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

Olivia Hayes89 said:Basophils are just granulocytes, and they spike when you're dealing with inflammatory responses—especially stuff like allergies or asthma. And honestly? That lump in your groin is most likely just a swollen lymph node. Lymph nodes swell up whenever there's inflammation in the area!
Did they run a CRP test? Is that level elevated?

Kimberly Stewart89 said:Regarding my labs—CRP is fine, just totally normal. The main thing is this intense ovulation I'm experiencing. I went to see my gynecologist, and she described it as "devastating"—which sounds a bit dramatic, I know—but she did run an ultrasound on that lymph node we’ve been worried about. The doctor suggested the node might just be caught between some tendons, surrounded by a bit of localized inflammation... essentially, she wants us to keep a close eye on it. She mentioned there's a chance this whole surge from the ovulation is what actually caused the lymph node to flare up in the first place. Still, though—we're going to keep monitoring it.
For the most part, I don't have a temperature—I'm not exactly feeling under the weather or anything. 🤷

Olivia Hayes89 said:What are the leukocyte and platelet counts?

Elizabeth Perez33 said:Leukocytes: 13.4
Platelets: 156

Olivia Hayes89 said:It shouldn't be anything dangerous! It'll probably pass soon! And seriously, don't sweat it—those painless lumps are usually the ones you actually have to watch out for, while the ones that hurt aren't nearly as scary! 😉 Everything’s going to be fine, just make sure you get checked out regularly!

Olivia Hayes89 said:Your leukocyte count isn't high enough to be worrying about leukemia!
You mentioned your tonsils and lymph nodes are swollen, plus the leukocytes are up, so it's most likely just some kind of inflammation!
Did they check your CRP?

And are you sure your hemoglobin is 12? Normal ranges are usually 120 - 150, so that seems a bit low to me....

John Richardson6;35458856 said:In order! Thanks!
My hemoglobin is at 102; I probably lost a zero while typing that.
My left tonsil and lymph nodes have been constantly swollen for the last year (they shrink a bit, then swell right back up again), and I even had a lymph node biopsy.
I used to deal with tonsillitis all the time, but not anymore. However, I’ve noticed these little pits on my left tonsil where white plugs form—not like the usual stuff you see with strep throat, but hard plugs inside those holes that look like cottage cheese. They eventually come out and they smell absolutely terrible. My doctor told me it was totally normal, but because I kept pushing her, she finally did a throat swab, though they didn't find any bacteria.
She wouldn't even consider sending me for a tonsillectomy because, according to her, it's unnecessary.

I'm wondering, could this be related to all of this?
The report shows anemia, and I agree it’s most likely due to inflammation. If these throat issues have been dragging on this long, go talk to your primary care doctor about getting a referral to an ENT specialist. And just so you know, a swab doesn't always catch everything.

Grace Lewis6 said:Hey!

I was hoping someone could walk me through these results—what they actually mean and if I’ll need any kind of treatment!

prl 24.6 (4-23)
test uk. 1.8 (0.2-2.6)
test slob. 40.4 (3.5-30)
udio sl.test. 2.2% (0.5-8)
shbg 23 (15-120)
androst. 8.1 (1-12)
dhea 10.6 (2-10)
17 ohp 6.7 (2-15, luteal phase, day 22 cycle)

I've got a long list of diagnoses from the last two years. If needed, I can list them all, but for now, I'll just mention Hashimoto's (euthyroid) and PCOS...

Thanks!

Edit: For medication, I'm taking Nexium 20mg, Synthroid 50, and Elicea! Also, I'm carrying quite a bit of extra weight, so I know I shouldn't be taking birth control for PCOS.🙄

Elizabeth Perez33 said:Got it! Thanks!
My hemoglobin is at 102; I probably missed a zero while typing.
For about a year now, my left tonsil and lymph nodes have been constantly swollen (they shrink a bit, then swell right back up). I even had a lymph node biopsy.
I used to struggle with strep throat quite often, but not anymore. However, I've noticed small pits in my left tonsil where white plugs form—not like the usual stuff from strep, but hard bits inside those little holes that look like grainy cheese. They eventually come out and have a really unpleasant odor. My doctor said it’s normal, and since I kept pushing, she did a throat swab, but they didn't find any bacteria.
She didn't want to refer me for a tonsillectomy because she thinks it's unnecessary.

I'm wondering, could this be related to everything else?

Thanks!

Maria Fisher46 said:Hi Grace Lewis6,

...

Losing weight also lowers your insulin levels, which in turn lowers testosterone too.

Regarding your question about how PCOS develops, there's increasing evidence pointing to hyperinsulinemia (high insulin) as a core factor in the syndrome's development. It’s also well-known that weight, especially during adolescence, is a major driver for the onset and worsening of PCOS.

One theory on why PCOS happens is that excess body weight, combined with a certain genetic predisposition (specifically regarding how the body handles insulin), leads to hyperinsulinemia (elevated insulin levels). This then triggers the ovaries to produce more androgen and affects the liver by reducing the production of sex hormone-binding globulin (SHBG), which ultimately causes free testosterone levels to rise.

That second part—the drop in SHBG and the rise in free testosterone—is actually reflected in your lab results.

Best regards. 🙂

Maria Fisher46 said:Dear John Richardson6,

It looks like you're dealing with several different issues here, so you're definitely going to need a thorough medical checkup.

Based on your lab results, I’d say one of the main priorities right now is moderate anemia, which is pretty clear from your hemoglobin levels.

I think you really need to figure out why this anemia is sticking around. Are you losing blood? You should look closely at your menstrual cycle and see if anything is going on with your digestive system—especially given those stomach pains, appetite changes, and weight loss. That needs a thorough investigation. Also, what does your urine analysis show? You need to check if there's an issue with your urinary tract too...

There has to be a reason, and we're going to find it!

Regarding that tonsil issue, you might be dealing with chronic tonsillitis. Everything you described—enlarged tonsils, bad breath, pitted surfaces, and debris—points directly in that direction. Even if a throat swab comes back clear, it doesn't rule out the diagnosis; chronic inflammation can be tricky like that. You really need to go see an ENT specialist. They’ll help you figure out if you’re a candidate for a tonsillectomy, which is often the only permanent fix if this truly is chronic tonsillitis...

Nadalje, I'm really not convinced that tonsil issues—which you've been dealing with for over a year now—would be linked to the other symptoms you mentioned (specifically the anemia, stomach pains, and weight loss)...

Honestly, I think it's way more important to nail down the actual cause of the anemia first, and then deal with those digestive issues and the weight loss...

As soon as your doctor gets back from vacation, get yourself in for an appointment and show them these results!

Hello there. 🙂

Grace Lewis6 said:Thanks for the reply, Felix, but I'm still a bit confused about the insulin part, especially since those labs were from June, right?

Glucose 5.1 (4.2-6.2)
Insulin 6.0 (2.6-24.9)
OGTT 0 min. 4.7
OGTT 120 min 5.0

Everything is within range 🤷

Do you have any advice regarding further tests or anything else?
My endocrinology appointment is in September.

Maria Fisher46 said:Hi John Richardson6,

It looks like you're dealing with several different issues at once, which means you really need to get a thorough medical checkup.

Looking at your lab results, I’d say one of the main priorities right now is moderate anemia, based on your hemoglobin levels.

I think it’s crucial to figure out why this anemia is sticking around. Are you losing blood? You should look into your menstrual cycle, and since you mentioned abdominal pain, changes in appetite, and weight loss, we really need to investigate your digestive system thoroughly—along with checking your urine and urinary tract status.

There has to be a reason, and you need to find it!

Regarding the tonsil issue, it could very well be chronic tonsillitis, which typically presents exactly how you described (enlarged tonsils, bad breath, uneven surfaces, debris). It's actually quite common for throat swabs to come back normal even when there's chronic inflammation, so a clear swab doesn't rule out the diagnosis. You should talk to an ENT specialist about whether surgery (a tonsillectomy) might be necessary, as that's often the only permanent fix if it truly is chronic.

That said, I'm not sure if tonsil problems that started a year ago are linked to the other symptoms you're mentioning (specifically the anemia, stomach pains, and weight loss).

Right now, though, the priority should be finding the cause of the anemia and getting to the bottom of those digestive issues and the weight loss.

As soon as your doctor gets back from vacation, go see them with all these results in hand!

Best regards. 🙂

Elizabeth Perez33 said:Hello, Nicholas Myers. One more question? Go ahead.
Should I get liver function tests done? Is it possible we're looking at mononucleosis here? 🤷

Emily Hernandez67 said:Hello, I'm 30 years old, and my gynecologist referred me for some hormone testing due to polycystic ovaries. Here are my results—could anyone tell me what you make of them or offer some advice?
Testosterone 1.20 nmol/L ref.int. 0.29-1.67
Prolactin 276.5 mIU/L ref.int. 102-496
LH 5.68 IU/L ref. int. follicular phase 2.4-12.6
mid-cycle 14.0-95.6
luteal phase 1.0-11.4
FSH 4.96 IU/L ref. int. follicular phase 3.5-12.5
mid-cycle 4.7-21.5
luteal phase 1.7-7.7
Estradiol 73.85 pmol/L ref. int. follicular phase 46-607
ovulation 315-1828
luteal phase 161-774

Progesterone 0.619 µg/L ref. int. follicular phase 0.2-1.5
mid-cycle 0.8-3.0
luteal phase 0.1-0.8

I had my progesterone blood work done on day 23 of my cycle, while the rest was done on day 4.
Thanks in advance for any help

Olivia Hayes89 said:Your results look clean!

Emily Hernandez67 said:Oops, I typed the wrong reference range for progesterone—in the luteal phase, it should actually be between 1 and 7, with a result of 27.0. It feels like my progesterone might be running a bit low, assuming that since I had my blood drawn on day 23 of my cycle, we are indeed looking at the luteal phase. 🙂

Olivia Hayes89 said:Yeah, that’s the luteal phase... and if I’m not mistaken, the standard progesterone ranges for the luteal phase sit somewhere between 5.3 and 86 (though that varies depending on which lab you use)...
In your situation, though, your progesterone looks low, so your doctor will probably put you on some kind of hormone therapy.