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

Here are the results from the endocrine workup I had done here in my hometown. For the more specialized endocrine testing, I traveled to Washington, D.C., but they didn't actually refer me for any further tests there. They just told me to come back in six months with updated MRI scans (including pituitary), prolactin, TSH, T3, T4, HR, IGF-1, cortisol rhythm, SCORT, LH, FSH, E2-2-5 d.c., and anti-TPO. My doctor at the Mayo Clinic mentioned that based on these current findings, I don't need to worry about the pituitary adenoma; she said it isn't active and we should just monitor the situation for six months without starting any kind of treatment.
I have to admit, I'm feeling a bit disappointed because I really thought I’d be getting more testing done in D.C. right now rather than waiting half a year. Besides, if that was the case, I don't quite understand why my endocrinologist referred me to Washington, D.C. for testing in the first place. It feels a little unclear to me.

I was told that this adenoma definitely isn't what's causing these involuntary movements in my arms and legs.
I'm wondering which direction I should even head in to uncover the cause, since we just can't seem to find it. Because of all this, I feel like a completely different person—listless, anxious, and depressed. I don't even have the drive to leave the house, and honestly, I wish I could just wake up a year from now and have everything be back to normal. My biggest struggle right now is the anxiety and the panic attacks; sometimes it even feels like I'm choking or can't catch my breath. I think I probably need to reach out to a psychiatrist. I can't handle this on my own, and I don't know how to help myself.

Please, if anyone has any advice on what I should do, let me know.

I forgot to include my thyroid ultrasound results: The exam shows the right lobe is somewhat larger, with a noticeably heterogeneous parenchymal structure in the lower pole. Dimensions for the right lobe are 8 (AP 16mm, ML 15 mm, and CC 50 mm). The left lobe dimensions are: AP 13mm, ML 16 mm, and CC 40 mm, with a homogeneous echo structure in the parenchyma. The contours of both lobes are regular, and the isthmus is intact.

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Just got my bloodwork back from the clinic at Petrov

(S) lactate dehydrogenase : 217 U/L ref interval: (S) C reactive protein : 0.4 mg/L ref interval 0.0 - 5.0

- age - twenties
- reason for testing (symptoms) - routine follow-up for Non-Hodgkin
- brief medical history - prior Non-Hodgkin, currently dealing with eating issues and hypoglycemia

Everything looks fine to me, but this 0.4—even though it's within range—has me wondering what it actually signifies.

Thanks in advance.

Chris Hayes9 said:I had some lab work done at Petrov

(S) lactate dehydrogenase : 217 U/L reference interval: (S) C reactive proteins : 0.4 mg/L reference interval 0.0 - 5.0

- age - twenties
- reason for testing (symptoms) - routine follow-up for Non-Hodgkin
- brief medical history - prior Non-Hodgkin, currently dealing with eating issues and hypoglycemia

My results look fine to me, but this 0.4—even though it's within range—makes me wonder what it actually signifies.

Thanks in advance.

That’s just a shorthand for CRP, which basically tells you if there's any acute inflammation going on in your system right now. Your result is perfectly normal; if anything, as you can see, it's sitting right at the low end of the scale.

Chris Hayes9 said:I had some lab work done at Petrov

(S) lactate dehydrogenase: 217 U/L reference interval: (S) C reactive protein: 0.4 mg/L reference interval 0.0 - 5.0

- age - twenties
- reason for testing (your symptoms) - routine follow-up for Non-Hodgkin
- brief medical history - prior Non-Hodgkin, currently experiencing eating issues and hypoglycemia

The results look fine to me, but even though this 0.4 is within the normal range, I’m actually curious about what it signifies.

Thanks in advance.

Everything looks normal.

Greetings, I am a 33-year-old male.
I contacted my doctor regarding intermittent dull pains located in the groin area, kidneys, joints, and bones (specifically the shins, femur, and forearm), as well as occasional pelvic discomfort.
The pain is dull and builds up before stopping abruptly, sometimes radiating from the groin into the thighs.
There has been noticeable weight loss over the past year, along with weakness and increasingly severe tremors in my hands. My blood pressure is elevated. I experience increased sweating daily, and periodically at night, which can be quite heavy.
My thyroid hormone levels were within the normal range.
PSA was normal; prostate volume is 26 cc.
Since I am waiting quite a while for several other tests (ultrasound and urological exams), I would appreciate it if someone could tell me whether these fluctuations in my values warrant an urgent doctor's visit, or if they fall within acceptable limits and don't require immediate concern. I should note that I am still awaiting my PTH results.
My most recent blood work (listing only the abnormal items):

MPV 6.23 (6.8 - 10.4)
Total calcium 2.60 (2.14 - 2.53)
Total bilirubin 22.9 (3 - 20)
Alkaline phosphatase 43 (60 - 142)
Creatinine clearance 89.1 (90 - 138)

24-hour urine volume is 3600 mL.

Thank you!

Just doing my routine blood work—I've got an SLE diagnosis, 23 years old—and I'm wondering if these deviations from the normal range mean things are getting worse or what:
hemoglobin 103 (119-157)
hematocrit 0.32 (0.356-0.47)
MCV 76 (83-97.2)
MCH 24 (27.4-33.9)
MCHC 319 (320-345)
RDW 15.6 (9-15)
neutrophils 41.3 (45-72)
lymphocytes 45.5 (19-45)
monocytes 10.8 (3-10)
Sed rate is within normal limits. Honestly, I'm tired of it always jumping around—usually just my hemoglobin is low while everything else stays fine, so these other numbers have me a bit worried..
Thanks in advance!

Could someone please help me make sense of these blood test results?
total Candida antibody titer 1:640 (reference value <40)
Candida IgG IU/ml 8.3 (reference value <10)
Thank you so much!

Sandra Jackson79 said:Just doing my routine CBC checkup (I've got an SLE diagnosis, 23 years old). I'm wondering if these deviations from the reference ranges mean things are getting worse or what:
Hgb 103 (119-157)
Hct 0.32 (0.356-0.47)
MCV 76 (83-97.2)
MCH 24 (27.4-33.9)
MCHC 319 (320-345)
RDW 15.6 (9-15)
neutrophils 41.3 (45-72)
lymphocytes 45.5 (19-45)
monocytes 10.8 (3-10)
Sed rate is within normal limits. Honestly, I'm tired of it always jumping around—my hemoglobin was low before too, but everything else was fine, so these specific numbers have me a little worried..
Thanks in advance!

I wouldn't say this shows the main condition is flaring up based on these numbers alone. What's your creatinine looking like? Your hemoglobin is down, which points toward microcytic anemia. Could totally be tied to your cycle (heavy periods, etc.). As for those tiny shifts in the differential, they're pretty much negligible. Also, you probably missed a chunk of the results—like the erythrocyte count, total WBC, iron, TIBC, or ferritin. If you have those, it’d be smart to just post everything, even if the rest looks perfectly fine.🙂

Austin Jackson55 said:Dear all, I'm a 33-year-old male.
I reached out to my doctor because of intermittent dull pains in my groin, kidneys, joints, and bones (specifically my shins, femur, and forearms), and occasionally in my genitals.
The pain is dull and builds up suddenly before subsiding, sometimes migrating from the groin to my thighs.
There’s been noticeable weight loss over the past year, along with weakness and increasingly intense hand tremors. My blood pressure is elevated. I'm sweating heavily during the day, and periodically at night—and quite profusely at that.
My thyroid hormone levels came back normal.
PSA is normal; prostate volume is 26 cc.
Since I have several other tests pending (ultrasound and urological ones) and the wait is dragging on, I was hoping someone could tell me if these fluctuations in my values require an urgent doctor visit, or if they fall within a range that doesn't warrant serious concern. Just a note: I'm still waiting on my PTH results.
My most recent blood work (listing only the abnormal items):

MPV 6.23 (6.8 - 10.4)
Total calcium, 2.60 (2.14 - 2.53)
Total bilirubin 22.9 (3 - 20)
Alkaline phosphatase 43 (60 - 142)
Creatinine clearance 89.1 (90 - 138)

24-hour urine volume is 3600 mL.

Thanks!

1. These results aren't actually that bad.
2. It looks like borderline hypercalcemia paired with clear polyuria.
3. Did they run tests for AST, ALT, GGT, glucose, P, K, Na, Ca+++, creatinine, urea, urate, KKS, or CRP? And did they perform any other 24-hour urine analyses?
4. What are your actual blood pressure readings? Is the urination more pronounced at night, during the day, or roughly the same?
I assume you're waiting on an abdominal ultrasound? It's a good move that you had the PTH checked.
Given that you mentioned high blood pressure and polyuria, your first stop should be a nephrologist, and potentially an endocrinologist if needed.
5. Any family medical history?
To give you a more detailed opinion, I'm going to need a bit more information.

wiredcanyon2 said:Looking at this, I wouldn't say the underlying condition is what's getting worse. What’s your creatinine looking like? Your hemoglobin is low—you've got microcytic anemia. That could be linked to menstrual cycles (heavier flow). As for those tiny deviations in your differential blood count, they're negligible. You probably missed part of the results (erythrocytes, total leukocyte count, iron, TIBC, ferritin)—if you have those, it would be great to see them. When you're asking questions, just write everything out, even if the results look normal. 🙂

I rushed to work this morning so I only wrote down the ones with notes on the side... So:
leukocyte high ref interval 0 3.7 (3.4-9.7)
erythrocyte 4.3 (3.86-5.08)
platelets 251 (158-424)
eosinophils 2.2 (0.0-7.0)
basophils 0.3 (0-1)
I don't have iron, TIBC, or ferritin on my report at all. Creatinine is 9.46 (6.8-12.4) and creatinine clearance is 1.15 (1.3-2.1). Does that mean I actually have microcytic anemia? For the last 10 years, my hemoglobin has always been lower than the reference range, even though I don't have heavy bleeding... thanks 🙂

Sandra Jackson79 said:Zurila headed off to work this morning and only wrote down these specific notes from the side... So, here they are:
Leukocytes at 3.7 (ref range 3.4–9.7).
Erythrocyte level is 4.3 (normal range 3.86–5.08).
Platelet count is 251 (ref range 158-424).
eosinophils 2.2 (0.0-7.0)
Basophils 0.3 (0-1)
I don't have any data for iron, TIBC, or ferritin on my lab results at all. However, my creatinine is 9.46 (ref range 6.8–12.4) and my creatinine clearance is 1.15 (ref range 1.3–2.1). What does this mean—am I looking at microcytic anemia? For the last 10 years, my hemoglobin has consistently stayed below the reference values, even though I don't deal with heavy bleeding. Thanks! 🙂

Let me jump in here for a second.
Microcytic anemia basically means your erythrocytes are smaller than average—you can see that clearly from the MCV levels—and it’s almost always due to an iron deficiency.
Creatinine is looking good, and honestly, all my other labs are coming back normal too.
I strongly suggest getting your Fe, UIBC, and ferritin levels checked.

vividsailor7 said:Let me jump in here for a second.
Microcytic anemia just means your erythrocytes are smaller than average—you’ll see it in the MCV—because you're low on iron.
Creatinine looks fine, and everything else seems normal too.
Basically, I’d suggest getting your Fe, UIBC, and ferritin checked.

Should I be worried about this? My iron levels have always been low—though I haven't had them checked recently—and when I was a little girl, I was constantly taking stuff like Heferol to make up for it. As soon as I stop, the results tank again.

Wouldn't it be fine if the results are within the normal range?

Does anyone know what it might mean if alkaline phosphatase is a bit low, even though all the other KKS parameters look fine?

Sandra Jackson79 said:Should I be worried about this? My iron levels have always been low too (though I haven't checked them in my most recent labs), and as a little girl, I used to take Ferumlek and similar supplements all the time to compensate, but as soon as I stop, the results get bad again.

A situation like this isn't cause for alarm.
You really need to check your actual iron stores—get a ferritin test done; that’s the gold standard.
Also, you should rule out GI or gynecological causes for the anemia (like a stool test for bleeding on the GI side, and a pelvic exam on the gyno side).

Charles Alvarez67 said:How could it be "bad" if the result is within the normal range?

Does anyone know what it means if acid phosphatase is a bit low, even though the rest of the CBC looks fine?

I assume you're referring to prostatic acid phosphatase.
An elevated level points toward prostate cancer; a low level doesn't mean anything.
Besides, that isn't a specific method for detecting prostate tumors anyway—PSA is much better.

vividsailor7 said:1. The results aren't actually all that bad.
2. It looks like borderline hypercalcemia and clear polyuria.
3. Did they run panels for AST, ALT, GGT, glucose, P, K, Na, Ca +++, creatinine, urea, urate, KKS, CRP? Also, were there any other tests done, like a 24-hour urine collection?
4. What are the blood pressure readings like? Is the urination more pronounced at night or during the day, or about the same?
I assume you're waiting on an abdominal ultrasound? It’s good that you had the PTH checked.
Given that you mentioned elevated BP and polyuria, your first step should be seeing a nephrologist, and perhaps an endocrinologist if necessary.
5. Any family history?
To give you a more detailed assessment, I'll need more information.

First off, thanks for the response.
I'm not expert enough to confirm if every single test mentioned was completed, given how long the referral list was. As a layman, 🙂 I don't want to provide incorrect data by mistake. For the most part, the only items that deviate from the norm are the ones I previously noted.
The 24-hour urine results include: total protein 0.108 (0.028 - 0.141)
(s) creatinine 92 (79-125)
(dU) creatinine 11.8 (9-18)
creatinine clearance 89.1 (90-138)
Blood pressure generally fluctuates between 140/85 and 160/95-100; recently it even hit 180/100—it really varies from day to day. Urination is more frequent during the day.
Waiting on an abdominal ultrasound, urine culture + urethral swab for mucous, cytological analysis of nat. and vit. colored, and urine cytology 3X.
It's been recommended that I visit a nephrologist once all the results are in.
There isn't a specific history of kidney disease, malignancy, or chronic illness in my family. The only condition that has surfaced is oral lichen ruber, which my mother developed 7 years ago. That's the first instance of anything serious in our family.
Apologies for the incomplete data. My main concern is knowing whether I should seek medical attention sooner based on these blood results, or if I can just wait until all the tests are finished. Since nothing seems critical, I'm assuming I don't need to see a doctor before everything is finalized. Thanks.

Austin Jackson55 said:First off, thanks for getting back to me.
I’m not an expert, so I can't say for sure if every single thing on that lab order was actually covered—it was a pretty massive list. As a total layman, 🙂 I don't want to misquote anything while I'm still in the dark. Basically, the only things that look out of range are the ones I mentioned before.
The 24-hour urine test includes: total protein 0.108 (0.028 - 0.141)
(s) creatinine 92 (79-125)
(dU) creatinine 11.8 (9-18)
creatinine clearance 89.1 (90-138)
My blood pressure mostly fluctuates between 140/85 and 160/95-100; recently it even hit 180/100. It really varies from day to day. Urination is more frequent during the day.
I'm currently waiting on an abdominal ultrasound, a urine culture + urethral swab for mucous, cytological analysis of NAT and stained vit, and 3X urine cytology.
It was recommended that once everything is finished, I visit a nephrologist.
There aren't any specific kidney issues, cancers, or chronic illnesses in my family history. The only condition that surfaced was oral lichen planus, which my mother developed about 7 years ago. That's the first serious case we've had in the family.
Apologies if any of this info is incomplete. My main concern is knowing whether I need to reach out to my doctor sooner based on these blood results, or if I should just wait calmly until all the testing is done. Since nothing looks life-threateningly alarming, I'm assuming I don't need to see the doctor until the full battery of tests is complete. Thanks.

1. From where I'm sitting (and without being able to see the actual files), I don't think there's any immediate emergency to call the doctor. Just follow the advice you were given—wait until you have the full set of results and then go see the nephrologist, exactly like they suggested.
2. Based on what you've told me, antihypertensive therapy is indicated for you.
3. If you have the time, feel free to type out the rest of the results.

vividsailor7 said:1. From my perspective here (without being able to perform a physical exam), I don't think there's any need for an urgent follow-up. Just schedule an appointment with the nephrologist once you have all your results ready, just as they recommended and as I previously noted.
2. Anti-hypertensive therapy is indicated for you.
3. If you have the time, you can transcribe the lab results.

Of course, without an in-person examination, we cannot discuss specific medical details definitively. That said, you have been incredibly helpful, and I feel perfectly comfortable proceeding with all the necessary testing. Besides, we've helped lighten the doctor's workload by avoiding unnecessary visits. 🙂 When I get a moment, I will transcribe the findings. Thanks again, and best regards!

Austin Jackson55 said:Of course, we can't talk about anything concrete without an actual exam and physical checkup. Still, you guys have been incredibly helpful, and now I can go ahead with all my tests feeling much more composed. Plus, we saved the doctor from a lot of unnecessary clutter. 🙂 Once I get a chance, I'll type out the lab results. Thanks again, everyone!

Don't mention it. Happy to help anytime.

Kimberly Hill28 said:Could someone please help me make sense of these blood test results?
Total Candida Antibody titer 1:640 (reference value Candida IgG IU/ml 8.3 (reference value Thank you so much.

🤷
(hives)

Olivia Anderson10 said:



These are the results from the endocrine workup I had done in my hometown. For the other endocrine tests, I traveled to Washington, D.C., but they didn't actually order any specific testing for me there. They just told me to come back in six months with new MRI results—specifically looking at the sellar and parasellar regions—along with PRL, TSH, T3, T4, HR, IGF-1, cortisol rhythm, SCORT, LH, FSH, E2 on days 2-5, and anti TPO. The doctor at the Mayo Clinic told me that based on these current findings, I don't need to worry about the pituitary adenoma; they said it isn't active, so we should just monitor the situation for six months without starting any treatment.
I have to admit, I’m feeling a bit let down. I really thought I’d be getting more testing done in D.C. right now rather than waiting half a year. Besides, if that was the plan, I guess it’s a little confusing why my endocrinologist referred me to D.C. for testing in the first place.

They did tell me that this adenoma definitely isn't the cause of my abnormal involuntary movements in my arms and legs.
I’m wondering which direction I should even head in to figure this out, because the cause remains a mystery. It’s changed who I am; I’ve become someone else entirely—listless, anxious, and depressed. I don't even have the drive to leave the house, and part of me just wishes I could wake up a year from now and find everything back to normal. My biggest struggle right now is the anxiety and the panic attacks—sometimes I even feel like I’m suffocating or can't catch my breath. I think I might need to see a psychiatrist. I can't seem to help myself, and I honestly don't know how.

If anyone has any advice on what I should do, please let me know.

I forgot to mention the thyroid ultrasound results: the exam shows the right lobe is somewhat larger, with a notably heterogeneous parenchymal structure in the lower pole. Dimensions of the right lobe are 8 (AP 16mm, ML 15 mm, and CC 50 mm). The left lobe dimensions are: AP 13mm, ML 16 mm, and CC 40 mm, with a homogeneous parenchymal echostructure. The contours of both lobes are regular, and the isthmus is intact.

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Could someone please give me their thoughts on my request?