are normal size, with regular contours and normal thickness and structure of the renal parenchyma, showing normal drainage from the central echocomplexes. There are no signs of dilation in the renal collecting system or evident stones.
The bladder is poorly filled, has regular contours, and no pathological content.
The prostate is normal size.

That’s basically it. I’m just looking for an opinion. Regarding the hepatitis, I'm currently on therapy, have some additional labs to deal with, and I've completely overhauled my diet. My immune system is a bit weaker, but everything else seems fine. I know that eventually, a liver biopsy will likely be necessary, which worries me because I know how dangerous it can be; in cases like this, the liver can easily become inflamed. An acquaintance of mine went through this, and a "seemingly healthy woman" died within two months of it. Because of that, I'm skeptical about this whole thing.

Looking forward to your comments, and thanks again!

Best regards!

Let's go through this step by step.
1. The administration method of the therapy should probably be changed from oral to giving Vitamin B orally and Vitamin K intravenously—specifically, a bit of Vit K for every bit of Vit B.
2. Honestly, I just love these "he said, she said" situations, where someone claims they saw something when they actually have no clue what they were looking at.
A liver biopsy is extremely safe nowadays; the risks are generally tied to ignoring contraindications or having other underlying diseases. It remains the only definitive diagnostic procedure that provides insight into the type and severity of damage to the liver parenchyma.
3. If there's any way to determine B12 and folic acid levels, it would be wise to do so, provided you stop taking Plibex for about 20 days beforehand.

Sandra Rivera37 said:You don't have to follow every single thing your doctors tell you.🙂 You’ve got the right to make your own calls. Sometimes fear and pure ignorance drive us to blindly follow every medical mandate, even when those decisions end up having nasty consequences. Plus, let's be real—doctors disagree with each other all the time.

Listen to your gut. You know your own body better than anyone else.

Good luck.😉

Look, I agree that you can refuse certain procedures, but without them, you aren't getting an accurate diagnosis, and without a diagnosis, there is no actual treatment.
That is the part people just refuse to grasp.
Sure, you have the right to say "no," but you can't turn around and demand a diagnosis or treatment from the doctor you just rejected.
Especially in the situation described above.

I decided to get some blood work done today because I’ve been feeling pretty drained over the last few days. I have asthma, and while allergies haven't really been an issue for me in the past, lately I've been dealing with a runny nose, sneezing, and sinus pressure coming and going.
Everything came back within the normal range, with the exception of a few specific markers:
leukocyte 10.20
Basophil granulocytes (%) 2.5
Basophil granulocytes (abs) 0.30
Monocytes 1.00 (abs)

I would appreciate any insight anyone could offer regarding these results.

Thanks in advance 🙂
Nico

Aerobic urine culture results.
The report shows a microbiological screen specifically looking for Escherichia coli. I'm a bit stuck on what they mean by "aerobic," though. It lists Ampicillin, amoxicillin + clavulanic acid, cephalexin, cefuroxime, cefixime, ciprofloxacin, norfloxacin, sulfamethoxazole + trimethoprim, and nitrofurantoin all marked with an S. The bacterial count is less than 10 per ml.

vividsailor7 said:I agree that you can refuse diagnostic procedures, but without them, there is no accurate diagnosis, and consequently, no effective treatment.
That’s the point everyone seems to miss.
You have the right to say no, but don't expect the doctor who suggested those tests to provide a diagnosis or treatment afterward.
Especially in the case mentioned above.

I completely agree.🙂

I've already gone through with the immunology and hematology panels; I'm just waiting on the results now. The only thing I learned immediately was from my abdominal ultrasound, which showed my spleen looks shaped like a crescent moon—it's enlarged by about 2 cm. I doubt anyone can tell me exactly why my spleen has such an unusual shape.😁

mellowviper24 said:I went in for blood work today because I've been feeling wiped out for a few days now. I have asthma, and while I haven't dealt with allergies before, lately my nose has been running constantly, I can't stop sneezing, and my sinuses are killing me.
Everything came back within the normal range except for:
leukocyte 11.3
Basophil granulocytes (%) 2.5
Basophil granulocytes (abs) 0.30
Monocytes 1.00 (abs)
Thanks in advance for helping me make sense of this.
Thanks in advance 🙂
Nico

coastalgull72 said:The urine culture came back aerobic.
The results show a microbiological screen for Escherichia coli. I don't quite get what "aerobic" means in this context. Ampicillin, amoxicillin + clavulanate, cephalexin, cefuroxime, cefixime, ciprofloxacin, norfloxacin, sulfamethoxazole + trimethoprim, and nitrofurantoin are all marked with an "S." The bacterial count is less than 10^5 /ml.

Guidelines for posting questions in the Lab Results - Opinions thread:

To ensure you get the most accurate and precise answers regarding your lab results, we suggest you include the following details when transcribing them:

- Complete results - Many values are impossible to interpret correctly if they are listed in isolation without the surrounding data.
- Reference ranges - If your report includes reference ranges, please include them! Every lab uses different standards, so a number by itself is meaningless without knowing the specific range used by that facility.
- Age - You don't need to give your exact birthdate, but a general age bracket—like early twenties, late forties, etc.—is vital since "normal" varies significantly across different age groups.
- Reason for testing (your symptoms) - This is absolutely critical. It is nearly impossible for anyone to provide a meaningful interpretation if they don't know why you were sent for testing in the first place.
- Brief medical history - If you have other underlying conditions, please list them; it provides the full picture.
- Other factors - It is also helpful to mention if you are pregnant or any other relevant circumstances, as these factors directly impact test results.

Dear Dr. vividsailor7 🙂

So, my complete blood count looks like this (values above the reference range are in bold):
RBC (EBR) (E) 4.69 ref. 3.86 to 5.08
HEMOGLOBIN (Hb) (EBR) (E) 133 g/L ref. 119 to 157
HEMATOCRIT (Hct) (EBR) (E) 0.394 L/L ref. 0.356 to 0.47
MCV (EBR) (E) 84.0 fL ref. 83 to 97.2
MCH (EBR) (E) 28.4 pg ref. 27.4 to 33.9
MCHC (EBR) (E) 338 g/L ref. 320 to 345
RDW (EBR) (E) 13.0 % ref. 9 to 15
MPV (EBR) (E) 7.3 fL ref. 6.8 to 10.4
PLATELETS (Trc) (EBR) (E) 341 10^9/L ref. 158 to 424
LEUKOCYTES (Lkc) (EBR) (E) 10.20 H 10^9/L ref. 3.4 to 9.7
NEUTROPHIL GRANULOCYTES (%) (EBR) (E) 54.7 % ref. 44 to 72
LYMPHOCYTES (%) (EBR) (E) 29.4 % ref. 20 to 46
MONOCYTES (%) (EBR) (E) 9.8 % ref. 2 to 12
EOSINOPHILS (%) (EBR) (E) 3.6 % ref. up to 7
BASOPHIL GRANULOCYTES (%) (EBR) (E) 2.5 H % ref. up to 1
Neutrophil granulocytes (abs) (EBR) (E) 5.50 10^9/L 2.06 ref. up to 6.49
Lymphocytes (abs) (EBR) (E) 3.00 10^9/L ref. 1.19 to 3.35
Monocytes (abs) (EBR) (E) 1.00 H 10^9/L ref. 0.12 to 0.84
Eosinophils (abs) (EBR) (E) 0.40 10^9/L ref. up to 0.43
Basophil granulocytes (abs) (EBR) (E) 0.30 H 10^9/L ref. up to 0.06
IRON (Fe) (FOT) (S) 12 μmol/L ref. 8-30

I am 36 years old and I get my blood drawn twice a year for routine checkups.
Over the last week, I've been feeling quite tired and lethargic. As an asthmatic, my current regimen includes Advair and Tafeno.
Regarding other medications, I take Zoloft for anxiety.
I haven't dealt with allergies before, but for the past two weeks, I've had a runny nose, frequent sneezing, and sinus pain.
As for the elevated white cell count, it's worth noting that my results have typically hovered closer to the upper limit in the past—usually around 8, occasionally hitting 9.
Pregnancy is ruled out.

Thanks in advance for your help!

🙂

Could use some help interpreting these results!

I'm 26 and my serum levels came back as follows:
LH 5.44 (2.12-10.89)
FSH 8.33 (3.89-8.78)
Testosterone 2.3 (0.4-2.6)
Estradiol 203 (99-448)
Prolactin 348 (71-566)
DHEA-S 11.6 (0.49-10.61)
Androstenedione 12.6 (1.0-12.2)

Are these bad numbers? My thyroid is perfect and my CBC looks completely normal too.

THANKS

I am looking for a second opinion🙂

My blood work is mostly fine, except for these specific markers:

RBC 6.0 (ref. 3.9-5.1)
Hemoglobin 122 (ref. 119-157)
MCV 61 (ref. 83-97)
MCH 20 (ref. 27-34)
RDW 23.6 (ref. 9.0-15.0)

Iron 12.8 (ref. 8.0-30.0)

I am 27 years old—I have ragweed allergies, I am not on any medications, and I am not pregnant.
My mother has thalassemia, and my doctor suggested that given these results, I might have it too... though she also thinks I should be perfectly fine overall.
I usually only get blood work done once a year, but this time I was prompted by hair loss, fatigue, and general weakness.
Looking at these values, I can't help but feel that things aren't quite right...🤷

Maria Kern4 said:I really need a second opinion here🙂

The blood work is pretty much fine, except for this:

RBC 6.0 (ref. 3.9-5.1)
Hemoglobin 122 (ref. 119-157)
MCV 61 (ref. 83-97)
MCH 20 (ref. 27-34)
RDW 23.6 (ref. 9.0-15.0)

Iron 12.8 (ref. 8.0-30.0)

I'm 27, deal with ragweed allergies, I'm not on any meds, and I'm definitely not pregnant.
My mom has thalassemia, and my doctor mentioned that looking at these numbers, there's a chance I have it too, though she thinks I'm otherwise okay.
I usually just get labs done once a year, but this time I actually had a reason—hair loss, fatigue, feeling totally wiped out.
Given these specific values, I'm thinking things aren't exactly "all good." 🤷

Cheers

Based on the lab results you posted, we could be looking at thalassemia. You've got clear signs of microcytic, hypochromic anemia here. You'll need to check your ferritin and transferrin levels next. Also, it would be smart to get your thyroid hormones checked and see a gynecologist if you haven't been lately. To actually confirm if it's thalassemia, you'll need to get a hemoglobin electrophoresis done.

Hey there! How's it going?

I could really use some input here—what do you guys think?

My blood work came back... mostly fine, I guess? Everything looks pretty standard, except for my liver enzymes, CRP, and cholesterol—all of which are acting up. Just one of those things, I suppose.
AST looks normal—so, I guess that’s one thing we don't have to worry about right now.
So, I was looking at the numbers—ALT is sitting at 105, which puts it right in that 12 to 48 range... well, actually, it's way above it. It's definitely high. I guess it’s just one of those things where you see a number and immediately start wondering what the hell is going on under the hood. Maybe it's nothing, maybe it's something—who knows, really? Just feels like a bit of a headache, honestly.
So, I just saw my latest labs, and my GGT is sitting at 89—which, according to the standard range of 11 to 55, is definitely not where we want it to be. It’s high. A bit higher than I'd like, anyway. I guess it's just one more thing to keep an eye on... maybe nothing huge, but still, definitely worth noting.

So, my CRP came back at 7.3... which is sitting just above that So, I just got my labs back... cholesterol is sitting at 6.1. The lab says anything under 5.0 is the goal, which—yeah—means I'm officially over the limit. Not exactly a shocker, I guess, given how much I lean on greasy diner food when I'm feeling particularly nihilistic about my diet, but still... seeing that number staring back at me is a bit of a reality check. Just one more thing to add to the pile, right?
So, my LDL hit 4.19... and apparently, that’s supposed to be under 3.0. Great. Just great. I guess that means I'm officially back in the doghouse with my doctor—or at least staring down the barrel of some lifestyle changes I'd really rather avoid. It’s always something, isn't it? One day you think you're doing okay, and the next, the numbers decide to throw a party you weren't invited to. I don't know, maybe I'll just start eating more kale or something equally miserable. Or maybe it's just one of those things where you have to shrug, grab a coffee, and figure out what the hell to do next. Life's funny like that, I suppose.

So, I've been dealing with some weight issues lately—just can't seem to get it under control. From what I’ve been digging up online, I’m starting to worry it might be fatty liver infiltration. I read somewhere that if my ALT levels are higher than my AST, it points toward non-alcoholic fatty liver disease... or something like that? I don't know, I'm just grasping at straws here. Does anyone have any insight or thoughts on this?

wiredcanyon2, thanks for getting back to me!
I went to see my OBGYN and everything looks fine there—as for those thyroid hormones, I’ll be heading back soon for a follow-up check. I just have one more question... since my iron level is sitting at 12.8, would it be harmful if I took Floradix liquid iron every single day?

Could someone please help me make sense of this?
The reason I had this test done was because of some red patches appearing on my cheekbones.

The "Demodex folliculorum" test—if I got that right—came back negative.
"P. oval" came back positive (a few found).

I have an appointment scheduled, but I’ve been waiting for these results for so long that I’m just...

restlessangler said:Can someone please make sense of this for me?
The whole reason I got this test done was because of these red, inflamed patches appearing on my cheekbones.

I tested negative for ">" (if I got that right) - negative.
">" came back positive (a few of them).

I have an appointment with my doctor, but I've been waiting so long for these results that I'm just...

One could argue that autoimmune issues are off the table here.
I'm not going to play doctor with anything else.

restlessangler said:Can someone please make sense of this for me?
The whole reason I got this checkup was because of some red patches popping up on my cheekbones.

Testing for "Unknown" (if I got the name right) came back negative.
"P. Oval" came back positive (a few instances).

I have an appointment with my doctor, but the wait is killing me...

🎉

It’s not autoimmune. Honestly, I'm relieved. 😘