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

neongardener6 said:There’s no history of allergies in our family. He just had some dermatitis when he was an infant—we had to use Mustela products because his face and eyebrows were covered in crusty patches...

I'll tell you this much: they need to issue a referral for iron testing...

Can anyone tell me if it's actually possible for my child to run a fever every three or four weeks and have it be caused by an allergy? ....

We're all athletes, basically. We deal with dystonia, or rather we used to struggle with hypotonia, and there’s also some degree of cerebral hypoxia involved... staying healthy is absolutely vital so we can keep training...

That’s why I am so incredibly desperate to pin down what is causing these fevers.

An allergy cannot be the cause. Period. If you're asking me what *could* be causing this, I'll give it to you straight: I don't know. You need a comprehensive medical evaluation.

vividsailor7 said:Allergies aren't the culprit here. Period. You want to know what actually is? I have no clue yet. We need an actual, logical medical workup to find out.

thanks guys

So far, the only "expert" advice I've gotten is that if my oldest stops going to daycare, the younger one will magically stay healthy... plus everyone keeps telling me it's totally normal for kids to run fevers this often. Total nonsense.😢

neongardener6 said:There isn't a single allergy to speak of in our family history—none at all. However, he did struggle with dermatitis when he was just a little thing; we actually had to rely on Mustela products back then because his face and the area around his eyebrows were constantly covered in those stubborn little crusts.

I’ll tell him to go ahead and request the referral for an iron panel...

Is it actually plausible—and I mean truly, biologically plausible—that my child is running a fever every three to four weeks on the dot, only for us to be told it’s just "allergies"? It sounds absurdly simplistic, doesn't it? To suggest that an allergic reaction could trigger such a rhythmic, recurring spike in temperature at such regular intervals... I find myself questioning if we're even looking at the right culprits here.

Since we’ve spent our lives training athletes—dealing with everything from dystonic syndrome to chronic hypotonia—we’ve also had to manage brain hypoxia ranging from level two to three. Honestly, at this point, staying healthy isn't just a goal; it's an absolute necessity if we ever want to step back into the gym or get through a serious workout session.

That is precisely why I am so damn determined to pin down the actual cause behind these temperature spikes—I refuse to just sit here and wonder.

I’d bet my life that we’re looking at some kind of food allergy here—honestly, Sarah, do you remember when B went through this exact same thing around his first birthday? We were wandering around aimlessly with no answers until I finally tracked down an incredible specialist over at Mayo Clinic and another doctor from Mount Sinai. We narrowed it down to three specific ingredients, cut them all out completely, and—presto—the problems vanished. The thing is, we were dealing with constant bouts of diarrhea—sometimes hitting the 40+ mark—plus this recurring rash. Every single time I mentioned the rash, the folks over at Walgreens tried to brush it off as some random insect bite, despite the fact that I kept pointing out the pattern: the rash shows up specifically right after a fever hits, and it always appears in the exact same spots on the body. It wasn't a coincidence; it was a pattern.

Alongside those bouts of high fever, we were constantly dealing with these lingering low-grade temperatures—hovering right around that 99.5 to 100.4 degree range.

Well, even for us, seeing elevated IgE and CRP levels is nothing out of the ordinary—it’s exactly what you’d expect to see when dealing with food allergies.

EDIT: Sarah—if these symptoms don't clear up soon, you need to demand a referral for the Rebro metabolic specialists—especially if you start dealing with any diarrhea or vomiting.

Since the doctor's question form isn't working properly, I'm just going to send my inquiry this way.

Hi there,

I'm 24 years old. I ended up seeing my doctor because I experienced some sudden heart palpitations last week—it just hits out of nowhere and lasts for a few seconds. My EKG came back normal, but she sent me off for blood and urine tests. I couldn't quite make sense of the urine results, but here is what the blood work shows:
Cholesterol gen 2 4.6
Triglycerides liquid 0.55
Glucose HK gen 3 4.4
IRON gen 2 26.6
TIBC 68.1
UIBC with BTS value 41.5
SE 22
E 4.48
Hgb 128
L 6.5

What’s really worrying me is the iron level and the sedimentation rate. Based on what I've read online, it looks like something might be off. Honestly, I feel fine; I eat a healthy diet and I exercise regularly, so I have no idea what the issue could be. Since I won't be able to see my doctor again for a few days (until after the weekend), I would be incredibly grateful if someone could help me interpret these results.

Aaron Clark5 said:......
Cholesterol gen 2 4.6
Triglycerides liquid 0.55
Glucose HK gen 3 4.4
IRON gen 2 26.6
TIBC 68.1
UIBC with BTS value 41.5
SE 22
E 4.48
Hgb 128
L 6.5

The iron and sedimentation levels are what have me concerned........

Hi there,

Just to be safe, please include the units and the reference ranges. Based on the standard values I have on hand, nothing looks out of line.

Have you checked your thyroid hormones (TSH, fT4, fT3) yet?

protein (serum)________________________ref. interval:

Immunoglobulin E - 16 H IU/ml ___________less than 15
Immunoglobulin G - 3.39 L g/l______________3.5-11.8
Immunoglobulin A - 0.11 L g/l______________0.36-1.65
Immunoglobulin M - 0.56 g/l______________0.36-1.04

Got a one-year-old here... what's the deal with these low G and A levels? Is this looking too low, or is it something we can just live with?
And that first E value is up a bit... does that point toward an allergy issue?

Sam Kim12 said:I’d bet my life the cause is some kind of food allergy. I don't know, neongardener6, do you remember? I dealt with the exact same thing with B when he was about a year old. Nobody could figure out what was going on until I finally sat down with an amazing doctor at a Mayo Clinic branch and another specialist over at Mount Sinai. We suspected three specific foods, cut all three out, and boom—the problems vanished. We were dealing with fevers hitting 104+ almost constantly, and sometimes skin rashes too. The doctors at Cleveland Clinic tried telling me it was just insect bites every single time I pointed out that the rash appeared specifically whenever the fever spiked and always in the same spots.

During those high fever episodes, we were frequently hovering around 100-101°F.

And our IgE and CRP levels were through the roof, which is totally standard when you're dealing with food allergies.

EDIT: neongardener6, if these symptoms keep up, demand a referral to a metabolic specialist at Mount Sinai, especially if vomiting or diarrhea starts happening.

Temperature and CRP have absolutely nothing to do with an allergy (you literally have Dr. Richter's answers right there)!!!

Ashley Watson said:serum proteins________________________ref. interval:

Immunoglobulin E - 16 H IU/ml ___________less than 15
Immunoglobulin G - 3.39 L g/l______________3.5-11.8
Immunoglobulin A - 0.11 L g/l______________0.36-1.65
Immunoglobulin M - 0.56 g/l______________0.36-1.04

The child is a year old... what do these low G and A values actually mean? Is it too low, or is it something we can live with?
And since the E is elevated... does that mean it's a sign of an allergic disorder?

Why were these tests even run first??

vividsailor7 said:Temperature and CRP levels don't have anything to do with allergies (you guys already got those answers from Richter!!!)

So why were all those tests done in the first place??

Because he dealt with bronchitis twice. They ran allergy panels for him too.

vividsailor7 said:Temperature and CRP levels have absolutely nothing to do with allergies (you can check the responses from Richter if you don't believe me)!!!

What temperature are we even talking about? He didn't have a fever.

Ashley Watson said:He’s already dealt with bronchitis twice now. On top of that, they even ran a full battery of allergy tests on him.

Look, in my opinion, those numbers for DOB are looking a little on the low side. Now, don't get me wrong—I’m an internist, not a pediatrician, so you absolutely need to get a specialist's take on this. You really should have a pediatrician weigh in. My suggestion? Supplement the workup with some protein testing and definitely get a follow-up with an allergist or an immunologist just to be safe.

Ashley Watson said:What temperature are you even talking about? He didn't have a fever!

My bad! That was actually meant for Sam Kim12, but it looks like I totally missed the quote on her post.
I’d really appreciate it if the moderator would just step in and fix this once and for all.

Maria Fisher46 said:Ma'am,

Just to be safe, please include both the units and the reference ranges in your reply. Based on the numbers I have on hand, nothing looks out of line here.

Have you checked your thyroid levels yet (TSH, fT4, fT3)?

I will get those iron values over to you, but they are peaking at 26—it isn't wildly above the limit, but it worries me because my levels usually hover way below the minimum threshold. As for my sedimentation rate, the standard range is listed as 0 to 22, yet mine is currently double that maximum. I’ve never really gone in for regular testing before this; I haven't had any health issues until now, aside from being chronically anemic.

Aaron Clark5 said:I'll list my iron levels for you—it's at 26, which isn't much higher than the upper limit, but it worries me because I usually struggle to even hit the minimum threshold. As for my sedimentation rate, the normal range is supposed to be 0 to 22, but mine is actually double the maximum allowed. I’ve never had any medical tests done before, and I haven't dealt with any health issues until now, aside from being chronically anemic.

The results look perfectly normal to me.

vividsailor7 said:Temperature and CRP have absolutely nothing to do with an allergy—and you can take Dr. Richter’s word for it if you want!

Please, spare us the lectures if you aren't actually certain about what you're talking about—especially regarding Dr. Richter. I could go on forever, but honestly, it's enough for me that he sent my child home from the ER just because his mother was "overreacting"—even though the kid had a 104 fever we couldn't break, along with Lkc 4 levels, only to be rushed to infectious disease hospital the very next day for Adenovirus pneumonia, dehydration, and total exhaustion—despite having downed over two liters of fluids. That should be more than enough evidence for any intelligent person; besides, his rude way of communicating—both in person and on these forums—speaks volumes about him.

Temperature and CRP can most certainly be linked to allergies—they show up as secondary indicators, and if a food allergen is ravaging your intestinal wall, your CRP is going to spike.
You still haven't told me what your actual medical specialty is, but frankly, I have much more faith in Dr. S. and Dr. B. over at Rebro—as well as several other allergists who actually bother to examine and listen to their patients instead of just throwing out diagnoses based on textbook test results.😉

So many doctors hear "Lkc 15" and "CRP 30" and immediately start barking about bacterial infections—but anyone with half a brain knows that isn't always the case.☕

Alright, moving right along. I just got my hormone results back from day three of my cycle, and honestly, some of this looks pretty alarming...

Prolactin is sitting at 363, which hits the upper limit, though it technically falls within the reference range up to 557.

The real issue here is the Progesterone level, which came in at 4.82. During the follicular phase, that number should be somewhere between 0.32 and 0.95. This is massively elevated. What does this actually imply, how much is this going to mess with my chances of getting pregnant, and what kind of specialist should I be seeing about this? My LH, estradiol, FSH, and Testosterone levels are all perfectly normal...

Thanks in advance.

Chris Johnson88 said:Moving right along. Just got the Day 3 hormone results back, and they're pretty concerning...

Prolactin is 363—so it's hitting the upper limit, but technically still within the reference range up to 557.

The real issue is the Progesterone which came in at 4.82. In the follicular phase, it should be somewhere between 0.32 and 0.95. That is way too high. What does this actually mean, how does it mess with getting pregnant, and who should I be talking to about this? LH, estradiol, FSH, and Testosterone all look normal...

Thanks in advance.

Just transcribe every single one of her test results, including the thyroid panel. (Read the first post; it’ll make it obvious why 🙂)

melloworca6 said:Just go ahead and transcribe every single one of her lab results from scratch, including the thyroid panel. (If you actually bother to read the first post, you'll understand why 🙂)

Here it is, right now...

Thyroid Issues:

TSH 3.34 normal range 0.27 to 4.2
FT3 4.8 normal range 3.1 to 6.8
FT4 14 normal range 12 to 22
Prolactin 212.0 normal range 71 to 566

I haven't bothered testing for antibodies yet since I'm heading to an endocrinologist for an ultrasound and a full checkup sometime in the next few days...

Prolactin 363.49 normal range 108.78 - 557.13
Progesterone 4.82 normal range 0.32 - 0.95
FSH 13.46 normal range 3.03 - 8.08
LH 7.46 normal range 1.00 - 11.78
estradiol 136 normal range 77 - 922
Testosterone 1.33 normal range 0.45 - 3.75

So there it is, both my Progesterone and FSH are way too high, and by "way too high," I mean significantly outside the lines...

Sam Kim12 said:Look, if you aren't absolutely certain about what you're claiming, then please, just stop. I could go on forever regarding Dr. Richter, but honestly, one experience was enough to tell me everything I need to know. My mother might be exaggerating a bit, but the facts speak for themselves: they sent my child home straight from the ER! The kid had a fever of 104 that we simply couldn't break, along with Lkc 4. Then, sure enough, the very next day, the child had to be rushed into emergency hospitalization at the pediatric infectious disease ward due to Adenovirus pneumonia, dehydration, and total exhaustion—even though the little one had been drinking over two liters of fluids! If that isn't enough for anyone to get the point, his sheer lack of professionalism says it all. His communication style is utterly rude, whether he's dealing with people in person or acting out on forums like this. It’s pathetic.

Temperature and CRP levels can absolutely be linked to allergies. They often show up as side effects, and if you're dealing with a food allergy that's actually destroying your intestinal lining, your CRP is going to spike. It’s a direct connection.
You still haven't told me what anyone's actual specialty is! Honestly, I’m putting all my faith in Dr. Sarah and Dr. Boris over at Rebro. They actually take the time to listen to their patients. That’s more than I can say for those other "allergists" out there who just slap a diagnosis on you based on some textbook test results without even looking you in the eye.😉

It’s honestly infuriating how many doctors out there operate. The second they see an Lkc 15 and a CRP of 30 on your labs, they immediately jump to conclusions. They start shouting about bacterial infections like it's some absolute certainty. We all know that's just plain wrong—it isn't always that simple!☕

As far as my medical specialty goes, I'm a gastroenterologist. So, since you're asking, let me settle this once and for all by quoting two specific passages from the standard internal medicine and gastroenterology textbooks.
Anne Hathaway – Chapter 33: Food Allergies
The diagnostic process.
Honestly, these lab results don't carry much diagnostic weight on their own. If you really want to get some useful insight, you should be looking at the lymphocyte and eosinophil counts in the peripheral blood instead. That's where the actual story is.
Boris Vucelić and his team. Gastroenterology and Hepatology.

THE IMMUNE SYSTEM
XII 3 ALLERGIC AND PSEUDOALLERGIC REACTIONS
Branimir Čvorišćec, Asja Stipić-Maraković
4.4 NUTRITIONAL ALLERGIES
The diagnosis.
If you're looking at your lab results, keep an eye out for eosinophilia in your peripheral blood. It's one of those things that can pop up on a standard panel.
Internal Medicine: Dr. Božidar Vrhovac and his team.

It would be great if you could actually tell me where you're getting this information. Are we talking about actual medical textbooks here? Because if you claim to have a more relevant source than that, I’m all ears—just say the word.
As for Richter, I trust him implicitly. If he decided to let you go, believe me, there was a legitimate reason behind it. At the end of the day, how people communicate with you—and more importantly, how they treat you—is entirely up to how you choose to carry yourself.

I went in for blood work this morning to check my iron levels—which look great!—and to test for H. pylori, which came back negative. While I was at it, I decided to run through most of my CBC just to be safe. Everything looks solid, except for one little thing that's got me slightly worried: my eosinophil granulocytes came in at 7.6%, while the standard lab range tops out at 7%.

Leukocytes: 6.0 ... 3.4 to 9.7
- neutrophil granulocytes 49.9% ... 44 to 72
- lymphocytes 34.1% .. 20 to 46
- monocytes 8.1 ... 2 to 12
- eosinophil granulocytes 7.6% ... up to 7
- basophil granulocytes 0.3% ... up to 1
- neutrophil granulocytes 3.0 .. 2.06 to 6.49
- lymphocytes 2.0 ... 1.19 to 3.35
- monocytes 0.5 ... 0.12 to 0.84
- eosinophil granulocytes 0.5 ... up to 0.43
Erythrocytes 3.94 .. 3.86 to 5.08
Hemoglobin 123 ... 119 to 157
Hematocrit 0.360 .. 0.356 to 0.47
MCV 91.1 ... 83 to 97.2
MCH 31.1 .. 27.4 to 33.9
MCHC 341 .. 320 to 345
RDW 12.4 ... 9 to 15
Platelets 178 ... 158 to 424
MPV - mean platelet volume - 10.5 ... 6.8 to 10.4

Thanks for the help!

ambernomad3 said:I went in for bloodwork this morning to check my iron levels—which look great—and to test for H. pylori, which came back negative. While I was at it, I decided to run a full CBC just to be safe. One thing that caught my eye and actually has me a bit worried is the eosinophil count; it's sitting at 7.6%, while the lab's reference range tops out at 7%.

White Blood Cells: 6.0 ... 3.4 to 9.7
- Neutrophils 49.9% ... 44 to 72
- Lymphocytes 34.1% .. 20 to 46
- Monocytes 8.1 ... 2 to 12
- eosinophils 7.6% ... up to 7
- Basophils 0.3% ... up to 1
- Neutrophils 3.0 .. 2.06 to 6.49
- Lymphocytes 2.0 ... 1.19 to 3.35
- Monocytes 0.5 ... 0.12 to 0.84
- eosinophils 0.5 ... up to 0.43
RBC 3.94 .. 3.86 to 5.08
Hemoglobin 123 ... 119 to 157
Hematocrit 0.360 .. 0.356 to 0.47
MCV 91.1 ... 83 to 97.2
MCH 31.1 .. 27.4 to 33.9
MCHC 341 .. 320 to 345
RDW 12.4 ... 9 to 15
Platelets 178 ... 158 to 424
MPV - Mean Platelet Volume - 10.5 ... 6.8 to 10.4

Thanks for the help!

High eosinophils can show up if you have allergies.
Are you having any digestive issues?
Everything else looks normal.