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

Started by vividsailor7 · · 👁 120 views · 3.9K replies

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Participants vividsailor7redcrane22Sandra Rivera37swiftbear86melloworca6Dana Martin87ironskipper80mellowgardener15goldenmarlin6analogbison13Nicholas Myersstormygardener34Roger RodriguezDonna Mitchell3Kenneth Vaughn2Laura Ward98briskseal32Susan Vaughn46Zachary Lewis4driftingmason52rustyheron55Laura Chavez47vividstag24lonecanyon8 …
Harold Cook2 Harold Cook2 Active Member
110 messages
joined Mar 2009
#1361 ·
Maria Fisher46 said:Look, if your total IgA levels are looking normal, then a result like this is totally fine. Here’s the deal: when doctors are hunting for Celiac disease, they're basically scanning for specific IgA-class antibodies. That’s exactly why that total IgA concentration matters so much. If your total IgA is running low, this whole test can give you a false negative. Don't let it trip you up.

Look, in your situation, there’s a bit of a mismatch happening. Your total testosterone is sitting just a hair below the line, but then your free testosterone looks totally fine according to the reference ranges. Usually, you'd expect those two numbers to actually play nice together and align, you know? You gotta keep in mind that in a lot of US labs, measuring total testosterone is way more reliable than trying to calculate free testosterone using SHBG. It's just how the math works out most of the time.

That’s all I’ve got. When I showed them the results, they just told me both those items were things they had already removed. Now I can't even get a doctor to actually sit down and read the damn thing for me.
Dana Wilson33 Dana Wilson33 Newcomer
9 messages
joined Sep 2012
#1362 ·
Alright, I'm posting my lab results here.
image

Click the image. I'm looking for some clarification on this.
rapidnomad322 rapidnomad322 Member
15 messages
joined Nov 2014
#1363 ·
So, I was wondering about something—what does it actually mean when a stool microbiology (or maybe mycological?) test comes back just saying "Candida species"? Like, does that imply there's a higher concentration of fungi than what's considered normal, since I know Candida usually just hangs out in our guts anyway, or am I totally misreading the situation?

Thanks 🙂
Chloe Ruiz2 Chloe Ruiz2 Newcomer
1 message
joined Jul 2011
#1364 ·
Hey, if anyone knows their stuff, could you help me make sense of these results? (Reference values are in parentheses). I'm a 32-year-old woman:

Iron levels at 7... wow, that's pretty low. I guess you might be feeling a bit wiped out.
My UIBC came back at 59 (the range is 26-59). So, I guess I'm right on the edge!
My TIBC came back at 65, which is right in the normal range of 49 to 75. I guess everything looks pretty steady there!
My iron saturation is sitting at 10%, which is pretty low since the normal range is supposed to be between 15 and 50. I guess I'm running on empty!
My Ferritin is sitting at 8.9 (normal range is 5-148). Man, that's pretty low... I guess I might be running on fumes here.
My CIC IgG came back at 182, but the normal range only goes up to 130... yikes.
My CIC IgM came back at 241... and apparently, anything over 100 is high. I guess that’s something to keep an eye on.

My C3 complement component came back at 1.22 (normal range is 0.83-1.93). I guess everything looks pretty standard there!
My C4 complement component came back at 0.26 (normal range is 0.15-0.57). Looks like everything is right where it should be!
My TG is at 157... which is definitely higher than that 115 mark they want. I guess I'm a bit over.

The Anti-TPO results should be ready by tomorrow.
My total IgE levels from two weeks ago.

Thanks in advance!
Scott Peterson172 Scott Peterson172 Member
10 messages
joined May 2024
#1365 ·
Can anyone help me make sense of these results? (I've attached the image). This is just the first set in a whole series of tests I'm waiting on.

Oh, and I had my OGTT yesterday—though I recall when I did my physical back when I was getting hired two years ago, the numbers were significantly lower; I don't remember them exactly, but I think they were around 2.5 and 4.

(S) OGTT 0 min. 5.7 mmol/l
(S) OGTT 120 min 6.0 mmol/l

My endocrinologist sent me off for testing because they suspect there might be some issues with my thyroid or ovaries; I’ve gained nearly 65 pounds in just two years, which is baffling since my diet is much cleaner now and I’m being far more active with regular exercise.
Melissa Martinez5 Melissa Martinez5 Member
10 messages
joined Nov 2011
#1366 ·
Found some squamous and transitional epithelial cells, a few granulocytes, erythrocytes, and bacteria in the sediment.
Is this a clean result, or should I be worried?
Maria Fowler11 Maria Fowler11 Newcomer
2 messages
joined Oct 2014
#1367 ·
Could someone please help me make sense of these results?
(I'm 40—dealing with hyperthyroidism and currently taking Favistan)
AST 12 ( ALT 15 ( CHOLESTEROL 2.4 (3.6-7.5)
TRIGLYCERIDES 0.89 (0.47-1.80)
GLUCOSE 4.4 (3.3-6.1)
BILIRUBIN TOTAL 10.1 ( UREA 3.51 (2.49-7.49)
CREATININE 55.3 (44-124)
GAMMA GT 9 (11-50)

WBC 6.4 (4-9)
RBC 5.34 (3.8-5.3)
HGB 146 (120-180)
HCT 43.1 (34-48)
MCV 80.7 (80-100)
MCH 27.3 (27-32)
MCHC 339 (320-360)
PLT 258 (120-380)

LY 48.9 (11-49)
MO 3 (0-9)
GR 48.1 (42-85)

RDW 14.2 (11.5-14.5)
PCT 0.12 (0.08-1.00)
MPV 4.8 (6-10)
PDW 15.5 (10-15)
Chloe Ruiz2 Chloe Ruiz2 Newcomer
1 message
joined Jul 2011
#1368 ·
Chloe Ruiz2 said:Hey everyone, if anyone knows their stuff, could you help me make sense of these lab results? (I put the reference ranges in parentheses). I'm a 32-year-old woman:

Iron levels at 7... yikes. That's pretty low. I guess that's definitely outside the normal range.
My UIBC came back at 59, which is right at the top end of the normal range (26-59). I guess that's technically fine, but still feels a little high to me!
My TIBC came back at 65 (normal range is 49-75). Seems pretty normal to me, I guess!
Iron saturation is at 10%... the normal range is like 15 to 50. I guess that's pretty low.
My Ferritin came back at 8.9 (normal range is 5-148). Oof. That’s pretty low, I guess.
My CIC IgG came back at 182, but the normal range only goes up to 130... yikes.
My CIC IgM came back at 241... and apparently, anything over 100 is considered high. I guess that's a bit of a jump!

My C3 complement component came back at 1.22 (normal range is 0.83-1.93). I guess everything looks pretty normal there!
My C4 complement component came back at 0.26, which is right in the normal range (0.15-0.57). I guess everything looks pretty standard there!
My TG is at 157... which is definitely higher than that 115 mark they want me to hit.

The Anti-TPO results should be ready tomorrow.
Total IgE results from two weeks ago.

Thanks in advance!

Anti TPO came back at 26 (which is less than 34, so it's negative).
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1369 ·
Maria Gray45 said:That’s everything listed. When I picked up the results, they told me those were just the two items they ran. I haven't had a chance to go to my doctor to have them read properly yet.

If those are the only values provided, you're missing the total IgA level.
Dana Wilson33 said:Here are the results.
image

Click the image. Please explain these.

What was the purpose of this screening? Nothing jumps out at me in these results. The photo only shows the CBC and differential, and while there seems to be a section for coagulation, it isn't visible here.

MPV refers to platelet volume. If the platelet count itself is normal—which it is—then the MPV doesn't really tell us much.

The lymphocyte count is only very slightly elevated. It could be a trace of a passing viral infection or just standard biological variation.
rapidnomad322 said:I'm wondering what it means when a stool microbiology (mycology?) test simply lists "Candida species"? Does that imply an overgrowth of fungi (since Candida naturally lives in the gut), or something else?

Thanks 🙂

No, it doesn't mean there's an increase. It just means they didn't specify which exact species of Candida it was.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1370 ·
Chloe Ruiz2 said:Could someone please help me make sense of these results (reference values in parentheses)? Female, 32 years old:

Iron 7 (8-30)
UIBC 59 (26-59)

TIBC 65 (49-75) Iron saturation 10% (15-50)

Ferritin 8.9 (5-148) CIC IgG 182 (up to 130)
CIC IgM 241 (up to 100)
C3 complement component 1.22 (0.83-1.93)

C4 complement component 0.26 (0.15-0.57) TG-Ab 157 (less than 115 negative)

Anti TPO will be ready tomorrow

Total IgE-RIST in two weeks[/I]

Thanks in advance!

Quote:
Chloe Ruiz2 says:
[I]Anti TPO 26 (less than 34 negative)
What was the reason for these tests? Thyroid hormones? A complete blood count?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1371 ·
Rachel Hernandez61 said:Can someone help me make sense of these results? (Image attached). This is just the first batch in a series I'm waiting on.

Oh, and I had my OGTT yesterday. For context, when I did my physical for work two years ago, the numbers were significantly lower—I don't recall them exactly, but I think they were around 2.5 and 4.

(S) OGTT 0 min. 5.7 mmol/l
(S) OGTT 120 min 6.0 mmol/l

My endocrinologist referred me for testing because they suspect issues with my thyroid and ovaries. In the last two years, I've gained nearly 65 pounds, despite eating much better and being more active with exercise.

The OGTT looks perfectly fine.

As for the other labs, it’s clear your testosterone levels are elevated. To reach a final conclusion, we'll need to see the rest of the panel.
Melissa Martinez5 said:The sediment shows squamous and transitional epithelial cells, some granulocytes, erythrocytes, and bacteria.
Is this considered a normal result?

No malignant (foreign) cells were found, which is the primary concern when ordering this specific test. What was the reason for the screening?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1372 ·
Maria Fowler11 said:Could someone please help me make sense of these results:
(I'm 40 years old, dealing with hyperthyroidism, and currently taking Favistan)

What you've noted seems accurate enough.
Melissa Martinez5 Melissa Martinez5 Member
10 messages
joined Nov 2011
#1373 ·
Maria Fisher46 said:They didn't find any nasty foreign cells, which is basically the whole point of even ordering this test in the first place. So, why did you get sent for it?

The reason I'm getting checked out—I've been hitting the bathroom constantly... and no, I don't have diabetes.
Chloe Ruiz2 Chloe Ruiz2 Newcomer
1 message
joined Jul 2011
#1374 ·
Maria Fisher46 said:What was the reason for all these tests? Thyroid stuff? A CBC?

My immunologist sent me in—the referral was for urticaria (it shows up mostly at night on my arms, legs, and back; the hives are longish, looking like I scratched myself, they itch and sting like I spilled hydrogen peroxide on me, then they vanish super fast)

Did a prick test—came back negative.

Personal history: Type IIa hypercholesterolemia, no meds for it yet, normogonadotropic hypogonadism (currently in the middle of an IVF cycle; had one successful attempt about 7 years ago)
Frequent "viruses," colds, and sometimes I get herpes simplex on my lip afterward. Also dealing with vaginal Candida and E. coli in my urine (just a random finding of 10^5; asymptomatic bacteriuria), but my Pap and CBC were normal.

Thyroid hormones look fine. Haven't had a recent CBC, but everything is basically okay—though my bloodwork always shows microcytosis and hypochromia.

I guess I should probably redo the TSH (it was 2.39 during a physical last year, but usually stays around 1.x) plus maybe another ultrasound since they found a tiny, clinically insignificant goiter before—or so the internist said.

Then CRP and ESR, but I'm not sure about the rest.

I just want to know if I'm reading this right—that nothing here is really worrying, just some mild iron deficiency starting to develop? And those antibodies are fine? Just gotta watch the thyroid so it doesn't slide into hypo?

Can I take Heferol and maybe Decortin (because of high CIC levels) while doing IVF?
rapidnomad322 rapidnomad322 Member
15 messages
joined Nov 2014
#1375 ·
Maria Fisher46 said:Nah, it doesn't mean there's actually *more* fungi growing, it just means they haven't identified the specific strain of Candida involved.

Thanks for getting back to me, but I have to say, I’m feeling pretty confused now. I guess if they don't even know which specific species we're dealing with, how are they supposed to prescribe the right medication to actually get it under control? And honestly, should the person even be taking anything yet? I can't help but wonder if they really ought to have been sent off for more detailed testing first.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1376 ·
Melissa Martinez5 said:Different reasons—I’m heading to the urologist because I’ve been urinating constantly. (No diabetes, by the way.)

Are you seeing more frequent trips to the bathroom, and if so, is it small amounts or larger volumes? Any discomfort or issues when you go? Also, have you had any testing done yet—aside from a cytology screen? Any microbiology workups?

This cytology report isn't going to pinpoint the actual cause of your symptoms.
rapidnomad322 said:Thanks for the response, but I’m just feeling confused now. If the specific strain hasn't even been identified, how can a medication be prescribed to target it? And more importantly, should the patient even be taking it? Shouldn't they have been referred for further testing instead?

And why would someone even bother with a stool analysis in the first place?
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1377 ·
Chloe Ruiz2 said:The immunologist suggested it might be urticaria—basically hives. They show up in the evenings on my arms, legs, and back. They look like long welts, almost like I’ve been scratching myself. They itch and sting, feeling like I’ve spilled hydrogen peroxide on my skin, but then they vanish just as quickly.

How long has this been going on (more or less than six weeks)? Did any infection or new medication precede these changes? Are you experiencing anything else alongside the hives, such as joint pain, fever, or fatigue?
Thyroid hormones are normal. My CBC wasn't done very recently, but everything seems fine; the blood work has always shown microcytosis and hypochromia.

In my opinion, I should probably get my TSH checked again (it was 2.39 during a physical a year ago, but usually sits around 1.x). Also, an ultrasound once picked up a tiny, clinically insignificant goiter—at least that's what the internist said.

Then there's CRP and ESR, but I'm not sure about the rest.

I just want to know if I interpreted this correctly: that nothing is alarming here, just mild incipient sideropenia, and since the antibodies are okay, I just need to keep an eye on my thyroid so it doesn't slip into hypothyroidism.

Typically, antibodies and thyroid hormones are tested together; analyzing antibodies without looking at the hormone levels doesn't offer much context. However, if the hormones are normal but the antibodies are elevated, you're right—closer monitoring of the thyroid becomes necessary.

As for sideropenia or anemia, we can only really discuss that if we have the CBC to pair with the iron levels, which is why I asked for those specific values. Additionally, when evaluating urticaria, checking for eosinophilia is important, so having both the CBC and differential would be useful.
Is it safe to take Heferol and potentially Decortin (due to elevated CIC) during IVF?

It is possible, provided your doctor clears it.
Melissa Martinez5 Melissa Martinez5 Member
10 messages
joined Nov 2011
#1378 ·
Maria Fisher46 said:Are you peeing more often, but just in smaller or larger amounts? Any pain or weirdness when you go? Have you had any tests done yet (besides a urine cytology)? Like a micro test?

This cytology report isn't going to tell you why you're feeling so crappy.

One time I actually saved all my pee in bottles and ended up with over 3L...
Another day I tracked everything I did in a day and I was hitting the bathroom every half hour to an hour. Sometimes a bit longer, but nothing was ever more than 200ml—actually, even less... total was about 1.7L...
As far as tests go, just a urine culture—which came back sterile—and an Abdominal Ultrasound that looked totally fine.
Nicholas Myers Nicholas Myers Active Member
163 messages
joined Jan 2012
#1379 ·
Melissa Martinez5 said:Once, I tried collecting my entire urine output into a single container. It ended up being over three liters.
I spent a day tracking every single trip to the bathroom. It was constant—every thirty to sixty minutes or so. None of them were large, though; every time I went, it was less than 200ml. Total intake for the day ended up at exactly 1.7L.
So far, only the urine culture came back sterile, and the abdominal ultrasound was clear.

Regarding those measurements from a few days ago—did you collect urine over a full 24-hour period and find a total volume of 1.7 liters? How much of that is produced during the day versus at night? Are you waking up mid-sleep to use the bathroom? Have you tracked your actual fluid intake over those 24 hours? Any burning or discomfort when urinating? And how long has this been going on?
Melissa Martinez5 Melissa Martinez5 Member
10 messages
joined Nov 2011
#1380 ·
Exactly—I’ve been measuring every single time I go, and the total was only 1.7.
Not one single trip to the bathroom was even close to 200ml.
I honestly don't get why there's such a massive difference, because just a few months ago, I was putting out over 3L a day.
My urologist told me I absolutely have to get my hormone levels checked; he thinks something might be off there.
I don't have any actual symptoms—no pain, no stinging or anything... just the constant need to go.

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