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

Maria Fisher46 said:Are you feeling okay? On any meds? Birth control? Are you underweight?

I’m not on any medication... and I'm definitely not underweight. As for symptoms, I deal with some congestion... my nose is always slightly stuffed up. I saw an ENT, but they ruled out allergies and sinus issues. They basically just told me to rinse my nose and call it a day. I do have Hashimoto's hypothyroidism, though (still haven't started treatment).
This blood work has me worried, especially since even my doctor is stumped...

Hello everyone,

I’ve been doing quite a bit of reading regarding semen analysis results, but I’m still feeling stuck on several points. If anyone could lend me a hand in interpreting my findings, I would be incredibly grateful. I realize this might be slightly off-topic for the sub, but I am honestly just impatient to figure out what these numbers actually mean for us. Volume

Volume (ml) - 1.000
Abstinence: 4 days
pH - 7.7
Mucus ++
St. spermatog - 1.0
Leukocytes (mil/ml) - 2.0
Vitality % 63
HOS % 52

COUNT SUMMARY
CELLS COUNTED, SAMPLE, CONCENTRATION, PERCENT
TOTAL: 1135 , 111.5, 111.5 , 100
MOTILE: 678 , 66.6 , 66.6 , 60
PROGRESSIVE: 379 , 37.2, 37.2 , 33

I assume I don't need to include the WHO comparison data here.

On the same page, the doctor noted in handwriting that a sperm morphology percentage analysis wasn't possible because the specimen was technically poor??

On the following page, I have these details:

MEAN VALUES
PARAMETER VALUE UNITS STANDARD DEVIATION
PATH VELOCITY - 51.1 um/s 24.2
PROG. VELOCITY - 41.3 um/s 23.3
TRACK SPEED - 77.3 um/s 34.0
LATERAL AMPLITUDE - 3.4 um 1.6
BEAT FREQUENCY - 24.4 Hz 14.4
STRAIGHTNESS - 80 % 19
LINEARITY - 54 % 20
ELONGATION - 70 % 17.2
AREA 3.8 um sq 1.6

VELOCITY DISTRIBUTION
CATEGORY, CELLS COUNTED, SAMPLE (M), CONCENTRATION, PERCENT
RAPID 4 , 588 , 57.8, 57.8 , 52
MEDIUM: 3, 90, 8.8 , 8.8, 8
SLOW: 2 , 184, 18.1 , 18.1, 16
STATIC 0-1, 273 , 26.8 , 26.8, 24

SORT RESULTS
16 FRAMES MIN CELLS COUNTED: 658, SAMPLE: 64.6 CONCENTRATION: 64.6 , PERCENT: 76

Ugh, I am absolutely exhausted from typing all of this out...
By the way: my wife and I have been trying to conceive for over a year now, and this is my very first analysis.

Thanks in advance...

My serum results show Mumps IgG at 24, where the reference range is positive if >11 and negative if Also, my VZV IgG is over 2000, while the reference range marks anything >100 as positive and And yes, right next to those, it explicitly says "POSITIVE."

Then there's the CSF result, which shows VZV IgG at 110; the reference units are positive if >100 and negative if
Does anyone happen to know what these numbers actually signify?

Hi there!

My two-year-old son recently had an ECG because his temperature hit 38.7; all of his levels came back within the normal range, except for his MCHC, which was 371 (ref: 300-350).
Back when he was 15 months old, he had low Hgb (84) and red blood cell counts, so I gave him 5 mg of divalent iron daily along with Vitamin B12 for four months, after which his complete blood count returned to normal (today's values: erythrocytes: 4.15; Hgb: 120).
Is there any reason to suspect spherocytosis here?
Thank you so much in advance for your help!

Hey there,
So, about a year ago, I got hit with a double whammy: Hashimoto and vitiligo. Since then, I’ve been getting my blood work checked pretty regularly, and every single time, the results show low neutrophil counts paired with high lymphocyte levels.
My latest numbers: neutrophils 42.1 (range 44 - 72); lymphocytes 48.5 (range 20 - 46).
Here’s where things get messy. My primary care doctor is basically telling me not to sweat it—he says it's just due to the inflammation in my thyroid and that everything should level out once the thyroid settles down. But on the flip side, my endocrinologist and dermatologist are totally disagreeing; they're saying this isn't caused by the thyroid at all, suggesting there might be something else going on entirely, and they think I really ought to go see a hematologist.
I guess what I'm wondering is, is there actually any reason to be worried here, or is this kind of blood work actually typical when you're dealing with Hashimoto?

fadedsailor17 said:My serum results show Mumps IgG 24—with the reference range being positive if it's over 11 and negative if it's under 9.
As for the VZV IgG—it came back at >2000—whereas the standard reference range is anything above 50 to be positive, and below 50 to be negative.
And yes—right next to those, it actually says "POSITIVE."

The CSF analysis shows VZV IgG at 110—given that the reference range is positive above 100 and negative below 50—so it's marked here as "REACTIVE."

Does anyone know what these numbers are supposed to signify?

Is the IgM negative? If only the IgG is positive, it simply means you have immunity—likely from having chickenpox as a child, much like most Americans—as well as immunity to mumps, probably due to vaccination. It’s certainly nothing to worry about.

Quote : Felix the Cat

Anthony Ortiz3 said:Greetings!

My two-year-old son underwent a KKS due to a fever of 101.6°F—everything came back within the normal range, with the exception of his MCHC, which was 371 (ref: 300-350).
At 15 months old, his Hgb was low (84) along with his red blood cell count—which led me to provide 5 mg of divalent iron daily, plus Vitamin B12, for four months—after which his CBC returned to normal levels (today's values: RBC 4.15; Hgb 120).
Is there any basis to suspect spherocytosis?
Thank you in advance for your response.

If all the other values fall within the normal range, I wouldn't panic—nor would I jump to conclusions regarding spherocytosis quite so quickly. It might be best to have the child's CBC rechecked in a month; if the MCHC remains elevated at that point, then you should consult their pediatrician to discuss potential follow-up testing. For now, I wouldn't rush into anything.

Quote : Felix the Cat

Melissa Thompson86 said:Greetings,
A year ago, I was diagnosed with Hashimoto and vitiligo. Since then—having checked my blood work several times over this past year—every single lab result shows low neutrophil granulocyte levels paired with elevated lymphocyte counts.
Latest finding: granular neutrophils. 42,1 (44 - 72); Lymphocyte 48,5 (20 - 46).
The issue is this—my primary care physician insists everything is fine, claiming it’s just an inflammatory process in the thyroid that will settle down once things stabilize. On the other hand—and this is where it gets complicated—both my endocrinologist and dermatologist are telling me it isn't a thyroid issue at all; they believe there is an underlying problem elsewhere and suggest I see a hematologist instead.
So now I find myself wondering—is there actually any reason to be concerned here, or is this specific blood work truly just characteristic of Hashimoto?

It feels somewhat ungrateful to comment without having the absolute numbers—specifically the leukocyte count. After all, there is a significant difference between a total leukocyte count of 10 and one of 5. Please rewrite the entire KKS report.

Sandra Vaughn50 said:And is the IgM negative? If you have an isolated positive IgG, it likely means you've already built immunity to chickenpox (probably from childhood, like most people) and mumps—likely as a result of vaccination. It’s really nothing to worry about.

Yes, the IgM is negative. These were CSF and serum results taken because there was some suspicion regarding multiple sclerosis, so I was just wondering what these specific numbers meant. Thanks.

Thanks so much for the reply!

Hey 🙂

Could someone please help me make sense of these results? My doctor is out on vacation right now, and I really don't feel like hunting for a new one just for this...

Hematocrit: 0.333 (3.86 to 5.08)

MCH: 35.2 (27.4 to 33.9)

MCHC 329 Distr: 413 (320 to 345)

MPV: 5.9 (6.8 to 10.4)

ESR is 18 and leukocytes are 8.91, so I guess those are fine for now.
🙂 Thanks in advance

Rachel Palmer56 said:Hi 🙂

I was wondering if someone could help me make sense of these results—my doctor is currently on vacation, and I really don't want to bother a different one...

Hematocrit: 0.333 (3.86 to 5.08)

MCH: 35.2 (27.4 to 33.9)

MCHC: 413 (320 to 345)

MPV: 5.9 (6.8 to 10.4)

Erythrocyte sedimentation rate is 18 and leukocytes are 8.91—so those seem fine for now.
Thanks in advance 🙂

Please include the parameters that are within the normal range too. Without the full panel, trying to interpret anything is difficult—and frankly, a bit irresponsible.
It might also be helpful to mention why you had the blood work done in the first place; having some context makes everything much easier to evaluate.

Sandra Vaughn50 said:Go ahead and list all the parameters, even the ones that are normal. It’s impossible to take anything seriously without seeing the full report.
It also wouldn't hurt to mention why you even had the blood work done in the first place. Context makes everything easier.

My bad, I only wrote down what looked high or low to me..
So, this is just a follow-up. I'm an asthmatic, dealing with GI issues (ulcers, GERD...), and I'm currently being evaluated by a rheumatologist with an undefined diagnosis.
Basically, for the last year, my leukocyte count and ESR have been constantly elevated. A few months back, my leukocytes were at 21.
ESR (erythrocyte sedimentation rate) 1 hour was 38.

That’s actually why this latest result made me pretty happy.
Leukocytes, like I mentioned, are 8.91.

ESR is 18.

Erythrocytes 3.93.

Hemoglobin 138.

Hematocrit 0.333.

MCV 85.2.

MCH 35.2.

MCHC 413.

RDW 12.7.

Platelet 232 (!) Leukocyte 6.0 DKS (Wait, user typed 382) -> Platelet 382.

MPV 5.9.

Anyway, that’s the whole picture. This was done two weeks ago. Since then, my lymph nodes have swollen up, so I'm hoping things are looking okay. Thanks in advance for the help. 🙂

Oh, and I'm still waiting on these results—they should be ready in about two weeks: >

Sandra Vaughn50 said:It’s honestly pretty ungrateful of me to try and comment on this without seeing the absolute numbers—specifically the leukocyte count. I mean, it's a totally different ballgame if your total white cell count is sitting at 10 versus 5. Just go ahead and Prescribe the whole CBC report here.

Here is the full panel:
RBC 4.09 (3.86 - 5.08)
Hemoglobin 124 (119 - 157)
Hematocrit 0.370 (0.356 - 0.470)
MCV 90.5 (83.0 - 97.2)
MCH 30.3 (27.4 - 33.9)
MCHC 335 (320 - 345)
RDW 12.2 (9.0 - 15)
Platelet 207 (158 - 424)
MPV 7.6 (6.8 - 10.4)
Leukocytes 4.2 (3.4 - 9.7)

CBC
Eosinophil % 2.7 (0 - 7)
Basophil % 0.6 (0 - 1)
Neutrophil % 42.1 (44 - 72)
Lymphocyte 48.5 (20 - 46)
Monocyte 6 (2 - 12)

Metabolites and Substrates
Glucose 4.7 (4.2 - 6)
Total Bilirubin 8 (3 - 20)
Urea 3.5 (2.8 - 8.3)
Creatinine 66 (49 - 90)
Urate 204 (134 - 337)

Enzymes
AST 17 (8 - 30)
ALT 12 (10 - 36)
GGT 12 (9 - 35)
(S) AMS 87 (23 - 91)
(U) AMS 227 (< 400)
ALP 34 (54 - 119)

Electrolytes
Potassium 4.3 (3.9 - 5.1)
Sodium 137 (137 - 146)

Trace Elements
Iron 15 (8 - 30)
TIBC 63 (49 - 75)
UIBC 48 (26 - 59)

Lipids
Cholesterol 5.1 (< 5)
HDL 1.6 (> 1.2)
LDL 3.1 (< 3)
Triglycerides 0.9 (< 1.7)
Serum appearance - clear

TSH 9.62 (0.4 - 4)

Ana is 28 years old, 5'4", 115 lbs

Rachel Palmer56 said:... undergoing evaluation by a rheumatologist with an undefined diagnosis still pending.
Actually, for the last year, my leukocyte count and ESR have been consistently elevated—just a few months ago, my leukocytes were at 21.
ESR (erythrocyte sedimentation rate) 1 hour 38

Because of that, these results actually bring me some relief.
Leukocytes, as I mentioned, are 8.91

ESR 18

Erythrocytes 3.93

Hemoglobin 138

Hematocrit 0.333

MCV 85.2

MCH 35.2

MCHC 413

RDW 12.7

Platelet 232 (!) Leukocyte 6.0 DKS

MPV 5.9

So, that is the full picture from two weeks ago. In the meantime, my lymph nodes have swollen up—I'm hoping everything is fairly okay. Thanks in advance for any insight. 🙂

Oh, and I am also waiting on these results, which should be ready in about two weeks: CRP, RF, ANA, ENA, C3, C4, CIC, IgG, CIC, IgM, CIC, IgA, ELP.

The silver lining here is that you aren't anemic. Generally speaking, the blood work looks fine—nothing that would necessitate rushing into emergency testing right this second.
Given the relatively high MCHC, I’d suggest rechecking your CBC in about a month. If the MCHC remains at those levels, it might be worth doing some follow-up tests—primarily to rule out cold agglutinin disease. Have you ever dealt with low hemoglobin or elevated bilirubin levels before?

I see you're waiting on immunology panels before seeing the specialist; rheumatologists are usually excellent diagnosticians, so you are likely in very good hands.

Good luck.

Melissa Thompson86 said:Here is the complete report:
Erythrocytes 4.09 (3.86 - 5.08)
Hemoglobin 124 (119 - 157)
Hematocrit 0.370 (0.356 - 0.470)
MCV 90.5 (83.0 - 97.2)
MCH 30.3 (27.4 - 33.9)
MCHC 335 (320 - 345)
RDW 12.2 (9.0 - 15)
Platelet 207 (158 - 424)
MPV 7.6 (6.8 - 10.4)
Leukocytes 4.2 (3.4 - 9.7)

DKS
Eosinophil gran. 2.7 (0 - 7)
Basophil gran. 0.6 (0 - 1)
Neutrophil gran. 42.1 (44 - 72)
Lymphocytes 48.5 (20 - 46)
Monocytes 6 (2 - 12)

Metabolites and substrates
Glucose 4.7 (4.2 - 6)
Total Bilirubin 8 (3 - 20)
Urea 3.5 (2.8 - 8.3)
Creatinine 66 (49 - 90)
Urate 204 (134 - 337)

Enzymes
AST 17 (8 - 30)
ALT 12 (10 - 36)
GGT 12 (9 - 35)
(S) AMS 87 (23 - 91)
(U) AMS 227 (< 400)
ALP 34 (54 - 119)

Electrolytes
Potassium 4.3 (3.9 - 5.1)
Sodium 137 (137 - 146)

Trace elements
Iron 15 (8 - 30)
TIBC 63 (49 - 75)
UIBC 48 (26 - 59)

Lipids
Cholesterol 5.1 (< 5)
HDL 1.6 (> 1.2)
LDL 3.1 (< 3)
Triglycerides 0.9 (< 1.7)
Serum appearance - clear

TSH 9.62 (0.4 - 4)

Age 28, 5'5", 115 lbs

The leukocyte count is normal, absolute neutrophil numbers are within range, and there is no absolute lymphocytosis. All good news!

I should also mention—to clarify—that another name for Hashimoto is chronic lymphocytic thyroiditis; essentially, the primary cells attacking the thyroid are your own lymphocytes, unfortunately.
Because of that, I would absolutely agree with your family doctor and align myself with the view that these results stem from Hashimoto.
The blood work is almost a textbook case. 😉

Sandra Vaughn50 said:The good news is you aren't anemic. Your blood work looks fine overall—nothing here suggests you need to rush out for emergency testing right away.
Since your MCHC is a bit high, I’d suggest getting another blood panel done in about a month. If the MCHC stays at those levels, it wouldn't be a bad idea to run some extra tests (mainly to rule out cold agglutinin disease). Have you ever dealt with low hemoglobin or high bilirubin before?

I see you're waiting on immunology results before seeing a rheumatologist. Those specialists are top-tier diagnosticians, so you're definitely in good hands.

Good luck.

Thanks so much for the reply.
I have had low hemoglobin before, but that was due to GI issues (melena), so it was just a one-off thing back then. As for bilirubin, honestly, I don't know.
I'll do exactly what you suggested and repeat the blood work in a little while. Thanks again. 🙂

Sandra Vaughn50 said:The leukocyte count looks solid, the absolute neutrophil numbers are right where they should be, and there’s no sign of absolute lymphocytosis. So, honestly, plenty of good news here!

I should probably mention that another name for Hashimoto is chronic lymphocytic thyroiditis, which basically means your own lymphocytes are the ones attacking your thyroid, unfortunately.
So, I’d say I'm totally on board with what your family doctor told you—it really seems like these results are just due to Hashimoto.
This blood work is pretty much a textbook case. 😉

And here I was thinking I was completely losing my mind :-D
Thanks for getting back to me ;-)

Can someone take a look at these three blood panels? I just had them done for a checkup..
I’ve been dealing with Hashimoto (hypothyroidism), but I haven't started any treatment yet..
These results are really messing with my head.. My doctor says everything looks relatively fine.. But honestly, I'm freaking out because I see stuff being high or low everywhere.. and this has been going on for such a long time now.
The first two panels are in these links
http://s723.photobucket.com/user/luc...tml?sort=3&o=0
http://s723.photobucket.com/user/luc...tml?sort=3&o=1

And here's the third one
Platelet 232 (!) Leukocyte 6.0 DKS
Erythrocytes 4.31 (3.86-5.08)
Hemoglobin 129 (119-157)
Hematocrit 0.380 (0.356-0.470)
MCV 88.1 (83.0-97.2)
MCH 89.8 (27.4-33.9)
MCHC 339 (320-345
Platelets 241 (158-424

Neutrophil granulocytes 40 (44-72) L
Lymphocyte 48.9 (20-46) H
Monocytes 6.5 (2-12)
Eosinophil granulocytes 7.1 (0-7) H
Basophil granulocytes 0.7 (0-1)
Luc 2.3 (0.0-4.0)
Neutrophil granulocytes 3.08 (2.06-6.49)
Lymphocyte 4.00 (1.19-3.35) H
Monocytes 0.57 (0.12-0.84)
Eosinophil granulocytes 0.53 (0.00-0.43) H
Basophil granulocytes 0.06 (0.00-0.06

electricmarlin62 said:Could someone take a look at these three blood panels? I had them done for a check-up..
I have Hashimoto's (hypothyroidism), though I haven't started medication yet..
These results are worrying me—my doctor says they're relatively fine.. But honestly, I'm anxious because everything seems to be slightly high or low.. and this has been going on for quite a long time.
The first two panels are in the links
http://s723.photobucket.com/user/luc...tml?sort=3&o=0
http://s723.photobucket.com/user/luc...tml?sort=3&o=1

And here is the third one
Platelet 232 (!) Leukocyte 6.0 DKS
Erythrocytes 4.31 (3.86-5.08)
Hemoglobin 129 (119-157)
Hematocrit 0.380 (0.356-0.470)
MCV 88.1 (83.0-97.2)
MCH 89.8 (27.4-33.9)
MCHC 339 (320-345)
Platelets 241 (158-424)

Neutrophils 40 (44-72) L
Lymphocytes 48.9 (20-46) H
Monocytes 6.5 (2-12)
Eosinophils 7.1 (0-7) H
Basophils 0.7 (0-1)
Luc 2.3 (0.0-4.0)
Neutrophils 3.08 (2.06-6.49)
Lymphocytes 4.00 (1.19-3.35) H
Monocytes 0.57 (0.12-0.84)
Eosinophils 0.53 (0.00-0.43) H
Basophils 0.06 (0.00-0.06)

This last CBC (the transcribed one) is mathematically impossible—either there was a mistake at the lab or the leukocyte count was recorded incorrectly; please double-check those entered values.

The findings could be—as I have already noted regarding another forum member—consistent with autoimmune issues involving the thyroid. That said, it isn't out of the question that you might have fought off some viral infection earlier this year without even realizing it (do you recall having swollen lymph nodes, a sore throat, or a fever?). However, it is difficult to make a rational judgment about what happened six months ago.
Your doctor is right; the results are more or less okay. Of course, this is within the context of the condition you unfortunately live with—and will continue to carry with you.

Sandra Vaughn50 said:That last (Prescribed) KKS is mathematically impossible—either the lab messed up or the leukocyte count was transcribed wrong, you should double-check those numbers.

The results could be (like I already mentioned to another lady on here) consistent with autoimmune thyroid issues. That said, it’s totally possible you brushed off some viral infection earlier this year without even realizing it (do you remember having swollen lymph nodes, a sore throat, or a fever?). But honestly, it's hard to say for sure what happened six months ago.
Your doctor is right, the labs are mostly fine. Of course, that’s assuming you’re living with the condition you have now and will carry with you for life.

Yeah, yeah, leukocytes are 8.9... it was just typed in wrong. 😵..
As for the cold thing... yeah, I had a couple of classic colds (runny nose stuff...)
but nothing with a fever or swollen lymph nodes.😉

electricmarlin62 said:Yeah, the leukocyte count is actually 8.9... it was miswritten 😵..
As for the colds—yes, I've had a few standard ones (runny nose and such...)
but nothing with a fever or swollen nodes😉

It’s likely those occasional colds or viruses cause a transient spike in the Lymphocyte count—which, looking at previous labs, seems to settle back to normal eventually (like back in April 2015).

However, once the thyroid condition reaches a more stable phase, if the Absolute Lymphocyte count ever climbs above 4, we might need to consider further hematological testing—but that is a conversation for another day.

For now, while things are just fluctuating slightly up and down, I wouldn't rush into anything.

Sandra Vaughn50 said:And those random colds or little viruses you catch probably just bump up your Lymphocyte count temporarily. From what I can see, it seems to settle back down to normal levels in some follow-ups (like back in April 2015).

But hey, once the thyroid stuff hits a more stable phase—and if that Absolute Lymphocyte count ever climbs above 4—then maybe we'd need to look into extra hematology tests, but let's not get ahead of ourselves.

For now, while things are just bouncing around a bit, I wouldn't rush into anything.

Thanks for getting back to me... I was just digging through my old blood work... and it looks like my lymphocytes have always been high (especially right when the Hashimoto started). If you don't mind me asking
Which number is the absolute lymphocyte count... just so I know what to watch? Is it the one marked with the % or something else?
Thanks so much