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

Started by Sam Hall15 · · 👁 92 views · 1.8K replies

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Participants Sam Hall15Laura Lopez29Alexander Hughes2Ashley RamirezSandra Reyes7George Clark19Harold Ramirez49Gerald Lewis36Hannah Phillips50John Parker6darkmakerwearysailor3Kimberly Hughes23Walter Myers4coastaljackal8Elizabeth Ross48Susan Ruiz76darkraven10Frank Wright7Chloe Lee72Morgan Miller7Justin Parker4hiddensurfer17feralfox12 …
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#801 ·
Kate James50 said:I had a full blood panel done because of my birth control pills and everything looks totally fine except for my INR, which came back at 0.97...
So, what does that actually mean? And how can I even fix it... I was browsing online and saw that if it’s under 2, there's a risk for a stroke... and that’s definitely not something I want to be worrying about...

You didn't mention if you're getting these tests because you're already on hormone therapy and just checking in, or if you're thinking about starting them soon. There's a massive difference there...

A result like that suggests your blood might be clotting too easily, which opens the door to thrombosis risks. So, if you aren't on hormones yet, I highly doubt anyone would clear you to start with those numbers. Hypercoagulability isn't just a brain issue either—it could lead to a pulmonary embolism (like what happened to Yasmin), or even a heart attack or damage to other organs...

Basically, if you aren't on hormones right now, you absolutely need to talk to a doctor about managing this current situation... they might even put you on some preventative anticoagulants if they see a need... you definitely need to get a full coagulation profile done so everything can be looked at in detail...

The only thing I can tell you based on this one number is that there isn't anything you can do on your own to change it. You really need professional medical intervention here... and starting any kind of hormone therapy with results like this definitely takes a backseat... 🙂

And if you are already taking hormones and seeing these kinds of results, then you should probably stop taking them as soon as possible... 🙂
mistymarlin86 mistymarlin86 Newcomer
3 messages
joined May 2010
#802 ·
Hello,
I’m not entirely sure if I’ve landed in the right corner of this forum, but since the discussions here seem centered on lab results, I figured I’d toss my question out there...
I recently went in to have my total IgE levels checked because of some allergy issues, and all I walked away with was this piece of paper:

Immunology IgE
Result 6.94
Ref. interval 0-122kU/L

Does anyone know if these numbers are actually normal, or what they specifically imply?
Nancy Hughes7 Nancy Hughes7 Newcomer
7 messages
joined Feb 2018
#803 ·
Hey there 🙂
Can someone take a look at this and tell me if I'm in the clear:
CBC
WBC: 9.9 (3.4-9.7)
neut.: 6.70 (2.06-6.49)

Platelets
non-segment.: 8 (0-2)
Everything else seems to be within the normal range.
I'm five months pregnant.
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#804 ·
Nancy Hughes7 said:Hey there 🙂
Can someone let me know if these results look alright:
CBC
WBC: 9.9 (3.4-9.7)
neut.: 6.70 (2.06-6.49)

Band cells
unsegmented: 8 (0-2)
Everything else seems to be within the normal range.
I'm five months pregnant.

The lab work could totally be accurate because it's definitely possible you're fighting off some kind of infection given those high neutrophils and the uptick in unsegmented white blood cells, so you might have dealt with—or maybe still are dealing with—some sort of localized inflammation or even a little abscess somewhere...
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#805 ·
mistymarlin86 said:hey there,
not totally sure if I'm in the right spot, but since everyone seems to be talking about lab results, I figured I'd toss my question out there too...
I just went in for some blood work to check my total IgE levels because of my allergies, and this is all they gave me on the printout:

Immunology IgE
Result 6.94
Ref. range 0-122kU/L

does anyone know if these numbers look normal or what they actually mean?

Your results look totally fine to me. If you were having some seriously massive allergic reactions, that IgE number would have shot way past the reference range, but yours is looking good... everything seems perfectly normal...
Nancy Hughes7 Nancy Hughes7 Newcomer
7 messages
joined Feb 2018
#806 ·
Grace Smith said:It’s probably best to play it safe. Those elevated neutrophils and the high percentage of bands suggest your body is fighting something. You might be dealing with some kind of infection somewhere...

Thanks!! My next checkup isn't for another two weeks, so I was just wondering if I should hit the gym or stay on the couch.
Arthur Miller8 Arthur Miller8 Newcomer
3 messages
joined Aug 2009
#807 ·
Grace Smith said:You didn't specify if you ran these tests because you're already on hormone therapy and need a check-up, or if you're planning to start. There's a massive difference there.

Results like this point toward an increased tendency for blood clotting and a subsequent risk of thrombosis. Basically, if you aren't currently on hormones, I highly doubt any doctor would clear you to start given these numbers. Hypercoagulability isn't just a brain risk; it's a gateway to a notorious pulmonary embolism (like what happened to Yasmin), potential myocardial infarction, or damage to any other organ.

So, if you aren't on hormones yet, you absolutely have to consult a physician regarding treatment for this condition... they might even prescribe preventive anticoagulants if it looks necessary... you definitely need a full coagulation panel and a deep dive into the data.

The only thing I can tell you based on this finding is that you cannot handle this situation on your own. Medical intervention is mandatory here. As for the hormones? Starting them with results like these is definitely not the priority right now.🙂

And if you are already taking hormones and seeing these kinds of results, then you seriously need to stop taking them immediately. 🙂

Yeah... I am already on hormones... Thanks for the reply... 🙂 I got confused because I was seeing so much conflicting info online. I read somewhere that those reference values (2-4)
apply to people who are already on anticoagulant therapy, while the "normal" range for everyone else is actually lower, but I couldn't find the exact number anywhere... Anyway, I'm taking the results to my doctor this week, so I'll see what she says.
Thanks again for the answer 😉
mistymarlin86 mistymarlin86 Newcomer
3 messages
joined May 2010
#808 ·
Grace Smith said:Your results look fine. If you were having a massive allergic reaction, your IgE levels would likely be way outside the normal range, but based on this, everything looks standard. No red flags here.


Thanks for the input.
But if my labs are coming back clean and all my allergy tests have been negative—and I’ve actually gone through three different testing sites at this point—how am I supposed to figure out what's triggering this? How do I know what to stay away from? Has anyone else dealt with this, where the lab work shows nothing but the allergy just won't quit? It's a skin thing. Any advice on what the next step should be?
Kate Collins67 Kate Collins67 Active Member
168 messages
joined Apr 2010
#809 ·
1. How can you even be sure it’s actually an allergy?
2. Most allergy panels only screen for the "usual suspects"—you know, the standard stuff—they aren't exactly testing for every single thing under the sun.
3. And honestly? Even dermatologists struggle to explain certain skin reactions... at least, that’s been my experience.
mistymarlin86 mistymarlin86 Newcomer
3 messages
joined May 2010
#810 ·
A few different dermatologists I’ve seen lately have all pointed toward an allergy, so I’m operating under the assumption that’s what we’re dealing with here—unless, of course, it looks like one thing but turns out to be something else entirely, which I suppose I wouldn't be able to determine on my own anyway...
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#811 ·
mistymarlin86 said:thanks for getting back to me.
but if my labs look fine and all my other allergy tests came back negative—and I've actually done three different rounds of testing by now—how am I supposed to figure out what's actually triggering this or what I need to stay away from? has anyone else dealt with having totally normal lab results while the allergy just keeps hanging on... any ideas on what to do next? it's a skin allergy issue.

Kate Collins67 gave you some solid advice there. If your IgE levels are totally normal but you're still pretty sure it's an allergy, it's likely not an allergic reaction since those IgE numbers usually tell the whole story... maybe it's time to get a second opinion from a different dermatologist?🙂
fadedheron892 fadedheron892 Active Member
57 messages
joined Nov 2009
#812 ·
mistymarlin86 said:hey,
not sure if I'm in the right spot but since everyone here is obsessing over lab results, I've got a question too...
I went in to get my total IgE checked because of some allergy issues and this is all they gave me:

immunology IgE
result 6.94
ref. range 0-122kU/L

are these numbers actually normal and what does it even mean?

My IgE levels have always stayed within the normal range even though tests kept flagging allergies left and right. Look, those standard panels don't cover everything—they never do—so you’re basically going to have to play detective yourself. Check if it's something like jewelry, maybe gold, or some skincare products, makeup, or even certain drinks or alcohol. Figure out exactly what they tested you for and stop looking at those; focus on the stuff they missed. You're obviously gonna have to figure out for yourself what's actually triggering this.
Kate Collins67 Kate Collins67 Active Member
168 messages
joined Apr 2010
#813 ·
Since I can't think of anything actually brilliant to suggest right now, you might as well just try what's listed above.
Edward Chase5 Edward Chase5 Newcomer
4 messages
joined May 2010
#814 ·
Sample Prep: Mononuclear Isolation
Panel: CLL/NHL

Description:
The cytogram shows a uniform population of cells with consistent size and granularity located within the lymphocyte gate. Immunophenotyping of the cells revealed the following markers:

B-cell:
Kappa chains 4%
lambda chains 3%
CD19 8%
cd20 9%
CD22 9%
T-cell:
cd3 60%
cd4 35%
cd8 24%
cd5 58%
Other markers:
cd16+56 25%
cd10 0 %

CONCLUSION:
Peripheral blood immunophenotyping identified a homogeneous lymphocyte population (26%). Findings include T-cells at 60% (comprised of 35% helper and 24% cytotoxic), approximately 9% B-cells, and about 25% NK-cells.

Can someone give me a plain English explanation? There are NO reference ranges listed on this report, so I have no idea what these numbers actually mean (any specific disease/condition?)....THANKS
Michael Nelson84 Michael Nelson84 Newcomer
2 messages
joined Mar 2009
#815 ·
Hey everyone, I was wondering if someone might be able to help me make sense of my husband's semen analysis results? I can already tell they aren't great, but I'm really hoping there's someone here who actually knows their stuff and can tell me just how much of an issue we're looking at.

Just to give you some context, when he was about 15, he had to have emergency surgery on his testicle, and they ended up removing one of them. Back then, the doctors told him the surgery went fine and that it wouldn't affect his ability to have kids later on, but since we've been trying to conceive for a while now, he finally went in to get this test done.
Here’s what the report says:
ejaculate volume 4.2ml, sperm count per ml: 5.5x10^6; total sperm count in ejaculate 23.1x10^6. Motility: progressively motile (kinetics 3/4) 18.18%; motile (kinetics 2/3) 36.36% ; non-progressive motile (kinetics 2) 9.09% . Non-motile sperm 36.36%. Diagnosis: OLIGOASTHENOZOSPERMIA
Note: 93% morphology shows abnormal shapes.

If anyone could please share your thoughts or maybe suggest what steps we should take next—like, is there anything at all we can do to try and improve these numbers—I would be so incredibly grateful.
Thanks so much!
Edward Chase5 Edward Chase5 Newcomer
4 messages
joined May 2010
#816 ·
Kimberly Grant15 said:Can someone help me make sense of my husband's semen analysis? I know the results aren't great, but I'd love to hear from anyone who actually knows their stuff about how bad we're really looking.

Just wanted to mention that when he was 15, he had emergency surgery to remove one of his testicles. Doctors told him back then that everything went fine and it wouldn't affect his ability to have kids. Since we've been trying to conceive for a little while now, he finally went in to get a sperm count done.
Here are the results:
Volume was 4.2ml, sperm count at 5.5x10^6 per ml, totaling 23.1x10^6 in the whole sample. Motility looked like this: 18.18% progressive (grade 3/4), 36.36% moving (grade 2/3), and 9.09% non-progressive (grade 2). About 36.36% were immotile. Diagnosis came back as oligoasthenospermia.
Just a heads-up: they flagged a 93% morphological abnormality rate in the sperm count.

I'd love to hear what you guys think—what would you recommend doing here? Is there anything we can actually do to make things better?
Hey there!


Any urologist will tell you that as long as there’s at least one moving sperm, you still have a shot at conceiving. My own results were pretty rough at first, but I started loading up on Vitamin E, quit smoking, and cut out all that heavy, spicy food. I also tried a few doses of Proviron, and honestly, I saw a real difference by the third spermogram.
All this speculation is getting ridiculous. Honestly, you’re better off just booking an appointment with a private urologist!
After three failed IVF attempts, we finally conceived naturally. Now, he’s already running around in his walker and trying to eat banana peels... I gotta run... book!
northernviper12 northernviper12 Newcomer
6 messages
joined May 2010
#817 ·
The title basically acts as a heads-up regarding my blood work results.

Here are the values that fell outside the normal range:
White Blood Cell Count 10.9H (3.4-9.7)
Neutrophils 6.59H (2.06-6.49)
Eosinophils 0.60H (0.00-0.43)
Neutrophil Percentage 60% (44-72)
ESR (Sed Rate) 22H (2-13)
Fibrinogen 4.3H (1.8-3.5)

Can anyone make sense of this for me? What am I looking at here?
Thanks in advance!
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#818 ·
northernviper12 said:The title is just how the blood work results are labeled.

Values outside the normal range:
White Blood Cell Count 10.9H (3.4-9.7)
Neutrophils 6.59H (2.06-6.49)
Eosinophils 0.60H (0.00-0.43)
Neutrophil percentage 60% (44-72)
ESR 22H (2-13)
Fibrinogen 4.3H (1.8-3.5)

Can someone explain what this means?
Thanks in advance!

Oh man... you really need a hematologist for an interpretation like this, and those guys are a whole different level beyond regular internal medicine specialists...

Let me try to share what I know from my own perspective, keeping in mind that I’m just a student and definitely not a hematologist, so please feel free to jump in if I missed anything...

Those reference ranges are more like general guidelines... and things being slightly out of bounds doesn't always mean it's some huge drama...

But looking at your numbers, all the granulocytes are elevated... which might suggest there's something messing with your hematopoiesis due to some underlying factor... I wouldn't go jumping to conclusions about leukemia or lymphoma, but it's pretty clear something is throwing your blood production off balance... do you happen to have the rest of your CBC handy so we can see how your red blood cells look?

And honestly, it would be a ton easier to help if you could mention why your doctor even ordered these tests in the first place, rather than just posting the raw data...🙂
Jacob Fox6 Jacob Fox6 Active Member
86 messages
joined Apr 2010
#819 ·
Edward Chase5 said:Sample Prep: Mononuclear cell isolation
Panel : CLL/NHL

Description:
The cytogram shows a uniform population of cells based on size and granularity within the lymphocyte gate. Immunophenotyping revealed the following markers:

B-cell:
Kappa chains 4%
lambda chains 3%
CD19 8%
cd20 9%
CD22 9%
T-cell:
cd3 60%
cd4 35%
cd8 24%
cd5 58%
Other markers:
cd16+56 25%
cd10 0 %

CONCLUSION:
Immunophenotyping of the peripheral blood sample identified a homogeneous lymphocyte population (26%). Findings include T-cells at 60% (comprising 35% helper and 24% cytotoxic), approximately 9% B-cells, and about 25% NK cells.

Can someone give me a simple explanation? There aren't any reference values listed on the report, so I have no idea what these numbers actually mean or if they point to a specific disease... THANKS

It’s looking like the same situation again... honestly, this is really a question for a hematologist, and since that’s such a super niche specialty, it’s basically impossible to answer unless you’re an expert in the field. I’ll try to weigh in based on what I've picked up from my textbooks, though...

From what I can tell, it looks like this test was ordered to figure out which type of Non-Hodgkin lymphoma we're dealing with, especially given the suspicion of Chronic Lymphocytic Leukemia (CLL). In my opinion, those CD8 levels (cytotoxic lymphocytes) seem way too high, and the NK cell count does too...

With Chronic Lymphocytic Leukemia (CLL), you typically see B-cells expressing CD19, CD20, and CD23 (or sometimes CD22), along with CD5 expression—which is weird because CD5 is normally found on T-cells, but in CLL, it shows up on the B-cells...

Since your results show those specific B-cell markers (CD 19, 20, and 22), it seems like this could actually be used to confirm a diagnosis of CLL...

The only thing tripping me up is the T-cell data... but man, it’s so hard to say for sure without knowing why the test was even requested in the first place, because that clinical context is everything when you're trying to make sense of these numbers. I'm definitely not a hematologist or an internist, just an enthusiastic student over here, so I'm basically just grasping at straws and trying to guess what might be going on...

Please feel free to jump in and correct me or add anything else, since I was definitely checking a few books to put this together...
northernviper12 northernviper12 Newcomer
6 messages
joined May 2010
#820 ·
Grace Smith said:However, since you're seeing an elevation in all your granulocytes... that could potentially point toward some kind of hematopoiesis issue amidst a million different factors... I wouldn't go jumping straight to leukemia or lymphoma, but there’s clearly some factor messing with how your blood cells are being produced, that much is certain... Do you happen to have the full CBC results handy so we can see what the erythrocytes look like?

And honestly, it would be a huge help if you'd just mention why you were even sent for this testing in the first place, rather than just dropping the lab results on us.🙂


Thanks for getting back to me!
So, this is all from my pre-op screening (bloodwork, urine, EKG, X-ray) because I've got a knee surgery coming up soon, and I need to hand everything over to the anesthesiologist.
As for the erythrocytes, here is what the report says:

Erythrocytes 5.51 (4.34-5.72)

Which seems to fall within the "normal" range according to those reference values.
Now I'm sitting here wondering if I should be more worried about my knee or my bloodwork. 🙄
Is there any chance these results might cause the anesthesiologist to pull the plug on the surgery? (I've been waiting three months for this!)
Thanks again!

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