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

silentwolf232 said:I'm a 22-year-old female. I noticed everything is within the normal range except for my MPV. I'm wondering how concerning this deviation is and what conditions it might point toward? I'm also curious about the overall appearance of the blood work. Thanks

The results look fine. Since your platelet count is normal and you aren't experiencing any symptoms, a slightly elevated MPV doesn't really mean anything.

Larry Sanchez7 said:I recently had a KKS done and it's good.

My C-reactive protein is slightly elevated. The interval is 0-5, and mine is 5.7.

I want to know how high CRP can go—is 5.7 considered significantly elevated or just negligible?
I read somewhere that during severe inflammatory processes, CRP can be 1000x higher than usual values? Is that true?

If you aren't feeling any symptoms, the results can be considered normal; in that case, no follow-ups or further testing are necessary. What you read is correct.

Megan Morales91 said:Hi, I'm 27. Just had my annual physical through work. I'm not entirely sure how to read these blood results, so if anyone could take a look... here they are:

Are you experiencing any symptoms? Taking any medications? Using oral contraceptives? Any issues with weight (being underweight)?

Hey, Nicholas Myers,

So, I've got a question about pregnancy and the thyroid...

My last TSH reading from six months ago was 5.49...
I feel like that's way too high to even bother... Am I wrong?🙂
Oh yeah, I'm not taking any medication right now either...

Susan Smith said:Hi, Nicholas Myers,

I have a question regarding pregnancy and the thyroid.

My last TSH reading (from six months ago) was 5.49.
I suspect that’s far too high if I'm trying to conceive. Am I right?🙂
Oh, and I'm not currently on any medication...

You should definitely get your TSH retested, along with free thyroid hormones and antibody levels.

While there isn't a single definitive answer to your question, current research suggests this: there isn't enough data to definitively link subclinical hypothyroidism to infertility, but there is significant evidence showing that treating subclinical hypothyroidism—when TSH is above 4 mIU/L—increases pregnancy rates and lowers miscarriage rates.

Based on this, the American Society for Reproductive Medicine offers the following recommendation: if a woman is struggling with infertility and attempting to conceive, and her TSH levels are above 4 mIU/L, it is reasonable to pursue therapy to bring those TSH levels down below 2.5 mIU/L.

Keep in mind, however, that there is no total consensus among specialists, and this recommendation is not mandatory for physicians.

Maria Fisher46 said:You definitely ought to recheck your TSH, get your free thyroid hormones tested, and check for antibodies.

While there isn't one straight answer to what you're asking, looking at the studies out there... it's pretty clear. There isn't enough data to say for sure how subclinical hypothyroidism links to infertility, but there's plenty of data showing that treating subclinical hypothyroidism—when TSH is over 4 mIU/L—boosts pregnancy rates and lowers miscarriage rates.

Based on that, the American Society for Reproductive Medicine suggests this: if a woman is struggling with infertility and trying to conceive, and her TSH levels are above 4 mIU/L, it makes sense to start therapy to bring those TSH levels down below 2.5 mIU/L.

Just keep in mind, doctors don't all agree on this, so this recommendation isn't set in stone for every physician.

Two weeks after that result, I went back to redo the tests along with FT3, FT4, anti-TG, and anti-TPO. Here are the results using the CMIA method:

TSH: 0.91
FT4: 13.48
FT3: 4.35
anti-TG: 1.78
anti-TPO
everything is within range 🤷
If anyone could give me a quick breakdown of these numbers, thanks... 🙂

Thanks for getting back to me. I’m a smoker and carrying a few extra pounds—I had my third child about 9 months ago, and since then, I've managed to drop 25 kg. Currently, I'm sitting at 72 kg and standing 168 cm tall. My blood work looks fine overall; my Platelet 232 (!) Leukocyte 6.0 DKS was actually a bit different, with platelets at 350. Should I perhaps plan to have these tests repeated after some time passes?
thanks

Maria Fisher46 said:Are you feeling any symptoms? On any meds? Using oral contraceptives? Weight issues (underweight)?

I'm not on any medication... and I'm not underweight. As far as symptoms go, I deal with some light nasal congestion. I saw an ENT, but they ruled out allergies and sinus issues. They basically just told me to rinse my nose and leave it at that. Otherwise, I have Hashimoto's hypothyroidism (but I haven't started treatment yet).
This blood work is really stressing me out... even my doctor is stumped. 😢

Maria Fisher46 said:Atypical lymphocytes (over 10%) and a liver lesion... Could there be elements of infectious mononucleosis here? Should we look into testing for EBV and CMV?

You should definitely have those cortisol levels re-checked. It’s entirely possible you'll need a full endocrine workup—things like checking ACTH or running a dexamethasone suppression test. An ultrasound of the adrenal glands just isn't enough to rule out more subtle pathologies.

I'm really glad Nicholas Myers stepped in here, because my own expertise is pretty limited in this area—honestly, interpreting blood work isn't exactly my specialty. That said, I should point out that certain results can shift due to various diets, intense physical exertion, and things like that. I'm not sure if your doctor actually performed a clinical exam? Are you dealing with excess body fat, or perhaps issues with weight? Regarding the cortisol findings, I didn't even catch that part. 🐔
What I mean is—I'm no expert—but I really believe it's a mistake to look at lab results in a vacuum without considering extra context, like being on a restrictive diet or having pushed yourself through an intense workout just a few hours before the blood draw. Various lifestyle factors and behaviors can totally swing your blood work.
Also, please make sure to keep your old records (like from a year or two ago) so you can compare them against the new ones. That's how I handle my own health tracking. Wishing everyone nothing but good health, and sending my best to Dr. Felix! 🙂

Morgan Morgan5 said:I'm glad Nicholas Myers joined the conversation since my own knowledge is pretty limited. Reading blood work isn't really my field. However, it's worth noting that certain results can shift due to different diets, intense physical activity, and things like that. I wonder if your doctor gave you a full clinical exam? Are you dealing with extra weight or anything else? As for those cortisol levels, I didn't even notice them 🐔
I mean, I'm no expert, but I should point out that looking at lab results in a vacuum without context—like being on a restrictive diet or working out hard just hours before the draw—isn't ideal. Various lifestyle factors can definitely sway blood work
Also, try to keep your old records (say, from a year or two ago) so you can compare them to the new ones. That's how I handle my own health tracking. Wishing everyone great health, and sending my best to Dr. Felix 🙂

Thanks for the input. I'm seeing the doctor tomorrow, so I'll see what she thinks. Hopefully, she'll at least give me a referral to get my blood drawn again to start things off.

Forgive me if I've wandered into the wrong thread—I honestly wasn't quite sure where to drop this question.
Could someone please help me make sense of my mother-in-law's thyroid biopsy results?

Microscopic appearance: moderately cellular punctate, featuring clusters of thyrocytes, a significant amount of pigmentophages, and some colloid.

Conclusion: moderately cellular colloid cystic nodule (T-2).

Thanks.

I need some help deciphering these lab results. I'm a 49-year-old father dealing with thyroid issues (Hashimoto), and because of several overlapping symptoms and high anti-TPO levels, my doctors sent me for extra testing. They've seen enough cases where one autoimmune issue triggers another to know better than to ignore it. Looking back at my medical history, I've dealt with breast cancer (Stage 0, successfully removed via a conservative surgery), a minor stroke, and cervical spine surgery where they installed an artificial disc—carbon fiber.
Generally speaking, I feel fine 😁 😁

My anti-TPO levels are currently sitting at 1300 (when they should be under 35). My thyroid hormones and TSH are finally looking okay, though I am on hormone replacement therapy.
The Rheumatoid factor came back normal:
What’s actually worrying me is the ANA result: Positive, speckled pattern, titer 1:360 (reference range: negative, titer Can anyone offer some perspective on this?
Thanks in advance 😁

SCLE (Lupus) diagnosis
Just doing my regular check-up.
I was wondering about this creatinine level in the urine and the creatinine clearance...
Thanks for the help

http://s10.postimg.org/4mmnbkdrd/image.jpg

Recurrent disc herniation at the L5-S1 level on the right side... does anyone actually know what that means? Translation??
MRI results 😉

Justin Phillips15 said:Hi there, I was hoping to get a doctor's take on these blood results..
erythrocytes-5.40 (4.34-5.72) hematocrit-0.46 (0.42-0.53)
hemoglobin 161 (138-175) MCV-86 (83-97) MCH-29.0 (24.3-33.9) MCHC 329 Distr-338 (304-346) platelets-295 (158-424) leukocytes-13.1 (3.4-9.7)
Platelet 232 (!) Leukocyte 6.0 DKS
seg-63 (45-74) neseg-2 (0-2) eosinophil-4 (1-7) basophil-0 (0-1) lymphocytes-12 (20-45) monocytes-6 (2-12) reactive lymphocytes-12

glucose-5.5 (4.2-6) urea-4.3 (2.8-8.3) creatinine-81 (80-115) bilirubin-10 (3-20)

ast-28 (11-38) alt-65 (12-48) ggt-120 (11-55) alp-107 (60-142)
K-4.1 (3.9-5.1) Na-144 (137-146) iron-15.7 (10.6-28.3) UIBC-39.3 (25-54)
TIBC-55.0 calcium-2.56 (2.14-2.53) P-1.05 (0.79-1.42) cl-99 (97-108)

coagulation: pv-1.18 (0.7-1.2) INR-0.9 (0.9-1.26) aptv-s-24 (24-33) aptv-r-0.9 (0.8-1.2) fibrinogen-4.3 (1.6-4) tv-20 (14-22) d-dimer-265.8 (0-500) at-1.23 (0.75-1.25)

ferritin-303.20 (30-400) free cortisol-343.4 (100-379) total cortisol 8h-1050 (171-536) total cortisol 16h-590 (64-327)
I am 28 years old
I had my blood drawn because my blood pressure and heart rate were high, though they are steady now.
I had an abdominal ultrasound, a renal artery Doppler, and hepatitis markers done, all of which came back normal..
My heart ultrasound showed a tiny bit of leakage in one valve, so I was sent for further imaging.
I should mention I've been under constant stress for about 2-3 weeks since my blood pressure spiked.. I'm constantly obsessing over it, having panic attacks, etc..

Now those leukocytes and lymphocytes are bothering me..

Just posting the follow-up CBC results here..
Previously the issues were: leukocytes 13, lymphocytes 12, reactive lymphocytes 12

Yesterday's results: leukocytes: 10.3, lymphocytes: 29, no reactive lymphocytes.
The only thing elevated is CRP-7.5

Nicholas Myers, you suggested I do a mono test the first time.. however, my blood work has returned to normal.. My doctor said there might still be some inflammation due to the CRP, but since the blood count improved, she didn't want to send me for more tests yet and just told me to come back in a month to recheck the CRP...
Otherwise, I don't have any symptoms, except for a slight cough.

Should I be worried about the CRP or not?

slyraven82 said:I need some help interpreting these results. I’m a father at 49 and dealing with thyroid issues (Hashimoto)—because of several complications and high anti-TPO levels, my doctors sent me for extra testing, since they've seen how one autoimmune issue can often trigger another. Looking back at more serious health hurdles, I've dealt with breast cancer (early stage, successfully removed via conservative surgery), a minor stroke, and cervical spine surgery where an artificial disk—carbon fiber—was implanted.
Generally speaking, I feel fine 😁 😁

My anti-TPO levels are currently at 1300 (should be under 35), but my thyroid hormones and TSH are finally looking okay—I'm using bioidentical hormones.
The Rheumatoid factor came back normal:
What’s really worrying me is the ANA result: Positive, speckled, titer 1:360 (reference range: negative, titer Could anyone offer some insight?
Thanks in advance 😁

Did they determine the specific ANA antibody subtypes (anti-ds DNA, SS-A, SS-B, Scl-70... ), or check complement levels (C3, C4, CH50)?

ANA is a fairly non-specific antibody—it can show up in many different autoimmune conditions, but it can also be a false positive in healthy individuals (according to medical literature, up to 5% of healthy people have elevated ANA levels).

However, given that you feel good (which is ultimately your most important guide), and seeing an isolated elevation in ANA alongside the previously mentioned TPO, I don't see any reason to panic just yet.
You will continue to monitor things and stay under observation. Based on what an endocrinologist might suggest, you'll likely undergo some additional testing.

restlessangler said:Diagnosis: SCLE (Lupus)
Regular checkups.
I'm curious about this creatinine in the urine and the creatinine clearance.
Thanks for the reply

http://s10.postimg.org/4mmnbkdrd/image.jpg

You'll need to repeat the clearance test by collecting another 24-hour urine sample. Based on this current report, the clearance is decreased, which would theoretically suggest slightly impaired kidney function (likely related to the primary condition). However, without a second clearance reading, we are essentially just speculating. The protein levels in the 24-hour urine are normal, which is a positive sign!

Taylor Brown said:Recurrent disc herniation at the L5-S1 level on the right side... does anyone know what this actually means? Translation??
MRI results 😉

Essentially—this would mean that, unfortunately, the disc herniation has returned at the L5-S1 level—which was likely the site of your previous surgery.

Hey, if anyone can help me out here; what does a diagnosis of Articular Distortion TLC I. sin. actually mean? I was at the ER and they told me it’s probably just some torn ligaments, so I was wondering if you can tell from that specific diagnosis how bad the tear is—like, is it a minor strain, medium, or something really serious? I have my follow-up appointment this Monday, but I'm just curious in the meantime.

I know this isn't a lab result or anything, but people over here seem pretty quick to jump in with answers.

Thanks! 🙂

rapidnomad322 said:If anyone can help—what does an Articular Distortion diagnosis actually mean? At the ER, they mentioned it might be a ligament tear, and I'm wondering if the diagnosis itself indicates the severity of the tear (mild, moderate, or severe)? I have my follow-up appointment this Monday, but I’d love some clarity in the meantime.

I realize this isn't a lab result, but people here tend to be quite responsive.

Thanks! 🙂

It's a sprained left ankle—the diagnosis won't specify if a ligament is actually torn.

No problem.

Sandra Vaughn50 said:With an ankle sprain, you can't really tell from just the diagnosis if it's just a ligament issue or if there's actually a fracture or something cracked.

No worries at all!

Thanks, I honestly thought there might be a bit more info we could squeeze out of the diagnosis itself 🙂

Chris Howard3 said:Forgive me if I’ve posted this in the wrong thread; I wasn't quite sure where to put this question.
Could someone help me interpret my mother-in-law's thyroid needle biopsy results?

Microscopic appearance: moderately cellular punctate, some clusters of thyrocytes, plenty of pigment phagocytes, some colloid.

Conclusion: moderately cellular colloid cystic nodule (T-2).

Thanks.

The cytology points toward a benign change in the thyroid. The final takeaway depends on the clinical findings and an ultrasound, assuming one was performed—which I assume it was.

Justin Phillips15 said:Just wanted to drop in the updated CBC results..
Previously, the issues were: leukocytes 13, lymphocytes 12, reactive lymphocytes 12.

Yesterday's results: leukocytes 10.3, lymphocytes 29, no reactive lymphocytes.
The only thing still elevated is my CRP at 7.5.

Nicholas Myers, you suggested I get tested for mononucleosis the first time.. however, the blood work has returned to normal. My doctor mentioned there might be some lingering inflammation due to the CRP, but since the blood counts improved, she said she wouldn't refer me anywhere else just yet; instead, she wants me to come back in a month to recheck the CRP...
Otherwise, I'm feeling fine, except for a bit of a cough.

Should I be worried about the CRP, or not?

I wouldn't worry over a marginally elevated CRP. In fact, if there are no other symptoms, I wouldn't even bother checking it again in a month. I still suspect there's a high probability you just had a mild case of mononucleosis.

Have you had your liver enzymes checked?

Maria Fisher46 said:I wouldn't worry about just a slightly elevated CRP. Honestly, if there aren't other symptoms, I wouldn't even bother checking it again in a month. I still think there's a pretty good chance you just had a mild case of mononucleosis.

Have you checked your liver enzymes lately?

Okay, thanks for the reply. I haven't rechecked the liver enzymes, so I'll make sure to mention that next time. Best regards.